Insights
Understanding Brand & Generic Utilization and Cost
July 22, 2019
3 MIN READIn 2018, First Script realized a 0.6% increase in generic utilization.1 Generic medications contain the same active ingredient and approved indications as their brand name counterparts. An increase of 0.6% might not seem like a lot; however, when the difference in cost per script is considered, it is easy to see why a shift in favor of generic use is a win and can be a big cost saver.
What is an MCO?
July 16, 2019
3 MIN READMore often than not clients will ask the question: What is an MCO? Well isn’t that a loaded question? If we take it at face value, a Managed Care Organization (MCO) is an organization that manages care. Like Coventry, who manages all types of “care” injured workers seek to get on the road to recovery. However, usually the question has more to do with State Certified Managed Care Programs, commonly referred to as MCOs. From there it gets clear as mud. While the general category of state certified programs may be commonly referred to as MCOs, when you get into the state specifics you won’t find it to be that easy.
Investigating the Top Therapeutic Classes
July 8, 2019
2 MIN READFirst Script saw a decrease in opioid utilization across our retail and mail-order programs in 2018. In 2017, opioids made up 29.7% of total prescriptions, dropping to 26.9% in 2018, and representing a 2.8% decrease in utilization year over year.
Morphine Equivalent Dose (MED) Continues to Decline
July 1, 2019
3 MIN READIn 2018 Coventry’s pharmacy benefit management solution, First Script®, saw a 7.8% decrease in average MED per prescription for its retail and mail-order channels. This was the largest decrease in the last 5 years across First Script’s retail and mail-order programs. In addition, there was a reduction in the percentage of opioid scripts with greater than or equal to 90 MED. To better understand why this is important let’s answer a few questions.
Top Therapeutic Classes by Age of Claim in 2018
June 25, 2019
1 MIN READIn this video blog we discuss the types of medications utilized by ill or injured workers can vary depending on the age of the claim and differences in claim population. Understanding the most-utilized types of medications in younger vs. older claims can help guide decision-making and aid in identifying opportunities for intervention that can lead to better overall outcomes. Click the video below to learn more.
Will Naloxone Become Available for Purchase without a Prescription?
June 17, 2019
2 MIN READToday, there are two prescription products for use by laypersons. Namely, auto-injector (Evzio®) and intranasal (Narcan® Nasal Spray) naloxone. While they can be administered by someone outside of the healthcare profession, they are only obtainable with a prescription. The Food and Drug Administration (FDA) believes an over the counter (OTC) version may remove barriers for obtaining naloxone, particularly for people who are not under the care of a physician or who may be hesitant to admit to issues with opioid abuse.
Heart of Case Management Awards 2019
June 14, 2019
Across the nation, case managers at Genex Services make life-changing impacts on injured employees on a daily basis.
Technology and Expertise Driving Better Claims Outcomes
Mitchell simplifies and accelerates claims management and collision repair processes through the broadest range of technology solutions, networks, and partners in the P&C industry.
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Genex helps injured employees return to their jobs in a safe and efficient manner through compassionate case management while reducing total claim cost.
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