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Healthesystems is a leading provider of Pharmacy Benefit Management (PBM) & Ancillary Benefits Management programs for the workers' compensation industry.
Patient engagement programs are a staple in American healthcare and increasingly common in WC. By focusing engagement strategies on desirable behaviors in injured workers, payers and partners can achieve positive results.
Unfamiliarity with workers’ comp is one of the biggest barriers to recovery for injured worker patients. How can we use meaningful engagement to help them navigate the system?
While the recent rescheduling of marijuana mainly applies to medical products and not recreational use, it does introduce significant implications for clinical research, drug development, and downstream utilization in patient care.
Occupational lung diseases make up a small but significant portion of workers’ comp claims, and an uptick in wildfires across the U.S. has increased the frequency of these claims among firefighters.
Demand for DME is rising, as are costs. What’s driving this growth, and how can the workers’ compensation industry contain costs?
With the workforce growing older, degenerative conditions may have a growing impact on claims. Here are six common conditions that injured workers face.
Explore the top five major findings from this year’s Workers’ Comp Industry Insights Survey
Utah’s prescription renewal pilot is a groundbreaking use case for AI in healthcare. What are the potential benefits and pitfalls?
While cases may be few, long COVID can significantly impact workers’ comp claims in several ways.
The FDA has approved the first oral version of a GLP-1 for the treatment of obesity. What do you need to know about safety, efficacy, and cost?
In workers’ comp, comorbidities like hypertension require a focus on drug-drug and drug-disease interactions to ensure effective and safe treatment plans.
Out-of-network pharmacy use in workers’ compensation drives higher costs, safety risks, and regulatory gaps; educating and engaging injured workers through digital outreach is a critical lever to increase network utilization.
How do PBMs help to manage the overall utilization, cost, and quality of workers’ comp healthcare?
With an effective formulary strategy, PBMs can ensure injured worker patients receive the most appropriate care and create better outcomes.
A small percentage of claims are driving the majority of costs in workers’ comp. What are these “mega claims” and how can we mitigate them?
More complex and costly claims are a concern in workers’ compensation. Understanding the factors that drive longer claim duration and higher costs is the first step to detection and management.
While the global cancer burden continues to rise, the risk and impact of occupational cancers can vary significantly. For payers who are impacted, the costs can be substantial.
PBMs are an integral piece of managing workers’ compensation healthcare and improving the experience for all stakeholders.
A good customer service center can create an exceptionally positive experience for customers, claims teams, and injured workers.
How can clinical pharmacists use artificial intelligence to improve care for injured workers? Silvia Sacalis, VP of Clinical Services, weighs in.
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