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Healthesystems is a leading provider of Pharmacy Benefit Management (PBM) & Ancillary Benefits Management programs for the workers' compensation industry.
Expanding presumptions in workers’ comp are making it easier for workers to qualify for benefits related to mental injury, including PTSD, as well as certain cancers and other conditions.
Hypertension and other cardiovascular diseases affect 128 million adults in the United States.
Healthesystems’ AVP of Information Security, Tony Brown, discusses how cyber threats affect workers’ comp organizations.
High-impact drugs represent proportionately low utilization compared to opioids or NSAIDs, but they can increase pharmacy spend exponentially on impacted claims.
Lawmakers look to regulate the U.S. drug supply chain in ways that could impact workers’ comp pharmacy management.
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.
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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