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Publications

Before You Choose a Pharmacy Benefit Manager, do the Math

Many Pharmacy Benefit Managers look alike. Before you choose one, do the math. Find out more about how Coventry impacts total pharmacy cost and outcomes with our program integration and collaboration with prescribers.

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Building a Top Pharmacy Benefit Management Program for Injured Workers Requires Expertise, Data, and Committed Partners

Since its inception, the Connecticut Interlocal Risk Management Agency (CIRMA) has taken on the unique challenges that municipalities face when caring for injured workers. As part of their solution, CIRMA turned to Coventry’s Pharmacy Benefit Management (PBM) program, First Script. Learn more about how CIRMA and Coventry partnered to produce positive outcomes for its members.

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Nurse Triage
Establishing Trust at the Time of Injury

At a vulnerable time, injured employees need to be able to trust that their employer is doing right by them. If that trust doesn’t exist at the outset, the injured worker can easily veer off course. Our nurse triage hotline, available 24 hours a day/7 days a week, provides employees with a valuable source of credible information. Nurses are the ideal professionals to establish a roadmap for success when an injury occurs and to help the injured work make informed decisions about their care.

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Understanding and Planning: A Prescription for Fighting Opioid Use Disorder

The rampant opioid misuse battering the nation represents one of the most virulent threats to employee welfare in the more than 100-year history of workers’ compensation protections. Equipping key players with an understanding of what to look for and how to respond will lead to better chances of deterring the abuse of opioid analgesics that has proven so costly to workers’ wellbeing.

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In a Data-filled World, Stories That Rely Solely on Numbers Don’t Add Up

Storytelling sometimes seems to be a lost art. Every day we are inundated with articles that exalt big data, analytics, predictive modeling, data science, and statistics as the most compelling means of persuasion and communication. Somewhere in the fascination with all things data, we are led to conclude that data in and of itself is the end, the goal, the Shangri-La of enlightenment and understanding. That’s not the case. The numbers should provide the color to our story, not the conclusion.

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Stress Management in Workers' Compensation

The term “stress” covers a huge range of phenomena from mild irritation to the severe problems that might result in a real breakdown. Stress can manifest itself physically, emotionally, cognitively, and behaviorally. Many studies have found that stress often has less to do with the event or the situation than with our perception of the meaning of the event or situation.

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Telemedicine and Telehealth: Technology and Tools for Enhanced Clinical Support

Once upon a very different time, doctors arrived at one’s doorstep carrying a black bag packed with a thermometer, a stethoscope, and other tools — but that hasn’t been standard operating procedure for recent generations. Today, millennials and others who have never had a health care provider in their living room are benefiting from virtual house calls, which can help increase access to clinicians, facilitate appropriate care and support better outcomes. Marrying clinical support and technology can have many benefits, and it is time to apply them to workers’ compensation. 

Click here to download the full whitepaper

 

Best Practices and Partnerships Can Help Combat Opioid Misuse

The worst drug overdose crisis in U.S. history is driving policymakers to declare opioid-use disorder a national emergency and to seek new ways to battle the epidemic. The workers’ compensation industry must likewise step up efforts to protect patients and better understand how the number one drug class among injured workers affects return-to-work and quality of life. Our whitepaper examines opioid misuse and some of the steps we can take to avoid it and discusses protocols around prescribing and possible new templates for successful return-to-work programs.

Click here to download the full whitepaper

 

Definining "Value-Based Contracting" Requires More Than a Few Words

Value-based contracting (VBC) is one of the most talked-about topics at conferences, in stewardship meetings, and in workers’ compensation requests for proposal (RFPs). But for all the discussion around the term, one thing seems missing: a common definition. VBC seems fairly straight-forward to most observers and that might be part of the problem. Indeed, ask a half dozen people what value-based contracting means and you’ll get as many answers. This white paper explores and pros and cons to VBC and its implications in workers' comp. 

Click here to download the full whitepaper

 

Insight to the Power of Two: Combining the best of analytics and people to deliver improved injury outcomes

Seasoned claims professionals don’t need an algorithm to tell them that an injured worker who is obese or has diabetes might need an extra hand in recovery. Understanding the implications and potential effects of a comorbid condition comes from experience. As that experience accumulates it yields insight. Data analytic tools work much the same way: they ingest stores of data and, as the amount of information grows, algorithms produce more nuanced conclusions. This white paper explores the importance of combining sophisticated data analytics with the time-honed experience of clinicians and claims professionals. 

Click here to download the full whitepaper

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