Unlocking the Benefits Behind Custom Networks
3 MIN READ
In this era of rapid changes to health care, networks are becoming more important than ever.
Bringing value-based contracting to workers’ comp offers opportunities and challenges
6 MIN READ
Ask almost anyone what’s wrong with health care in the U.S. and you’re likely to hear about runaway costs. The other common refrain is that for all we spend as a country, the results, too often, are only lackluster. One hoped-for remedy to the nation’s health care ills is so-called value-based contracting. This involves paying a fixed amount for a procedure—and for the results—rather than paying for each CPT code or procedure performed. Value-based scenarios are drawing more interest in group health. But how this setup would unfold in workers’ compensation remains less clear due to the industry environment.
The Black Lives Matter Movement Is Changing Us for the Better
The first half of 2020 has been unprecedented. There has been some good, a lot of bad and even some ugly. But when I step back and think of one word that sums it all up, it is change. Looking back at where we were as recently as mid-February, our industry was slated for powerful growth and business-as-usual meant powering forward like any other year.
Brand and Generic Medication Trends
2 MIN READ
In this final post related to our in-network and out-of-network analysis we are taking a closer look at brand and generic medication trends in workers’ comp. Stay tuned for more posts addressing specific trends highlighted in the next piece of our drug trends series focusing on opioids.
Getting Into Insurance? The Insurance Industry Outlook is Brighter than Ever
Over the last decade, the insurance industry has undergone dramatic changes that have catapulted it to the forefront of the American consciousness, driven by advancements in technology, shifts in consumer demand and growth in creative advertising. Now the last several months have brought a tidal wave of new changes upon us, and forced the industry to innovate and operate in ways we never thought possible.
Top Therapeutic Classes by Age of Claim in 2019
3 MIN READ
Today we are going to take a deeper dive into Coventry’s Drug Trends by focusing on the influence of claim age as it relates to overall use of prescription drug classes. The data covered here reflects all mail order and retail transactions paid in 2019.
COVID-19-Related State Budget Shortfalls and Resulting Impacts to Workers’ Comp
6 MIN READ
The economic impacts associated with COVID-19 have been far-reaching and headline-grabbing: “Record levels of unemployment”, “Shuttered businesses”, “Idled and furloughed workers”. Economists have struggled to predict “What’s next?” (both short and long-term) amid an ever-shifting backdrop of varying virus case numbers, differing public policy/governmental responses, and unsettled consumer demand.