White Paper

Five Medication Management Trends to Watch in Workers’ Comp

The most recent annual review of drug utilization data from Optum revealed key trends that could shape workers’ comp care and policy developments in 2025 and beyond.

White Paper Summary

Workers’ compensation, like group health care, is affected by public policy. The presence of state-specific formularies, fee schedules, and treatment guidelines impact the medications that are prescribed for injured workers. And these parameters ideally are built based on data around drug availability, efficacy, utilization and cost.

“Medication utilization trends are often driven by policy decisions and guideline adoption in various states,” said Tron Emptage, MA, RPh, Chief Clinical Officer, Optum.

To that end, Optum conducts an annual analysis of transaction data to help clients understand medication use trends and how they align with policy, treatment guidelines, and new therapies.

“The analysis is based on prescription data from our network enforcement solutions, excluding out-of-network data to maintain consistency. This approach allows us to drill down into the trends and provide accurate insights to our clients and stakeholders,” said Trevor Johnson, Senior Data Scientist, Optum.

This year’s analysis, comparing 2024 to 2023 data, unveiled five key trends in drug utilization that could impact workers’ comp in the years to come.

To learn more about Optum, please visit their website.

The Optum workers’ compensation and auto no-fault division works to collaborate with our clients to deliver value beyond transactional savings while helping ensure injured parties receive safe and effective clinical care throughout the life of their claim. Our innovative and comprehensive cost management programs include pharmacy care services, ancillary benefit management, medical services, and settlement solutions.

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