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Our latest blog posts, articles and podcasts
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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November 15, 2023 · Public Policy & Regulatory Affairs Team
Brief notes include: Updated Washington workers’ comp outpatient formulary and mental health services provider list, updated Michigan workers’ comp health care rules, proposed New Mexico workers’ comp provider fee schedule and billing changes, updated Massachusetts workers’ comp hearing service rules, updated Maine workers’ comp reimbursement rates, and New York workers’ comp looks to update DMEPOS fee schedule. Read more... |
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October 25, 2023 · Public Policy & Regulatory Affairs Team
Brief updates in California workers’ comp PTSD presumption law amended and several other bill vetoed; Michigan legislation would significantly overhaul auto no-fault medical fee schedule law; Massachusetts to hold meetings on opioids; and Tennessee clarifies medical fee schedule updates. Read more... |
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October 12, 2023 · Clinical Team
The 3Q 2023 Brand-Generic Pipeline update Read more... |
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October 12, 2023 · Public Policy & Regulatory Affairs Team
You’re invited to the Policy Guys’ end of summer barbeque! Have a brat or burger and listen in as Adam and Kevin discuss physician dispensing of topical medications with Optum Workers’ Comp Chief Clinical Officer Tron Emptage, proposed new rules for Medicare Secondary Payer conditional payments with Associate General Counsel Michael Flower, and the latest state policies on PTSD with Associate Medical Director Dr. Kathleen Fink. Read more... |
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October 11, 2023 · Medicare Insights Team
On October 10, 2023, CMS finalized its Civil Monetary Penalty (CMP) rule for imposing penalties against Responsible Reporting Entities (RREs), which includes Group Health Plans (GHPs) and Non-Group Health Plans (NGHPs). Read more... |
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October 06, 2023 · Optum Workers' Comp and Auto No-Fault
The purpose of this document is to give payers a better understanding of the basics in PBM pricing models, as well as provide a brief list of questions to ask when evaluating workers’ compensation PBM vendors to help identify which will best suit their unique book of business. Read more... |
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