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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.

Mitchell Article

What Does Network Security Look Like When There Is No Perimeter?

Recently, it’s been said by many in the IT Industry that ‘the perimeter is dead’. But what, exactly, does that mean? Think of it this way: it hasn’t been that long since all users, devices and applications were corralled into a closed network with defined entry and exit points. Essentially, the ‘wagons were circled’ and a firewall could be built to protect the perimeter.
Mitchell Article

Vehicle Scanning for a Computer Network on Wheels

Vehicle complexity has exploded in the last decade, and continues to accelerate. Collision repair used to be about sheet metal, headlamp and bumper replacement; now it frequently involves sophisticated electronics. From adaptive front lighting to regenerative braking, today’s auto body repair includes increasingly complex systems and electronic components.
Workers' Comp Article

Utilizing Nurse Case Managers for Workers Compensation Claims

One of the biggest challenges that the workers’ compensation industry faces today is the continuous rise in medical costs. As a result, the industry fights for improved efficiencies and cost containment, and injured workers can often get lost in the shuffle. Until now, most employers have focused on containing costs and reducing days lost, representing a more transaction-centric approach.
Mitchell Article

Mitchell Total Loss Data Q2 2017

The chart below illustrates the total loss data for both vehicle age and actual cash value of total loss vehicles processed through Mitchell servers.
Mitchell Article

Consumer Self-Service Expectations are the New Normal

In 2016, smartphone ownership for individuals 13 years of age and older surpassed 81% in the United States, effectively reaching full market saturation. The remaining 19% represent either “technology laggards,” unlikely ever to use smartphones, or those who are still in grade school and simply without a smartphone yet.
Auto Casualty Conference

RIMS 2018 Annual Conference & Exhibition

RIMS 2018 Annual Conference & Exhibition is the premier event for the risk management community. RIMS 2018 features not only the largest exhibition dedicated to risk management in the world, it also includes a full conference with more than 400 speakers presenting on the full spectrum of risk management.
Workers' Comp White Paper

Help Combat Opioid Misuse

The worst drug overdose crisis in U.S. history is driving policymakers to declare opioid-use disorder a national emergency and to seek new ways to battle the epidemic. The workers’ compensation industry must likewise step up efforts to protect patients and better understand how the number one drug class among injured workers affects return-to-work and quality of life.
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