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Healthesystems is a leading provider of Pharmacy Benefit Management (PBM) & Ancillary Benefits Management programs for the workers' compensation industry.
The range of medical products and services needed for injured worker recovery is broad and the opportunities for fraud, waste, and abuse in workers’ comp healthcare are many.
Drugs regularly used to manage pain in adult populations may carry greater risks for teens.
Psychosocial factors impacting injured workers’ mental and behavioral health can be a barrier to recovery. Addressing concerns early with psychosocial treatments can positively affect a claim.
Comorbid obesity can complicate recovery, and new drugs create new pharmacy considerations.
An increase in the teen workforce could impact workplace injury and claims management.
While everyone is affected by climate change, it’s those on the front lines who feel it the most – those who work outdoors, in hot indoor environments, or in emergency response.
Novel migraine agents are continuing to enter the market, providing alternative forms of pain relief for migraine sufferers. What are the efficacy and cost considerations for injured workers?
Artificial intelligence capabilities are advancing rapidly, with new applications becoming available for healthcare and workers’ comp, along with new privacy and regulatory issues.
Physical injuries are often accompanied by mental health disorders such as depression, increasing workers’ comp claim costs and delaying recovery.
Explore the growing interest in research around psychedelic substances for medical applications related to workers’ comp populations, including but not limited to psilocybin, ketamine, and MDMA.
Weather-related disasters are on the rise. How do weather and climate change affect workers and workers’ comp?
The connection between physical and behavioral health opens an opportunity for physical therapists to address mental health for injured workers.
Considerations to counteract the cybersecurity talent shortage in workers’ comp organizations.
How problematic alcohol use can impact the workplace, claims, and medication management.
While opioid prescriptions and costs are trending down, some more nuanced, but still concerning prescribing patterns bear watching, including prescriptions for other controlled substances.
Examining tobacco use as a complicating factor in the workplace and as a detractor from injured worker outcomes.
Timing and accuracy of diagnostic test results can determine the course of an injured worker’s treatment plan, recovery, and claim.
With opioid utilization down, there is no longer a consolidated driver of pharmacy costs in workers’ comp. The industry faces more niche trends that require strategic formulary management.
What are social determinants of health, and how do they intersect with workplace injury and recovery?
The workforce is transforming before our eyes, creating a cascade of ripple effects that bear considerations for the labor cool and workers’ compensation populations.
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