Sharing perspectives leads to greater understanding and fuels innovation. The ​Optum Insights ​blog is where we share our perspective and challenge preconceptions to clear a new path forward

  • New York proposes revised rules for pharmacy fee schedule

    • Optum Workers' Comp
    | Dec 14, 2018
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    Pharmacy, Workers' Compensation, Pharmacy Fee Schedules
    The New York State Workers’ Compensation Board (WCB) recently proposed revised rules to update pricing methodology for prescription drugs, as of Part 440 of Title 12 NYCRR. The proposed rule would establish a “lesser of” standard, among the current means to calculate price, and addresses rebate transparency as a way of injecting potential savings to the workers’ compensation system.

  • Maker of opioid overdose antidote, Evzio® (naloxone auto-injector), agrees to produce lower cost product after criticism for price increase

    • Optum Workers' Comp
    | Dec 13, 2018
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    Overdose, Opioids, Workers' Compensation, Pharmacy, Clinical
    After a month of recent discussions with lawmakers and public health advocates over steep price increases of its Evzio® overdose antidote, Kaléo® Inc. announced it has authorized its subsidiary, IJ Therapeutics, to produce an authorized generic version of its naloxone auto-injector.

  • Indiana publishes workers’ comp drug formulary guidance

    • Optum for Workers' Compensation
    | Dec 10, 2018
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    Workers' Compensation, Government Affairs, Formularies
    The Indiana Workers’ Compensation Board (WCB) recently posted “guidance for implementation” of the drug formulary scheduled to take effect January 1, 2019

  • Over $100 billion in Medicare savings attributable to Medicare Secondary Payer Act

    • Rafael Gonzalez
    | Dec 06, 2018
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    Medicare Secondary Payer, Medicare Set-Aside, medicareinsights blog, Workers' Compensation, Settlement Solutions, Settlement
    The Medicare Secondary Payer Act turns 38 years old in December 2018. While it’s credited with saving more than $100 billion in taxpayers’ money since 1999, it’s not without its critics. Find out the impact of workers’ compensation, the pros and cons of MSP and what’s ahead. Read more on our blog.

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