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Posts related to ‘Injured workers’

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November 07, 2018
Bill Zachry
Senior Fellow, Sedgwick Institute
Peer Dialogues: Developing an organizational settlement philosophy

When I started my career as a young claims adjuster at an insurance company, my managers showed me the secret handshake and explained the position’s responsibilities. They then told me that to settle claims, we would negotiate to an agreed level of i…

November 07, 2018 by Bill Zachry, Senior Fellow, Sedgwick Institute
May 22, 2018
Quinn Guist
President, CompManagement Health Systems
MCO season: Monetizing workers’ compensation managed care services in Ohio

With open enrollment coming to a close this Friday, May 25, Ohio employers are nearing the end of their opportunity to select a managed care organization (MCO) to coordinate the medical aspects of workers’ compensation claims for the coming two years…

May 22, 2018 by Quinn Guist, President, CompManagement Health Systems
August 31, 2017
Dr. Reema Hammoud
Director Clinical Pharmacy
Rachel’s story: A portrait of opioid use disorder

Rachel enjoyed gardening and canning vegetables. She enjoyed cooking, taking walks and spending time with her grandchildren. After she was injured at work, she was optimistic about making a speedy recovery. She was 53 years old and had always stayed …

August 31, 2017 by Dr. Reema Hammoud, Director Clinical Pharmacy
February 09, 2017
Robin Moleski, VP Clinical Operations
Personalizing return to work management

The power of the process Consistently using the Official Disability Guidelines (ODG) in workers’ compensation return to work management is a good industry practice, but there’s power in taking a step beyond. Investing additional time to fully unde…

February 09, 2017 by Robin Moleski, VP Clinical Operations
October 25, 2016
Abby McBroom, Complex Pharmacy Management Nurse
The road to success has many obstacles

Risk managers should always be aware of injured worker opioid use across their open claims and make sure that there is persistent clinician involvement with prescribers. I am a complex pharmacy management nurse for Sedgwick. I want to share one of…

October 25, 2016 by Abby McBroom, Complex Pharmacy Management Nurse
January 19, 2016
David North
President and CEO
Sedgwick forecasts 16 industry trends to watch in 2016

As we move into the new year, I am excited about all the great things I believe will happen in our industry. Taking care of people is at the heart of everything we do at Sedgwick – from ensuring injured and ill workers have access to the right heal…

January 19, 2016 by David North, President and CEO
July 17, 2015
James Harvey, SVP, Managed Care Products & Product Development
Opioid medications: Gateways to heroin use?

According to the Centers for Disease Control and Prevention (CDC), 46 people in the U.S. die from an overdose of prescription painkillers every day.[1] Deaths from prescription painkiller overdoses have increased more than 400% among women and 2…

July 17, 2015 by James Harvey, SVP, Managed Care Products & Product Development
May 13, 2015
Edward Canavan
VP Workers’ Compensation Practice and Compliance
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 by Edward Canavan, VP Workers’ Compensation Practice and Compliance
March 26, 2015
Edward Canavan
VP Workers’ Compensation Practice and Compliance
Pennsylvania considers employer medical control bill

The Pennsylvania House of Representatives is currently considering a bill that would allow employers to direct treatment of their injured workers to coordinated care organizations (CCOs). Employers’ ability to direct injured workers to certified netw…

March 26, 2015 by Edward Canavan, VP Workers’ Compensation Practice and Compliance
July 28, 2014
Kimberly George
SVP Corporate Development, M&A, and Healthcare
Will recent Affordable Care Act court rulings impact workers’ compensation?

When the Affordable Care Act (ACA), courts and differing points of view are all mentioned in the same sentence it should not surprise anyone, should it? If you watch Jimmy Fallon on the Tonight Show, he has a regular feature called "Pros and Cons" of…

July 28, 2014 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
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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