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Look for a Broken Spirit, Not Just a Broken Bone: Evaluating Mental Health Needs in Workers’ Comp
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Medical Marijuana Highs & Lows: Work Comp Clinical and Regulatory Trends
High Impact Pharmaceuticals: A review of relatively low volume pharmacy cost-drivers
Networks 2.0: The Evolution of Provider Networks
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Look for a Broken Spirit, Not Just a Broken Bone: Evaluating Mental Health Needs in Workers’ Comp
When someone gets hurt on the job, the workers’ compensation system is often adept at zeroing in on an injury and delivering timely care. But that well-intentioned focus on a patient’s physical bruises can make it easy to miss the mental ones, which might be harder to spot. Today, a comprehensive approach that identifies and meets an injured worker’s needs is more important than ever because the coronavirus pandemic is blanketing everyday life with added stresses that threaten to imperil a worker’s recovery. During this webinar we will discuss:
- Identifying injured workers who need mental health intervention
- Building and implementing clinically sound treatment plans
- Utilizing a network of proven mental health providers
- Constructing an effective communication strategy with the provider
- Engaging the injured worker in their recovery and return to work
Date: Wednesday, February 3, 2021
Time: 2 to 3 PM Eastern
Presenters: Tammy Bradly, Vice President of Clinical Products and Kate Farley-Agee, Vice President of Network Products
CEUs Pending: Adjusters in AL, CA, DE, FL, GA, IN, KY, LA, MN, NC, NH, NM, NV, OK, & TX and CCMs & RNs nationwide
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Recorded Webinars
Please note we cannot provide CEU credits for listening to recorded webinars. Credits are only available for live events at this time.
Medical Marijuana Highs & Lows: Work Comp Clinical and Regulatory Trends
It seems like every day another state is in the news allowing for medical marijuana and cannabis programs. What ramifications do these state regulations have on workers’ comp? Join us for our annual review of the current regulatory trends and a review of the clinical aspects of marijuana usage along with the potential implications for the work comp industry.
High Impact Pharmaceuticals: A review of relatively low volume pharmacy cost-drivers
Pharmacy costs continue to represent a substantial portion of overall spending in healthcare. Claim closures and reductions in compounds and opioids have helped to lower some of these costs, however, so-called “price opportunists” continue to emerge along with specialty treatments and new, innovative therapeutics. We will discuss some of the leading pharmacy cost drivers including significant increases in AWP, new developments in dispensing and billing channels, and categories of high impact pharmaceuticals.
Networks 2.0: The Evolution of Provider Networks
Most people agree, the U.S. healthcare delivery system is broken. But it is not all bad news. One element of care delivery that is seeing exciting reinvention is networks, which are evolving from relatively straightforward mechanisms for directing patients and controlling costs to collaborative partnerships between payers and providers. In this webinar we will look at how the U.S. health delivery system has evolved and how workers’ compensation networks can address some of the challenges group health networks face including financial challenges, provider administrative burdens, getting injured workers back to work, and how work comp networks are evolving to meet the needs of employers and patients.
Preventing Workplace Violence: What to Do Before a Crisis Occurs
Nearly two million Americans experience violence in the workplace annually. According to the National Center for Victims of Crime, workplace violence is the second-leading cause of occupational injury each year. Crisis intervention programs can mitigate the harmful effects of traumatic stress, provide support, and offers encouragement to accelerate recovery. Doing so is not only the right thing to do, but it can also prevent losses to productivity at both an individual and organizational level. This session will delve into workplace violence, anger management, stress management and communication skills to help prevent workplace violence and deal with it’s after effects. We will also discuss real life case examples.
Legal Nurse Review & Medical Cost Projections Overview
This session on Legal Nurse Reviews and Medical Cost Projections provides a detailed overview of these specialty case management solutions and how they assist adjusters and nurses in combating fraud, evaluating and setting loss reserves, and reducing overall workers’ compensation, auto and liability costs. We discuss Legal Nurse Review services including Forensic Reviews, various types of Cost Projection solutions, and review real-life case scenarios and success stories.
Evaluating Pharmacy Trends in Workers’ Compensation
Employers, carriers, and TPAs face numerous challenges when managing pharmacy in workers’ compensation. The opioid epidemic; emerging transformations in pharmaceutical design, drug manufacturing, and medication delivery; and frequent regulatory changes all require new levels of analysis and understanding. This webinar provides insightful perspectives on the trends behind these and other pharmacy-related insights.
New York Drug Formulary and Prior Authorization Process
The New York State Workers’ Compensation Board (NYWCB) has adopted new rules regarding its workers’ compensation drug formulary including a web-based portal, which is required for prior authorization of non-formulary drugs. To find out more about this important change in New York, view this informative on-demand webinar where we discuss both the drug formulary and prior authorization process.
Tips for Managing Complex Pharmacy Claims: A Case Manager’s Perspective
This webinar is designed to provide you with tips and best practices for managing complex pharmacy claims. Ruth Williams, RN and Coventry Case Manager, will provide her perspective on the issues and share real life examples and success stories. By the end of this session, participants will be able to:
- List the medication categories and trends that impact claims
- Identify how these medication categories affect claims
- Outline how to address problematic medications with the provider
- Describe and utilize the tools and strategies available for better medication management
A Little Kindness Goes a Long Way: The Case Manager as Advocate
Advocating for the injured worker is a key component to successful recovery and return-to-work. Case Managers are on the front line when it comes to establishing trust, engaging the injured worker and providing support during their recovery. During this session we discussed the Injured Worker Advocacy Movement and the important role the case manager plays in it. The webinar provides insight into how case managers can best advocate for and establish trust with the injured workers they serve and also outline the damaging effects a lack of trust and advocacy can lead to.
Innovations in Pain and Opioid Management, Treatment, and Recovery
In this session we reviewed the epidemiology of the opioid crisis with a focus on the impact on employers. We then discussed pain as a biopsychosocial phenomenon providing both adjusters and case managers with a deeper appreciation of the available interventions that will help injured workers recover function and experience pain reduction more quickly. Lastly we focused on how to become champions for those under our care who are struggling with opioid dependence and ultimately mitigate the risk of death and adverse outcomes.
Legal Nurse Review & Medical Cost Projections Overview
This session on Legal Nurse Reviews and Medical Cost Projections provides a detailed overview of these specialty case management solutions and how they assist adjusters and nurses in combating fraud, evaluating and setting loss reserves, and reducing overall workers’ compensation, auto and liability costs. We discuss Legal Nurse Review services including Forensic Reviews, various types of Cost Projection solutions, and review real-life case scenarios and success stories.
Embracing Diversity and the Changing Workforce in Workers’ Comp
This session focuses on the changing landscape of workforce demographics. We define what makes a diverse workforce, how diversity is good for business and best practices for attracting and retaining diverse talent. We also discuss the changing demographics of injured workers and the importance of recognizing and respecting this evolution to ensure we can meet the needs of our clients now and in the future and share examples of how diverse backgrounds and multilingualism help teams to better communicate, build trust and engagement and achieve successful outcomes with a diverse range of injured workers.
Drug Trends Analysis: Evaluating an ever changing pharmacy landscape in workers’ compensation
Employers, carriers and TPA face numerous challenges in managing pharmacy care in workers’ compensation. The opioid epidemic, emerging drug classes and dispensing channels, and numerous regulatory changes all require new levels of analysis and understanding. This webinar provides insightful perspectives on the trends behind these and other pharmacy related challenges.
Workers' Compensation & Auto Networks 101
During this session we review the ins and outs of workers' compensation and auto networks. Our discussion focuses on the evolution of networks, what to look for in a network, as well as compliance and credentialing best practices.
Nurse Triage: Establishing Trust at the Time of Injury
This session examines the support nurse triage can provide to an injured worker and the role employers and carriers play in building trust at a vulnerable time when an injured worker can easily veer off course.
Introduction to Prosthetics
This session provides an overview of prosthetic design, components and technology. During the webinar we review different types of amputations, prognosis factors and complications along with the various stages of prosthetic usage.
Crisis Response: Returning to Productivity After a Critical Workplace Accident
Crisis Response programs can help employers and payers support the victims and witnesses of traumatic workplace incidents, including robberies, assaults, deaths, severe injuries, and natural disasters. During this webinar we discuss key factors to building a successful crisis response program, including how to define stress, critical incident stress and Post Traumatic Stress Disorder as well as how to identify the effects of Critical Incident Stress on the workplace.
Opioid Overdose Prevention and Treatment
This webinar outlines evidence-based recommendations that can help identify individuals who may be at risk for opioid overdose. We also discuss the opioid overdose reversal agent naloxone and available support resources for managing overdose risk and present opportunities for partnership on the path to opioid addiction recovery.
Trust in Workers' Compensation
This session explores often overlooked variables to recovery and return-to-work. Trust between employees, employers, and other stakeholders in workers’ compensation may be the secret sauce missing from the recipe. We identify opportunities to establish individual trust, engaging the employee in the process, and empowering them to make informed decisions.
2016 Drug Trends Analysis
In our final installment of our 2016 Drug Trends Series we discussed data from traditional, managed, and unmanaged views. The webinar focused on evaluating the traditional industry benchmark view of managed retail and mail-order prescriptions, expanding this view to include extended networks and unmanaged prescriptions processed through medical bill review, evaluating the two therapeutic classes of opioids and compounds and finally, addressing specialty drugs and closed formularies
View the Recording
Psycho-Social Stressors and Workers' Compensation
Half of us report “struggling” with life; a third describe their stress level as “extreme.” In this session we’ll review the science and signs of stress, and then discuss different approaches to stress management in workers’ compensation. We’ll discuss easy-to-implement tactics and concrete strategies to better support injured workers in coping with stress.
Nurse Triage: The Time is Now
One way employers can earn trust at the time of injury is to give employees ready access to a source of credible information: a nurse. This session examines the support nurse triage can provide to an injured worker and the role employers play in building trust at a vulnerable time when an injured worker can easily veer off course. This webinar was sponsored by IWCP.