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Auto Casualty Article

In-Network and Out-of-Network Trends

4 MIN READ

This analysis provides a comprehensive examination of prescription utilization across both in-network and out-of-network channels including retail pharmacies, mail-order services, and paper-based medical bill submissions. This dual-lens approach captures the full prescription landscape that extends beyond traditional pharmacy benefit management reporting, revealing critical cost and utilization patterns across all jurisdictions. While in-network channels demonstrate the real-time effectiveness of integrated clinical controls and cost management strategies, out-of-network data, often representing acute treatment episodes captured through medical bill review, exposes significant cost management opportunities and pricing anomalies. Together, these perspectives illuminate where pharmacy dollars are spent, how prescriptions are managed, and where targeted interventions can drive the greatest impact on both clinical outcomes and costs.

Workers' Comp White Paper

Harness the Power of Case Management to Succeed in the Year Ahead

Clinical strategies for employers and payers to address the challenges of 2021 while managing return-to-work outcomes and keeping workers’ comp costs in line.
Workers' Comp Article

Ask the Pharmacist: Emergency Use Authorization

How Does Emergency Use Authorization Differ from Full Approval of a Treatment or Vaccine? The immediate and urgent changes that a global pandemic demands have proven to be an enormous cha
Workers' Comp Blog

Putting the ‘longest year ever’ behind us and looking ahead

Recently we sat down with a number of Coventry leaders and asked them what’s on their minds as we begin the new year.
Auto Casualty Conference

National Workers Compensation and Disability Conference

The National Workers’ Compensation and Disability Conference & Expo (NWCDC) is the only national conference devoted to workers’ compensation and disability management professionals. This conference also features the largest expo in the workers’ compensation industry.

Mitchell Virtual Event

The Pareto Principle: Applying the 80/20 Rule to the Connected Claim in Workers’ Comp

On-Demand

Successfully managing workers’ compensation claims requires a delicate balance of connectivity, expertise and focus. Applying these key principles across your organization can help you to see the full picture of the claim to identify opportunities, understand data insights, apply automation and most importantly, allow your organization to identify and support the claims that require extra attention.
Mitchell Virtual Event

Tips to Better Manage Your Glass Business

On-Demand

Glass has become a core component of proper, safe vehicle repair. According to Mitchell data, the average number of labor hours categorized as "glass" increased by 27% since 2018.
Workers' Comp White Paper

Mega Trends in Ancillary Services

A Priority Care Solutions Workers’ Comp eBook
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