Industry Insight
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The workers’ compensation marketplace is a constantly changing environment. Coventry Workers’ Comp Services works to provide information to the marketplace about current reform, legislative landscape, the latest technologies and other industry information as a resource to help you understand the latest trends.
Workers’ Compensation Networks – Will There be Change in a Post Health Care Reform Era?
With the flurry of media attention on Health Care Reform, these past few weeks particularly, one thing seems clear – the impact of reform on Workers’ Compensation remains to be seen.
Science vs. Art in Managing Workers' Compensation Risk
With workers' comp costs on the rise, it has become imperative for organizations to have a clearly defined information framework that supports identification of highest risk claims and drives quantifiable aggregate outcomes
Using Networks for More than Just Discounts
While traditional workers’ compensation networks will continue to be utilized, organizations that access a large data store, including medical, pharmacy and indemnity data, can provide payors with a more refined tool that is more likely to deliver incrementally successful outcomes over time.
The Impact of Comorbid Conditions on Workers' Compensation Medical Costs
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As the prevalence of comorbid conditions continues to rise, it provides a challenge to workers' compensation payors who continue to face pressure to reduce rising medical costs. This presentation will explore the effect comorbid conditions have on workers' compensation claims and some proposed solutions to help mitigate their impact.
Group Health vs. Workers' Comp PBMs
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Often it's said "Seen one, seen them all", even in healthcare. Well in the Pharmacy Benefit Management (PBM) arena, that couldn't be farther from the truth.
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The 2011 First Script Drug Trends Report provides a look at current drug utilization and spending trends within our workers' compensation pharmacy benefit claims. Additionally, insight is offered into potential future drug spend based on these patterns.
Controlling the Cost of Catastrophic Workplace Injuries
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This article discusses the financial burden catastrophic injuries can have on an organization, and what to look for in an effective catastrophic case management vendor.
Clinical Best Practices to Target Specific Risks
1.52 MB
Lean about the importance of developing clincal best practices to target specific risks
Use of Methadone in the U.S.
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This White Paper Offers Information on the Increased Use of Methadone in the U.S.
Updates on Legislation & Regulatory Compliance
January 2012 Update
Coventry Workers’ Comp Services (Coventry) continuously evaluates pending and/or enacted legislation for its impact on Coventry’s products and services, and cost savings and quality for our clients. This document summarizes pending and/or enacted legislation that directly impacts or relates to the services provided by Coventry. This information is intended solely for informational purposes and is not intended as legal advice for clients.
Alaska
Rules 8 AAC 45.086 and 45.900
The Alaska Department of Labor and Workforce Development revised the rules, effective 12/22/11. A provider who renders medical or dental services must serve a report on the employer no later than 14 days after each service instead of completing form 07-6102 (Physician's Report). The employer must file a physician's report with the Board and serve a copy to the employee and the reemployment benefits administrator (if involved in reemployment benefits) after a workers' comp claim has been filed.
Michigan
House Bill 5002
This bill adds new law regarding compensable injuries and determination of wage earning capacity. The bill was adopted on 12/19/11. It applies to injuries occurring on or after 12/19/11. The bill primarily impacts vocational and medical case management services.
South Dakota
Rules 47:03:04, 47:03:05, and 47:03:06
The rules address changes to the filing deadline for renewal of case management plan (CMP) certifications, simplify Medical Fee Schedule, and repeals Optimal Recovery Guidelines. These rules were adopted and became effective 12/12/11.
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case study
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Coventry conducted a validation study that measures outcomes achieved through use of our Medical Provider Network (MPN) strategy in the state of California.
- See the Results >>
COVENTRY NEWS
- Coventry Reaccredited by URAC for Utilization Management
- Coventry announced today that it has been reaccredited for Workers Compensation Utilization Management from URAC >>
- Coventry Expands Outcomes-based Network Product
- Coventry continues to provide the opportunity for clients to access a more selective and focused workers' compensation managed care option by expanding the Outcomes-based Network product >>
- 2011 First Script Drug Trends Report
- Coventry has released its 2011 First Script Drug Trends Report. The report includes information on prescriptions billed in 2011 through Coventry's First Script pharmacy benefit program, and includes comparisons to 2010 as well as national statistics. >>