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Posts related to ‘Managed care’

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February 03, 2019
Formulary wave challenges comp payers

Dr. Paul Peak, Sedgwick AVP of clinical pharmacy, contributed to this article

February 03, 2019
Article
December 05, 2018
Andrea Buhl
SVP, clinically integrated medical programs
Shift to ambulatory care centers seen lowering costs, improving outcomes

Shift to ambulatory care centers seen lowering costs, improving outcomes

December 05, 2018 by Andrea Buhl, SVP, clinically integrated medical programs
Article
December 03, 2018
Andrea Buhl
SVP for clinically integrated programs
2018 Women to Watch: Andrea Buhl

Andrea Buhl is using her hands-on nursing background to help lead an emerging team of specialized nurse case managers for Sedgwick.

December 03, 2018 by Andrea Buhl, SVP for clinically integrated programs
Article
November 21, 2018
Edward Canavan
VP Workers’ Compensation Practice and Compliance
The pathway to workplace injury healing and recovery

The pathway to workplace injury healing and recovery

November 21, 2018 by Edward Canavan, VP Workers’ Compensation Practice and Compliance
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
Client bulletin
June 19, 2018
Sedgwick’s unique surgery nurse solution - client bulletin

Sedgwick’s unique surgery nurse solution helps patients take steps to improve their recovery

June 19, 2018
Press release
June 19, 2018
Sedgwick’s unique surgery nurse solution helps patients take steps to improve their recovery

Sedgwick’s unique surgery nurse solution helps patients take steps to improve their recovery

June 19, 2018
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
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
Blog
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
Blog
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
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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