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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.
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.
Better metrics for physical medicine
10 Best Practices in Medical Claim Management
Older patients and fewer physicians in workers’ comp
Effective monitoring strategies can help curb nonadherence and its impact on patients and payers.
Innovative analytics tools provide better, more actionable data for improved opioid management.
Clinical intervention strategies must evolve to accommodate the complexities of patient management.
Having a holistic, comprehensive strategy is critical in the ongoing battle to control medical care costs.
Reducing WC claims costs in one area often inflates them in another.
It’s time to start thinking beyond opioids and adopt a new approach to pain management.
4 key steps to redefine an opioid management strategy.
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