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Sharing information with the industry is an important part of our mission. Our subject matter experts translate today’s news into comprehensive informational pieces to help you better understand the impact of a recent industry update, trend, or issue.
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September 12, 2024 · Public Policy & Regulatory Affairs Team
New Mexico proposed rules require preauthorization. for physician dispensing, add late payment penalty; Ohio proposes changes to pharmacy fee schedules; California bill requiring UR physicians to hold in-state license revived Read more... |
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September 01, 2024 · Published by WorkCompWire
As the new CEO of Optum Workers’ Comp and Auto No-Fault, Matt Wolfe is continuing a mission that has guided his professional career. Read more... |
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August 22, 2024 · Public Policy & Regulatory Affairs Team
In Florida, the Division of Workers’ Compensation continues to revise its Healthcare Provider Reimbursement Manual. The Texas Division of Workers’ Compensation is likewise revising its pharmacy benefit rules. The Delaware Department of Labor has posted its Workers’ Compensation health care practice guidelines on its website. The Idaho Industrial Commission is still conferring with stakeholders on potential rule changes. Read more... |
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August 01, 2024 · Published by WorkCompWire
There is no "right number" of medications, but polypharmacy can be associated with significant risks. Tron Emptage, MA, RPh, Chief Clinical Officer, explains what pharmacists look for when evaluating the number and type of medications for an individual injured person. Read more... |
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July 31, 2024 · Public Policy & Regulatory Affairs Team
Colorado proposes prohibiting physician dispensing of gabapentin and mandating eBilling; Alaska first responder PTSD presumption enacted; Michigan work comp advisory committee meeting reviews medical fee schedule changes and discusses pharmaceutical issues; Idaho work comp rulemaking meetings address medical fees and disputes; Kentucky bills add to PBM and insurer requirements; Minnesota renews electronic eligibility transaction exemption for work comp and auto. Read more... |
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July 10, 2024 · Public Policy & Regulatory Affairs Team
California work comp proposed UR rule changes; Montana fee schedules and drug formulary updated; Michigan bill applying false claims law to PIP advances; Idaho legislation adds to PBM requirements. Read more... |
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July 01, 2024 · Published by WorkCompWire
In the 1956 novella, The Minority Report, “precognition” has advanced to a point where criminals can be identified before they commit a crime. But can you punish an individual for something predicted, that they haven’t yet done? Alan Phillips, VP, Product and Innovation, explores the advantages of predictive studies and when caution is needed. Read more... |
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June 27, 2024 · Public Policy & Regulatory Affairs Team
After years of attempts, New York lawmakers finally passed legislation impacting the ability of employers and insurers to direct workers’ comp pharmacy care. Read more... |
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