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Posts related to ‘Utilization review’

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
December 13, 2019
Does utilization review really increase litigation rates?

Utilization review (UR) is an effective and proven approach that ensures injured workers receive timely and appropriate medical treatment for their work-related injuries. With UR, nurses review medical requests, comparing them to evidence-based guide…

December 13, 2019
June 14, 2018
Tracey Davanport
Vice President Clinical Operations
Early nurse engagement

Early nurse engagement makes a valuable impact in 3 key areas Recent analysis of Sedgwick’s claims data shows that employers using 24/7 clinical consultation for workplace injuries saw 34% lower incurred costs than those using an intake process with…

June 14, 2018 by Tracey Davanport, Vice President Clinical Operations
May 13, 2015
Overview: California independent medical review process

Recently there has been a lot of discussion – in the media and throughout the industry – about the California independent medical review (IMR) process. Introduced to the workers’ compensation system in California as part of Senate Bill 863, IMR serve…

May 13, 2015
February 26, 2015
Dr. Paul Peak
vice president, clinical pharmacy
Zohydro ER gets FDA approval…but will it really help prevent abuse?

On January 30, 2015 the Food and Drug Administration (FDA) approved a reformulated version of Zohydro ER (a long-acting, single-entity hydrocodone product) that is designed to possess abuse-deterrent properties. When the FDA originally approve…

February 26, 2015 by Dr. Paul Peak, vice president, clinical pharmacy
January 21, 2015
Mike Merlino
SVP Medicare Compliance
Could you cut $185,000 from your MSA?

What if I told you that you could save $185,000 at no cost to you? No, I am not advertising for some late night TV infomercial where the offer is too good to be true. I am talking about the world of Medicare set-asides (MSA). It is well known that pr…

January 21, 2015 by Mike Merlino, SVP Medicare Compliance
May 07, 2014
Jamie Harer, Managed Care, Specialty Products Manager
How to fix the spiraling cost and utilization of compound drugs

Recent reports about the cost and utilization of compounded drugs in workers' compensation programs have many people in the industry concerned and talking – and for good reasons. Various studies have shown that the average cost per compounded medi…

May 07, 2014 by Jamie Harer, Managed Care, Specialty Products Manager
November 12, 2013
Kathy Tazic
managing director client services
Four keys for employer action: Illinois workers' comp

Employers face multiple pressures when considering ways to advocate and care for injured workers and manage costs in complex state workers' compensation systems. One of the keys to balancing these needs is to take advantage of all available resources…

November 12, 2013 by Kathy Tazic, managing director client services
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