A key physician payment factor continues its decline while facility rates rise, creating varied impacts for insurers depending on state-level fee schedule rules.

New WCRI research reveals surgical claims are up to nine times more likely to become high-cost cases, with timing of intensive care emerging as critical factor.

Economist Dr. Dubravka Tosic details the key litigation insights on the costs of life care plans.

Discover how care-first claims management strategies are helping employers and payers reduce workers’ comp costs and improve recovery outcomes.

Kristine Kennedy of Healthesystems discusses how digital tools and empathy are reshaping workers’ comp, from improving communication with injured workers to leveraging AI for better outcomes.

“Focusing on outcomes, even with small additional costs up front, is poised to improve the overall injured worker experience both for employee and employer.”

Litigated workers’ comp claims are shown to be far more expensive than those that are not litigated. What determines which path a injured worker will follow may be surprisingly simple.

How do you know if the doctor you are seeing (or are planning to see) is any good? Maybe you got a referral. Maybe you have “heard good things.” Maybe you have read some reviews online on Healthgrades or Google or Yelp. But what do we really learn about from those sources? Good bedside manner?… View Article

Pharmacy benefit managers (PBMs) play a crucial role beyond price negotiations, focusing on clinical management, network strategies, and service. Effective PBMs manage costs, enhance care, and ensure transparency and security, addressing unique workers’ comp needs.

As more health care networks acquire individual physician practices, the workers’ compensation industry must address the medical management costs and patient outcomes associated with this trend.

Discover the benefits of timely physical therapy in enhancing patient recovery and reducing claim costs.

Workers’ comp and employment law aren’t the same — but they do have some overlap.

Engaging with behavioral health factors that can delay recovery early on can be a boon for injured workers and their employers alike.

PEOs take off much of the administrative workload of running a strong workers’ comp program.

A wide array of clinical expertise can help PBM pharmacists offer the best possible service to payers.

In conversation, Gallagher Bassett’s Johnny Taylor shares his thoughts on physician dispensing, behavioral health and more.

The decline in opioid prescribing is reshaping pharmacy costs in workers’ comp, allowing a more diverse range of concerns to come to the fore.

Multiple factors affect PBM pricing. These are the questions payers need to ask to find the right fit (and get the most savings) for their company.

After launching a pay-as-you-go workers’ comp solution, NYSIF set out to discover how it was impacting the policyholder experience. The results were clear.

Employers can get ahead of on-the-job injuries by refining their job descriptions with data-driven analyses.