Insights
Warnings about impurities in Zantac® and blood pressure medicines
December 16, 2019
2 MIN READIn September 2019, the U.S. Food and Drug Administration (FDA) reported the discovery of low levels of an impurity in brand, generic, and over- the-counter (OTC) versions of a popular heartburn medication, Zantac® (Ranitidine HCl) 1, prompting a flurry of manufacturer recalls, national distribution halts, and product removals from retail pharmacy shelves. Ranitidine is an H2 (Histamine-2) blocker approved as a prescription medicine for treatment and prevention of GI ulcers and gastroesophageal reflux disease (GERD). OTC versions are approved for relief of acid indigestion and sour stomach. H2 blockers (like Tagamet, Pepcid, and Zantac) act by reducing the amount of acid produced by cells lining the stomach.
What moved the state of Ohio to drop OxyContin® from their formulary?
December 9, 2019
3 MIN READThe state of Ohio, among the hardest hit in the nation for opioid overdose deaths, has undertaken a number of measures to meet the crisis as it has evolved. A review of opioid use in the injured worker population, completed in 2011, revealed an alarming number (73%) were filling opioid prescriptions.1 A closed formulary, expanded access to antidote products (naloxone), and opioid focused prescribing guidelines have all followed since and have contributed to some reductions in prescribing and the prevalence of opioid use.
Overview of the 2019 Texas Department of Insurance Workers’ Compensation Network Report Card
December 2, 2019
5 MIN READThe Texas Department of Insurance recently released its annual Workers’ Compensation Network Report Card. The 2019 Report Card includes medical cost and utilization measures for 17 workers’ compensation health care networks (HCNs), including the Coventry HCN, First Health HCN, and several other HCNs supported by Coventry. Various measures were calculated for injuries occurring between June 1, 2017 and May 31, 2018.
Pharmacy Nurse – When specialized attention is what’s needed
November 25, 2019
3 MIN READWorkers’ comp pharmacy costs represent approximately 18% of total medical spend. That translates to $5 billion in pharmacy spend nationwide.1 Most employers and payors utilize Pharmacy Benefit Managers (PBMs) which offer an excellent line of defense in managing these ever-increasing pharmacy costs. But PBMs, by design, only manage the pharmacy related aspects of a claim. What if you could extend the reach of your PBM by combining it with the knowledge, care and one-on-one delivery model used in case management? With a pharmacy nurse, you can.
Catastrophic Case Management: Immediate coordinated response by clinical experts
November 18, 2019
2 MIN READMost illnesses or injuries progress well with traditional case management services. However, a small percentage of cases require more intense and careful management. Early intervention and proper procedure are imperative in the treatment of catastrophically injured people. Clinical situations that require catastrophic case management are characterized by diagnosis, complexity of treatment, and high dollar exposure.
Networks 2.0
November 11, 2019
2 MIN READNetworks are evolving and how they can help.
Spread the Kids’ Chance Mission
November 11, 2019
2 MIN READNovember 11-15, 2019 is Kids’ Chance Awareness week. It’s a time to highlight and raise awareness of this ever-growing organization that provides educational opportunities and scholarships for children affected by workplace injuries. Coventry is a proud supporter of Kids’ Chance of America and actively participates with many of the organization’s state chapters. Earlier this year we created a first of its kind Catastrophic Care Referral Program designed to refer affected parties directly to Kids’ Chance. The program provides a monthly report that flags eligible cases where the injured worker is gravely injured or killed in the course of a work-related accident.
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