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Articles and blogs 

April 14, 2021 · Medicare Insights Team
Optum continually monitors the average wholesale price (AWP) of the most common medications in Workers’ Compensation Medicare Set-Asides (WCMSAs) to help our clients properly assess their WCMSA exposure and achieve the lowest possible allocations. Read more...
April 09, 2021 · Public Policy & Regulatory Affairs Team
The New York Workers’ Compensation Board (WCB) continues its rule-making and communication efforts related to the Drug Formulary and the implementation of OnBoard and the modernization of processes to care for injured persons in New York. Read more...
April 06, 2021 · Policy Matters team
Listed below are brief updates on several recent policy developments across the country. Read more...
April 01, 2021 · Clinical Team
On March 31, 2021, the ODG Drug Formulary (Appendix A) will change the status of several medications, including, but not limited to, skeletal muscle relaxants (SMR). Read more...
March 26, 2021 · Public Policy & Regulatory Affairs Team
The New York Workers’ Compensation Board (WCB) issued a notice and pending emergency rules alerting payers of how to properly report their Prior Authorization Request (PAR) point of contact(s). Read more...
March 25, 2021
In this episode, the Policy Guys talk about the NY Formulary. Read more...
March 23, 2021 · Public Policy & Regulatory Affairs Team
Recent public policy actions on medical and recreational marijuana will likely impact the handling and provision of care for workers’ compensation and auto no-fault claims. Read more...
March 18, 2021 · Policy Matters team
Listed below are brief updates on several recent policy developments across the country. Read more...
March 11, 2021 · Public Policy & Regulatory Affairs Team
The New York Workers’ Compensation Board (WCB) has released final adopted rules on the Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) fee schedule and synergistic prior authorization requests (PAR) requirements. Read more...
March 08, 2021 · Public Policy & Regulatory Affairs Team
Legislation introduced this year in multiple states (listed below) would permit injured workers to choose various treating providers in states that, to some degree, currently permit the employer or insurer to make that choice. Read more...
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