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Work Experience Protection Insurance

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The Rise of Telehealth and Triage

Despite the end of the public health emergency last spring, the impact of COVID-19 on how healthcare was provided, in broader society as well as in worker’s compensation, still resonates today. When governments mandated shelter-in-place and hospitals faced unprecedented patient volumes, the delivery mechanism for much of non-COVID healthcare switched almost overnight to virtual settings. […] Read More

The Case for Evidence-Based Medicine in Managing Workplace Injuries

Hippocrates said of the practice of medicine, “There are in fact two things, science and opinion; the former begets knowledge, the latter ignorance.” This quote could be interpreted to mean clinical opinions should not be considered. We know in modern medical practice that this should not be the case, though his statement on knowledge is […] Read More

Pharmacy Cost and Utilization Trends in Texas: Ten Years After Implementing the ODG Drug Formulary

A recent study published by the Texas Department of Insurance’s Workers’ Compensation Research & Evaluation Group (REG) shows that pharmaceutical costs and utilization among injured workers continue to trend down in Texas, more than a decade after the state adopted ODG by MCG’s evidence-based closed drug formulary.1 The ODG Drug Formulary lists more than 350 […] Read More

The Impact of Comorbidities on Whole Person Recovery Management

The phrase “whole person recovery management” is a relatively straightforward, self-defining term. When an individual is trying to recover from an occupational injury or illness, the team supporting that process should consider the whole person – mind, body, soul – to optimize the medical and financial outcomes and accelerate Return to Work. However, in a […] Read More

The Valuable Insights of Real-Time Claim Risk Assessment

Italian sociologist Vilfredo Pareto (1848-1923) is best known for his namesake principle the “Pareto” rule, which states that for many distributions, approximately 80% of outputs are driven by just 20% of possible inputs (called “the vital few”). The converse of this is that the other 80% of inputs – “the trivial many” – drive only […] Read More

Real-Time Claim Risk Assessment

Italian sociologist Vilfredo Pareto (1848-1923) is best known for his namesake principle the “Pareto” rule, which states that for many distributions, approximately 80% of outputs are driven by just 20% of possible inputs (called “the vital few”). The converse of this is that the other 80% of inputs – “the trivial many” – drive only […] Read More