Physician Dispensing and Opioid Abuse: Drug Dilemma Prevention Strategies
April 9, 2019
When it comes to challenges in workers’ compensation pharmacy, the industry trends are surprisingly similar year after year. Over the past few years, the issues of physician dispensing and opioid abuse have been in the national spotlight.
Quarterly Drug Update: Evaluating Combination Medications
March 14, 2019
Pricing for prescription drugs is a topic of much discussion. Combination drugs are often under scrutiny as a common practice for manufacturers to create new brand medications. While these combination drugs are effective, they may be more expensive and no more effective than their separate generic components that typically come at a significantly lower Average Wholesale Price (AWP).
The Art of Creating a Physician Peer Review Panel: Contracting and Training
March 11, 2019
In part I of the series, we discussed the first steps of developing a physician peer review panel including determining candidates for the panel and some basic steps to credentialing, including validating state licenses, experience, knowledge and other factors.
Directed Pharmacy Care Drives Positive Results
February 1, 2019
Various issues in the workers’ compensation industry continue to challenge pharmacies, payers, regulators and injured workers alike. One major tool to alleviate problems in the workers’ compensation system is the use of directed care in a pharmacy setting. Learn how this approach can improve outcomes for all involved in the pharmacy portion of a workers’ compensation claim.
Guidewire Connections 2019
Guidewire Connections is the conference for people who u
Six Key Concepts in Pharmacy Benefit Management
October 24, 2018
The workers' compensation industry can be complex, from keeping up with regulatory changes to understanding the roles and responsibilities of various key stakeholders. Whether you are just starting out in the industry or looking to refresh your knowledge, here are six key concepts to understand about Pharmacy Benefit Management in the workers' compensation industry.
Before You Choose a PBM, do the Math
September 23, 2018
Cost is black & white Price alone isn’t. Your PBM must also control utilization or you’ll be seeing red.