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Posts related to ‘Managed care’

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October 09, 2020
Suzie Burdette, R.N., B.S.N, C.C.M.
VP Clinical Operations, Field Case Management
What companies need to know about nurse case managers

Regardless of how seriously a company takes workplace safety, accidents and injuries are bound to happen from time to time. When complex injuries occur, injured employees often need the support of someone to explain medical procedures, help develop c…

October 09, 2020 by Suzie Burdette, R.N., B.S.N, C.C.M. , VP Clinical Operations, Field Case Management
Blog
September 18, 2020
Dr. Paul Peak
Assistant Vice President Clinical Pharmacy
Clinical studies: Finding the value and ignoring the noise

Just over 40 years ago, the New England Journal of Medicine published a five-sentence letter to the editor [1] that would be used to ignite one of the worst public health tragedies of our time. Written by a Massachusetts physician and graduate studen…

September 18, 2020 by Dr. Paul Peak, Assistant Vice President Clinical Pharmacy
Blog
August 28, 2020
Don Lipsy
AVP, National Technical Compliance, Managed Care Practice
Workers’ compensation health disparities in a post-COVID-19 environment

The inarguable fact of COVID-19 is that the coronavirus itself has been an indiscriminate and equal-opportunity tragedy on a global scale. Women and men, young and old, across the world and right next door, COVID-19 has impacted the way in which we l…

August 28, 2020 by Don Lipsy, AVP, National Technical Compliance, Managed Care Practice
Blog
April 29, 2020
Kathy Tazic, Managing Director Client Services and Brad Krauss, VP Business Development
3 key questions: Getting back to business after COVID-19

While we will miss seeing you at the Annual RIMS Conference & Exhibition in Denver, there has never been a more important time for us to connect or a more valuable message to share. The global coronavirus (COVID-19) pandemic has affected us all deepl…

April 29, 2020 by Kathy Tazic, Managing Director Client Services and Brad Krauss, VP Business Development
Blog
April 01, 2020
Dr. Paul Peak, Pharm.D, Vice President, Clinical Pharmacy and Dr. Reema Hammoud, Pharm.D, BCPS, Assistant Vice President, Clinical Pharmacy
The answer for COVID-19 – or a prescribing risk?

Our pharmacists speak out on the use of hydroxychloroquine as an emerging treatment option and appropriate clinical guidance during the coronavirus (COVID-19) outbreak During the past several weeks, our pharmacy program team has been working to ensu…

April 01, 2020 by Dr. Paul Peak, Pharm.D, Vice President, Clinical Pharmacy and Dr. Reema Hammoud, Pharm.D, BCPS, Assistant Vice President, Clinical Pharmacy
Blog
March 31, 2020
Mark Debus, MSW, LCSW, Behavioral Health Team Lead and Rebecca Sherman, MSW, LMSW, ACSW, Behavioral Health Specialist
How can we address unique challenges of injured and ill workers staying at home?

We are living in very challenging and surreal times. In response to the novel coronavirus pandemic, countries, cities and states have instituted mandatory restrictions on public gatherings, closed non-essential businesses and given “stay-at-home” ord…

March 31, 2020 by Mark Debus, MSW, LCSW, Behavioral Health Team Lead and Rebecca Sherman, MSW, LMSW, ACSW, Behavioral Health Specialist
Blog
August 04, 2018
Cynthia Malito and Polly Pondel
Case Management Specialists, Clinical, Sedgwick
Real-life examples: Surgery nurse services are providing long-lasting benefits for patients

Rita, a 48-year-old patient, was preparing for outpatient surgery when surgery nurse, Paula, was assigned to support her case. Paula learned during their initial discussion that Rita had a heart attack at age 44, which raised concerns – pre-op cardia…

August 04, 2018 by Cynthia Malito and Polly Pondel, Case Management Specialists, Clinical, Sedgwick
Blog
July 13, 2018
Dr. Teresa Bartlett
Senior Medical Officer
Telemedicine is a great option – but buyer be aware

Employers considering telemedicine as a treatment option for occupational injuries can anticipate its advantages, but should be aware of two important things:     Have an experienced clinician providing care direction. Some state r…

July 13, 2018 by Dr. Teresa Bartlett, Senior Medical Officer
Blog
June 23, 2018
Dr. Reema Hammoud
Director Clinical Pharmacy
One millionth morphine equivalent dosage MED

In late 2011, a team of claims management and managed care leaders at Sedgwick met to identify how they could address the troubling rise in opioid prescriptions and morphine equivalent dosage (MED).  What followed was the development of a team…

June 23, 2018 by Dr. Reema Hammoud, Director Clinical Pharmacy
Blog
February 27, 2018
Kimberly George
SVP Corporate Development, M&A, and Healthcare
Pink socks

When I think about how I connect the dots between my background in healthcare with my career in the insurance industry, my current role as a business leader and my passion about social responsibility, employee benefit models and taking care of people…

February 27, 2018 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
Blog
February 23, 2018
Don Lipsy
Managed Care Specialty Products Manager
How to curb compounds and related drug costs when the law is silent

My recent curbing compounding post outlined Texas’ regulatory response to the alarming rise in use and cost for compound prescription drugs and the legislation being put in place to curb compounding within the state. While this marks a cont…

February 23, 2018 by Don Lipsy, Managed Care Specialty Products Manager
Blog
November 09, 2017
Dr. Paul Peak
Assistant Vice President Clinical Pharmacy
Pharmacist interns: Tomorrow’s occupational injury asset

Claims administrators have an invaluable opportunity to help future pharmacists understand the challenges regarding prescription drug use for occupational injuries. A pharmacist intern program, like the one we offer at Sedgwick, can provide ex…

November 09, 2017 by Dr. Paul Peak, Assistant Vice President Clinical Pharmacy
Blog
June 01, 2017
Dr. Paul Peak
Assistant Vice President Clinical Pharmacy
Prescribed DUI: An alcohol-free danger

When it comes to getting the attention of the media and the public, not many things work better than an unfiltered, celebrity mugshot. When Tiger Woods was arrested on Memorial Day for driving under the influence, his mugshot and the story of his a…

June 01, 2017 by Dr. Paul Peak, Assistant Vice President Clinical Pharmacy
Blog
May 17, 2017
The basics of complex claims

Most workers’ compensation claims do not start out as complex. They become complex over time due to specific drivers that increase costs and duration. Being able to recognize and resolve these drivers at the right time will help reduce a claim’s like…

May 17, 2017
Blog
April 28, 2017
Andrew Newhouse, Sedgwick pharmacist
Tomorrow is National Prescription Drug Take-Back Day

The 2017 National Prescription Drug Take-Back Day is Saturday, April 29 from 10:00 a.m. – 2:00 p.m. The day was established in 2010 by the U.S. Drug Enforcement Administration (DEA) to help reduce prescription drug risks and promote safety. Accord…

April 28, 2017 by Andrew Newhouse, Sedgwick pharmacist
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