Pharmacy Benefits Management

Workers’ Comp Drug Costs Reverse Course, Rising Sharply Across Most States

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.

How Data-Driven Strategies Are Reshaping Claims Management and Reducing Costs

Outdated Policy, Modern Costs: Rethinking Pharmacy Choice in Workers’ Compensation

15 Questions for Optum’s Dr. Robert Hall

The Shifting Landscape of Workers’ Compensation Pain Management

Recently in Pharmacy Benefits Management

The Defeat of Lupe

A routine back injury evolves into chronic pain.

Bending the Opioid Curve

The worst of times is over. Maybe that’s not saying very much.

Putting a Cap on Physician Dispensing

States are increasing regulation to limit physician distributed prescriptions.

Mr. Jones

A once fit, hardworking man in his sixties gets hurt and his case goes into an unexpected tailspin. Will Ben ever return to work?

Down for the Last Time

An already fragile bank teller is knocked down and cannot get back up, thanks to her appetite for prescription painkillers.

The Toxic Balloon

An injured EMT starts down a dangerous path of addiction to narcotic painkillers.

A Crushing, Complex Claim

A young baggage handler’s injury claim is crushing – literally.

The Downward Spiral

A warehouse injury leads to a once working mother’s downward spiral of addiction.