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Posts related to ‘Managed care’

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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
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
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
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
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
November 09, 2017
Dr. Paul Peak
Director 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, Director Clinical Pharmacy
June 01, 2017
Dr. Paul Peak
Director 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, Director Clinical Pharmacy
May 17, 2017
Edward Canavan
VP Workers’ Compensation Practice and Compliance
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 by Edward Canavan, VP Workers’ Compensation Practice and Compliance
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
August 27, 2015
George Furlong
SVP Managed Care Program Outcomes Analysis
Big data builds individualized healthcare strategies

This week, I spoke at The Center for Excellence track as part of the 2015 Workers’ Compensation and Education Conference in Orlando, FL. The responses from attendees reconfirmed how much people are seeking to understand how big data and predictive …

August 27, 2015 by George Furlong, SVP Managed Care Program Outcomes Analysis
August 19, 2015
Dr. Paul Peak
Director Clinical Pharmacy
3D drug printers: Better care vs. Safety risks

Last week, the Food and Drug Administration (FDA) made an extremely unique drug approval that was the first of its kind. In fact, it was one of the most revolutionary drug-related approvals seen in years. The FDA approved the first 3D printed drug,…

August 19, 2015 by Dr. Paul Peak, Director Clinical Pharmacy
August 16, 2015
Kimberly George
SVP Corporate Development, M&A, and Healthcare
Telehealth: A new era has arrived

I am very excited about our Center for Excellence session, “Evolving Healthcare Models and Workers’ Compensation Opportunities" on August 26th at the Workers’ Compensation and Education Conference. We have a great panel that will share how digital …

August 16, 2015 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
August 04, 2015
David North
President and CEO
Center for Excellence: Medical Cost Drivers in Workers’ Compensation

The 2015 Workers' Compensation Educational Conference (WCEC) is just three weeks away. This year thousands of people will come together in Orlando from August 23 - 26 to learn and exchange ideas about challenges facing our industry and opportuni…

August 04, 2015 by David North, President and CEO
April 26, 2015
Kimberly George
SVP Corporate Development, M&A, and Healthcare
Creating a culture of health

Communities and companies alike are on a mission to create a culture of health. Obesity, chronic disease and diabetes management have long been a wellness focus for employers. 25 years ago, the Americans with Disabilities Act was passed and its inten…

April 26, 2015 by Kimberly George, SVP Corporate Development, M&A, and Healthcare
April 07, 2015
Tim Over
SVP Specialty Operations
Healthcare consolidation and its impact on liability claims outcomes

Not that long ago, the insurance industry, if not the business world, was rocked when Connecticut General and INA merged to form CIGNA. Today, mergers and acquisitions are a common everyday occurrence. Once an M&A announcement has been made publ…

April 07, 2015 by Tim Over, SVP Specialty Operations
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