After years of decline, prescription payments per medical claim increased in the majority of states studied between 2022 and 2025, according to the Workers Compensation Research Institute.
From triage-first models to pharmacy management and mental health intervention, a new analysis reveals the approaches delivering measurable results across workers’ compensation and liability programs.
New survey data from 507 industry professionals highlights the challenges of managing claims complexities when visibility into injured workers’ medical information and cost drivers is limited – and where solutions might be found.
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.
As workers’ compensation leaders prepare for the coming year, key trends in managed care programs are rapidly emerging. By proactively identifying and responding to these developments, leaders can significantly enhance long-term claims outcomes.
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.
A new series of reports from Enlyte analyzing pharmacy spend and utilization data from 2022 reveals that topicals have surpassed opioids in overall cost, though pharmacy costs and utilization have remained relatively stable.
CompPharma looked at current trends within the workers’ compensation pharmacy landscape and found payers are looking for more actionable data from their PBMs.
Opioid overprescription continues to present critical obstacles in the workplace. This National Comp 2022 panel will delve into the costs and benefits of long-term non-pharmacological pain management approaches that could help end the opioid crisis.