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FDA Approves Posimir for Post-Surgical Pain Relief
A novel bupivacaine formulation works as a 72-hour local anesthetic following shoulder surgery.
Powering People with Technology to Close Gaps Across the Life of a Claim
Healthe leaders share their thoughts with Risk & Insurance®.
Xeljanz Could Increase the Risk of Heart Problems and Cancer
New data from a safety trial creates concern surrounding the rheumatoid arthritis drug.
Wisconsin Announces Plan to Lower Prescription Drug Costs
State-led efforts to combat the drug price issue continue to emerge across the nation.
IAIABC Names Sandy Shtab Vice Chair of Associate Member Council
Healthe’s AVP of Advocacy & Compliance will provide guidance on workers’ comp regulations.
A Disruptive Year for Workers’ Comp: Insights from the 2020 Industry Survey
Join us for a panel discussion on March 10th as part of the NWCDC Digital Session Series.
COVID-19 Mutations Impact Testing
False negatives may be reported due to genetic variations of the virus.
Mobile Technology Is on Workers’ Comp Experts’ Minds: Here Are 3 Reasons They’re Right
Kristine Kennedy, SVP of Product Strategy and Innovation, talks to Risk & Insurance®.
COVID-19’s Impact on Opioid Prescribing Trends
A new report from IQVIA found that national MME dropped 17% from 2019 to 2020.
Worker Classification Debate Continues Across the Country
The Department of Labor issued a new rule while special interest groups push for regulatory change.
The Department of Justice Sues Walmart Over Role in Opioid Crisis
Alleged violations of the Controlled Substances Act could result in billions of dollars in penalties.
Top 10 Disruptors of 2020 for the Workers’ Comp Industry
Initial insights from Healthesystems’ annual industry survey.
FDA Authorizes Two COVID-19 Vaccines, At-Home Test, More Treatments
Vaccine candidates from Pfizer-BioNTech and Moderna received EUAs, as did the first at-home test that delivers results in 30 minutes, and two treatments for the virus.
The Patient Experience in Perspective: Applying Empathy to the Work Comp Claims Process
Navigating the workers’ comp process can be daunting for patients, and empathy can go a long way in improving outcomes.
IQVIA Reports on Telemedicine Trends and Opportunities
A new report explores how COVID-19 has impacted telemedicine, as well as opportunities for expansion.
New York Prepares to Launch New Claim Portal
Stakeholders will soon experience a streamlined digital process for managing claims.
Dr. Robert Goldberg Discusses Congressional Marijuana Vote with WorkersCompensation.com
Healthesystems’ Chief Medical Officer comments on the U.S. House’s approval of marijuana decriminalization.
FDA Approves Veklury for COVID-19, Issues EUA for Bamlanivimab
Veklury is approved for hospitalized patients, while bamlanivimab is being investigated in mild-to-moderate cases of COVID-19.
Legalization and Decriminalization: Marijuana and More
Across the nation, not only is marijuana growing more accepted, but so are other drugs like psilocybin and MDMA.
COVID-19 Infection Risks and Mental Health Impact Among Grocery Workers
Direct customer exposure is associated with a five-fold risk of infection, while less social distancing in the workplace is tied to depression and anxiety.
California Voters Keep Rideshare Drivers as Independent Contractors
The election saw passage of a measure to exempt rideshare drivers from employee status, impacting benefits and more.
Healthesystems at NWCDC 2020
Join our VP of Clinical Services, Silvia Sacalis, for a digital presentation on employing empathy within workers’ comp programs on December 9th!
FDA Requires Boxed Warning Update for Benzodiazepines
Even at recommended doses, benzodiazepine use can lead to misuse, abuse, and addiction.
3 Stakeholder Research Findings That Can Improve Patient Experience and Program Outcomes
User research indicates that patients face difficulty with the intake process, getting key claim information, and more.
Purdue, OxyContin Manufacturer, Loses Federal Case and Will Shut Down
The drug manufacturer is pleading guilty and paying out billions.
California COVID-19 Report
COVID-19 claim data through October 5th has been captured and broken down by industry, age, region, and more.
Celebrating American Pharmacists Month
Learn how our pharmacists make a difference for injured worker patients, and what drives their hard work
FDA Approves Two New Opioids
Olinvyk injections and Qdolo oral solution are approved for the management of acute pain.
Side Effects: COVID-19-Related Healthcare and Pharmacy Trends
With the pandemic disrupting the healthcare system, how has workers’ comp been impacted?
WCRI Issues Report on Physical Therapy
Data from 26,000 claims finds that early physical therapy reduces costs and disability duration.
U.S. Executive Order Signed for Telemedicine
A wide-sweeping order on national telehealth policy requires federal agencies to begin making plans for change.
Florida COVID-19 Report
Data from nearly 12,000 COVID-19 claims breaks down coverage among industries, telemedicine insights, and more.
Workers’ Comp Industry Insights Survey
2020 has been a year of disruption, and we want to know what the industry thinks about COVID-19, telehealth, opioids, AI, and more!
FDA Issues Naloxone Recommendations for Opioids and OUD Drugs
The FDA recommends healthcare professionals co-prescribe the opioid overdose reversal drug with all opioid prescriptions.
Overcoming Obstacles to Patient Recovery Amid a Global Pandemic
Healthesystems’ VP of Clinical Services addresses COVID-19 disruptions to workers’ comp, along with helpful strategies
American Medical Association Publishes Opioid Task Force Report
AMA hopes to shift from a crisis-reaction framework to a more holistic model that prevents overdose while helping pain patients receive care.
Connecticut Enacts Major COVID-19 Presumption
Beyond first responders and healthcare workers, essential workers including grocery store workers are now covered by workers’ comp.
Returning to Work in the COVID-19 Era
With cases increasing as individuals return to work, injured workers face barriers to care, risk of infection, and more.
Driving a More Personalized Claim Experience in a Digital World
As complex claims continue to impact workers’ comp, our new article in WorkCompWire addresses the need for early warnings and clinical guidance.
FDA Approves Hulio for Rheumatoid Arthritis and More
Subcutaneous injections of the new biologic, adalimumab-fkjp, were approved for seven indications.
A New Routine: The Growth of Complex Claims and How to Manage Them
Strategies for anticipating and mitigating complex claim risks.
American Medical Association Asks CDC to Revise Opioid Guidelines
The AMA suggests that prescription medications are no longer a significant factor in the opioid epidemic, and that opioid prescription limits should change.
States Pass COVID-19 Liability Limitations
Arkansas and Louisiana enacted policies to protect businesses from civil liability stemming from COVID-19 exposure.
WCRI Reports on Interstate Variation Trends in Drug Payments
Data from 28 states years found that NSAIDs and dermatological agents are seeing growth in spending.
COVID-19: Hydroxychloroquine and Remdesivir Updates
The malaria drug loses an EUA for COVID-19, while the FDA warns of drug interactions that can reduce antiviral effectiveness.
Growing Pains: The Shift from Opioids to Other Pain Therapies
With opioid utilization decreasing, what concerns do other pain therapies pose?
WCRI Publishes Medical Price Index
With data from 36 states across 12 years, this report highlights the differences in prices paid for medical services across the nation.
Washington Issues Guidelines on COVID-19 Masks for Workers
Occupations are divided into risk categories where each category must utilize appropriate face coverings, masks, or respirators.
Employee Stress and Mental Health When Returning to Work
The National Safety Council discusses managing employee anxiety stemming from COVID-19 when returning to work.
FDA Approves Elyxyb Oral Solution for Migraines
Elyxyb (celecoxib) is an NSAID for the acute treatment of migraine with or without aura.
Live Better, Heal Better: Employee Wellness in Workers' Comp
How comorbidities, fatigue, and mental health impact claims management.
Remdesivir a Potential Treatment for COVID-19?
The FDA allows emergency use in response to positive trials, but more research is needed.
IQVIA Reports on Healthcare Shifts in the COVID-19 Era
A new study explores patients’ use of health services, the impact on medicine use, research activity, and more.
California Executive Order Greatly Expands COVID-19 Presumption
Many states expanded workers’ comp for COVID-19, but California casts a wider net.
COVID-19 Updates from the FDA
New developments with diagnostic testing and the use of chloroquine and hydroxychloroquine.
Sandy Shtab: Regulatory Acceleration in Response to COVID-19
Healthesystems’ AVP of Advocacy & Compliance discusses regulatory action related to COVID-19 with WorkCompWire.
Could Convalescent Plasma Treat COVID-19?
The FDA, JAMA, and others think blood from those who recovered from COVID-19 could benefit those with the illness.
More States Make COVID-19 Compensable in Workers’ Comp
With frontline workers at risk, states are expanding coverage to healthcare workers, first responders, and other frontline workers.
Silvia Sacalis: 3 Evolving Clinical Trends in Workers’ Comp
Healthesystems’ VP of Clinical Services discusses population trends, non-opioid pain therapies, and comorbidities with WorkCompWire.
Keep Track of COVID-19 Developments
Healthesystems has created a developments webpage to track updates impacting workers’ comp.
FDA Approves Two Migraine Drugs and Two NSAIDs
Anjeso and a new Advil formulation target pain, while Nurtec™ and Vyepti™ target migraines.
2020 Workers’ Comp Industry Insights Survey
Healthesystems collaborated with Risk & Insurance to survey 669 workers’ comp professionals on top trends and challenges.
JAMA Compares Effectiveness of Treatment Pathways for Opioid Use Disorder
A study of 41,000 adults finds that only treatment with buprenorphine or methadone reduced risk of overdose.
Embracing Telehealth in Reaction to COVID-19
Several state workers’ comp programs are relaxing telehealth rules to promote social distancing.
Sandy Shtab Featured in IAIABC Member Spotlight
Healthesystems’ AVP of Advocacy & Compliance discusses industry challenges, special initiatives, and more in a video spotlight.
FDA Approves Diazepam Nasal Spray and Fast Tracks New Drug for Spinal Cord Injury
A new seizure drug has been approved, and a nerve growth drug advances in clinical trials.
4 Regulatory Trends to Watch Out for in 2020
What will 2020 hold for marijuana acceptance, employee misclassification, formularies, and AI?
WCIRB Publishes Physical Medicine Report
An analysis of 1.5 million claims found early physical therapy lowers odds of opioid use by 14%.
Marijuana Bills Could Create Protections for Employment Discrimination
Testing positive for marijuana use could one day no longer prohibit employment.
An Opioid Snapshot for 2020
With a flurry of opioid developments lately, what does the big picture look like?
Three Drug Approvals and a Safety Warning
Migraine, arthritis, and insomnia drug approvals, and a gabapentinoids safety warning.
Psilocybin for Mental Health Disorders?
Does the active ingredient in magic mushrooms have a future in mental health?
MDMA Gains Steam for PTSD Treatment
Phase 3 studies are underway, and current research sees potential for MDMA in psychotherapy.
Lavender Administration Shows Promise for Anxiety
A recent meta-analysis of over 100 trials and studies found lavender to significantly reduce anxiety levels.
Keeping an Eye Out for CBD
With CBD products widely available and advertised for so many ailments, claimants could be using CBD without insurers knowing.
New Drug Developments Impacting Comp
A biosimilar to Humira is approved, the FDA Fast Tracks a PTSD drug, and more.
Questioning Costs: A Field Guide to Fee Schedules
Understand how prices are set for medical equipment and services, and how to scrutinize those costs.
How Declining Opioid Use Impacts Claims and Outcomes
According to the CWCI, reduced opioid utilization from 2010-2017 saved $6.5 billion in California comp costs.
Minnesota Proposes PTSD Treatment Guidelines
Beyond compensability, Minnesota considers rules for evaluation, treatment planning, acceptable psychotherapies, and more.
Healthe in the Media
Workers’ comp publications cover Healthesystems content surrounding aging physicians, successful return-to-work programs, and more.
Recalls Impacting Workers’ Comp
A previous gastrointestinal drug recall expands, while a new recall for an anxiety drug is issued.
Rehabilitating Your Rehab Program: Better Metrics for Physical Medicine
How more dynamic data can illuminate program performance to empower care delivery
HHS Publishes Opioid Tapering and Discontinuation Guideline
The guideline covers a wide range of relevant topics, including pain, dosing, dangerous co-prescribing, comorbidities, and more.
More States Scrutinize Gig Economy Classifications
Shortly after California made strides on employee classification for gig economy jobs, New Jersey and New York have taken action.
The Economic Impact of Non-Medical Opioid Use
The Society of Actuaries published a report that claims the economic burden of the opioid epidemic was $631 billion from 2015-2018.
Multiple Companies Recall Ranitidine Hydrochloride Due to Contamination
Indicated for various gastrointestinal concerns, these recalls could impact certain workers’ comp patients.
Clearing the Air: Marijuana Considerations for Workers’ Comp
A new white paper explores clinical, legislative, workplace safety, and PBM considerations surrounding marijuana.
Social Determinants of Health
PwC explores how social factors impact chronic health conditions.
California Gig Law to Reclassify Contractors as Employees
This reclassification will entitle millions of workers to benefits previously withheld, including workers’ comp.
Healthesystems at NWCDC 2019
Join Healthesystems at booth #1922, at an educational presentation, or by taking our industry survey with Risk & Insurance.
FDA Postpones Opioid Approval Decision
NKTR-181 (loxicodegol) was to receive an approval decision by August 29th, but a reevaluation of opioid policy has resulted in a delay.
Robert Goldberg and Silvia Sacalis Discuss Workplace Fatigue with Risk & Insurance
Healthesystems’ clinical leaders speak to mitigation strategies to reduce workplace injuries stemming from fatigue.
California Publishes One-Year Report on Workers’ Comp Formulary
The utilization of opioids, compounds, and physician-dispensed medications have significantly decreased.
DEA to Improve Access to Marijuana Research
Proposed changes to who can grow and research marijuana will soon be available for public commentary.
Johnson & Johnson to Pay $572 Million in Opioid Trial
An Oklahoma judge found the drug maker to be partially responsible for the harm of the opioid epidemic.
Three Insights from WOHC 2019
Healthesystems’ Chief Medical Officer explores trends impacting workers’ comp, including patient engagement, population health, and more.
FDA Approves First Lyrica Generics
Nine generic versions of Lyrica (pregabalin) have been approved for the treatment of five different medical conditions.
Healthesystems AVP of Advocacy & Compliance Named Finalist for Comp Laude Award
Sandy Shtab has been recognized for making significant contributions to the workers’ comp industry.
FAIR Health Publishes Telemedicine Report
Looking at over 29 billion private health claims, this study found that claim lines related to telehealth rose 624% from 2014-2018.
WCRI Reports on Interstate Variation in Dispensing Opioids
While many states report fewer opioid prescriptions, MME levels vary more significantly by state.
Will Autonomous Vehicles Impact Workers’ Comp?
NCCI estimates that a 25-75% reduction in motor vehicle accidents in workers’ comp could save $1-4 billion, creating interest in self-driving cars.
First-Time Generics Approved for Two Pain Medications
Generic versions of Ultram (tramadol hydrochloride) tablets and Dyloject (diclofenac sodium) injections have been approved by the FDA.
NCCI Examines Impact of the ODG Formulary in Arizona and Tennessee
While the utilization of opioids and other problematic drugs decreased, similar drops were seen in states without closed formularies.
Healthesystems Product Owner Receives IAIABC NextGen Award
Stephanie Arkelian has been recognized as a talented young professional making a positive impact on the workers’ comp industry.
New York City and Nevada Prohibit Hiring Discrimination for Positive Marijuana Tests
Beyond exceptions for safety or federal positions, employers cannot refuse employment for testing positive for marijuana in pre-employment drug screenings.
Marijuana Laws No Longer Thought to Reduce Opioid Overdose Deaths
A new study builds upon earlier research with a larger, more up-to-date dataset, finding a reversal in trends.
Healthesystems at WCI Orlando 2019
Visit Healthesystems in booth #909 and learn how we’re making waves in workers’ comp, and how we hope to benefit coastal cleanups for the “Coast to Coast” theme.
FDA Reexamines Discontinued Drug for New Pain Applications
Orphengesic Forte has received a decision date of August 14, 2019.
Shifting Gears in Patient Transportation with Rideshare
How services like Lyft and Uber can amplify injured worker transportation programs to improve claims outcomes.
The Growing Utilization and Costs of Anticancer Medications
Though they’re only needed for special cases in workers’ comp, anticancer medications can easily exceed $10,000 per monthly fill.
First Public Hearing for Cannabidiol (CBD) Products
Though most forms of marijuana are highly regulated, CBD products are readily available across the country. What does this mean for healthcare?
FDA Proposes Fixed-Quantity Blister Packaging for Certain Opioids
In a call for public comment, the FDA believes that reducing excess opioid supplies can lower opioid misuse, abuse, and overdose.
FDA Approves First Generic Naloxone Nasal Spray for Opioid Overdose
The life saving antidote for opioid overdose will soon be available in a consumer-friendly, generic nasal spray.
2019 Workers’ Comp Industry Insights Survey
Healthesystems partnered with Risk & Insurance magazine to survey 500+ work comp professionals on their top challenges, trends, successes, and more.
Negative Impacts of Combining Antidepressants with Opioids and Benzodiazepines
Combining all three drugs can reduce claim closure rates to 58.3%, with average claim costs of $94,000.
Growing Trend: Expanding Cancer Coverage for Firefighters
Florida enacted a law to cover 21 different cancers, while other states like Montana, Maryland, and Virginia have recently passed similar laws.
National Institute of Health to Launch $350 Million Opioid Intervention Study
Four research sites will test proven opioid prevention and treatment interventions, hoping to reduce overdose deaths by 40% over three years.
FDA Tightens Restrictions for Transmucosal Fentanyl Products
New changes to REMS safety programs will require stronger treatment documentation and oversight.
Patient Engagement is Personal: How to Help Injured Workers Help Themselves
Patient engagement can lead to better health outcomes, but not all engagement strategies are equally effective.
The Impact of the Changing Workforce
The workforce is aging, getting younger, and gaining more women, all at once. What does that mean for claims management?
Marijuana Continues to Take Major Steps Forward
Congress may soon clear federal restrictions to processing marijuana transactions, while the FDA asks for feedback on handling marijuana products.
Oklahoma Reaches $270 Million Settlement with Opioid Manufacturer
Various state and local governments have sued drug developers for the harms of the opioid epidemic, and this could be the first of many settlements.
Tanezumab Trials Yield Positive Results for Pain Management
Phase 3 clinical trials for this non-opioid drug demonstrate significant reductions in pain for osteoarthritis and chronic low-back pain.
Opioid Imbalance: Risk Disparities Among Diverse Patient Populations
Demographic factors such as gender, ethnicity, socioeconomic status, age, and location can impact opioid risks.
Tackling Topicals: Clinicians Takes Notice
Despite having little clinical impact, topical creams continue to be utilized widely in workers’ comp.
The Drug Price Debate
Federal lawmakers and administrative agencies continue to investigate how to best lower ever-increasing drug prices.
FDA Establishes Guidance for Brain-Computer Interface Technologies
Can special implants in the brain override paralysis? The FDA believes one day they could.
FDA Nudges Developers to Create Over-the-Counter Naloxone
The FDA created special drug labels to clear a development hurdle and encourage manufacturers.
Marijuana – What to Expect in 2019 and Beyond
Dr. Robert Goldberg and Sandy Shtab talk with Risk & Insurance about changing attitudes and policies around medical marijuana, its potential role in reducing reliance on opioids, and what this can mean for payers, employers, patients and PBMs.
Troubling Trends for Benzodiazepines
Prescribing has doubled since 2003, overdose deaths quadrupled since 1996, and misuse accounts for 20% of benzodiazepine use.
PTSD Coverage: More States Draft Legislation
Kentucky, Connecticut, Idaho, and West Virginia proposed bills to make PTSD compensable for first responders.
Opioid Marketing Tied to Higher Prescribing and Overdose
A new JAMA study finds that increased county-level opioid marketing was tied to elevated overdose mortality.
FDA Approves Two New Strengths of Apadaz
The opioid prodrug for acute pain will soon be available in both a stronger and weaker dose.
What’s Ahead for 2019 Workers’ Comp Regulations
As 2018’s legislative trends continue to spill into 2019, what big initiatives might impact workers’ comp this year?
JAMA Examines Association of Early Physical Therapy with Long-Term Opioid Use
An analysis of 90,000 private claims explores the relationship between early PT and reduced long-term opioid use in musculoskeletal pain.
The Legality of Self-Referrals
Can doctors in certain states refer patients to pharmacies which they partially own?
The Buzz Behind Digital Therapeutics
Will doctors one day prescribe apps meant to drive behavior changes instead of drugs?
FDA Approves First Prescription App for Opioid Use Disorder
The reSET-O app uses cognitive behavioral therapy techniques to assist patients engaged in medication-assisted therapy for opioid dependence.
Hero’s Welcome: Growing PTSD Coverage for First Responders
Formulary and claims management considerations for populations at risk for “mental-only” cases of PTSD.
New Guidelines for Opioid-Induced Constipation
The American Gastroenterological Association released guidance on properly prescribing medications for OIC.
Marijuana Use Rising Among Older Populations
Marijuana use among adults aged 50-64 tripled from 2002-2014.
In Case You Missed It: 5 Takeaways on Value-Based Models in Work Comp
Dr. Silvia Sacalis of Healthesystems teamed up with Dr. Adam Seidner of The Hartford for a session at NWCDC – here are 5 key takeaways.
FDA Approves New Opioid, Dsuvia
Five-to-ten times stronger than fentanyl, this drug is not for consumer use, and many claim it could worsen the opioid crisis.
The Opioid Crisis: Our Defining Moment
Healthesystems’ clinical leaders comment on the collective responsibility of healthcare entities, providers, and legislators to increase efforts that will help stem opioid overprescribing, misuse and overdose.
Midterm Marijuana Updates
More states allow for the legalization of recreational and medical marijuana, while others consider insurance reimbursement.
JAMA Examines Persistent Opioid Use in Workers’ Comp Patients
A study of 9,596 claimants who filled an opioid prescription found that 30% were still taking opioids 90 days later.
Healthesystems at NWCDC 2018
Join our VP of Clinical Services on December 6th in Las Vegas for a presentation on value-based care in workers’ comp.
DEA Reschedules Epidiolex
The marijuana-derived seizure drug now sits at schedule V, facing far fewer prescribing and dispensing restrictions.
Dr. Silvia Sacalis Discusses Medication Red Flags with Risk & Insurance
Healthesystems’ VP of Clinical Services offers insight into prescriptions in workers’ comp claims that should raise concerns.
New Jersey Bill Pushes for Medical Marijuana Reimbursement
Assembly No. 4505 may solidify precedence recently made by a judge from the Division of Workers’ Compensation.
National Safety Council Issues Report on Workplace Fatigue
Common risk factors can increase worker fatigue, leading to more frequent workplace injuries and a loss of productivity.
Federal Opioid Reform Bill Signed into Law
With an enormous range of initiatives to prevent and treat opioid use disorder, the bill has officially been signed by the President.
FDA Approves New Dosage for Opioid Dependence Therapy
Cassipa (buprenorphine and naloxone) sublingual film delivers a new dosage for the treatment of opioid dependence.
Dr. Silvia Sacalis Discusses Polypharmacy with WC Magazine
Healthesystems’ VP of Clinical Services explains how too many drugs in a claim can cause health concerns, and what can be done to prevent them.
FDA Reassesses Opioid Policies
The FDA is working to create new opioid prescribing practices and guidelines, while also shifting drug development priorities for pain medications.
CWCI Releases Polypharmacy Report
According to 2016-2017 data, over 20% of polypharmacy claims are over 10 years old, with more than 50% of them for patients aged 50 and older.
Massachusetts Study Links Occupation to Opioid Overdose Deaths
On average, construction workers are six times more likely to die from an opioid overdose death, more than any other occupation.
Dr. Robert Goldberg Comments on DEA Opioid Manufacturing Quotas
Healthesystems’ Chief Medical Officer spoke with WorkCompCentral regarding DEA plans to reduce opioid manufacturing.
FDA Accepts New Drug Application for Opioid NKTR-181
NKTR-181 is supposed to offer a lower frequency of opioid side effects. But are more opioids really the solution we need to the opioid crisis?
Sandy Shtab Discusses the Need to Modernize Regulation with WorkCompWire
Healthesystems’ AVP of Advocacy & Compliance explains how regulation has been unable to keep pace with healthcare innovation & technology.
PTSD Legislation Continues to Grow
More states cover PTSD without physical injuries for first responders, and 24 states allow PTSD patients to use medical marijuana.
New Developments in Migraine Medications
A new wave of drugs that suppress CGRP proteins to reduce migraines could be on the horizon.
FDA Proposes New Clinical Endpoints for Development of Opioid-Use Disorder Drugs
Drugs to treat opioid dependence could be approved under new clinical endpoints other than reducing opioid use.
Healthe Clinical Leaders in the News
Our Chief Medical Officer and VP of Clinical Services comment on matters such as the use of anticonvulsants to treat pain and opioid prescriptions for inpatients.
New Opioid in Development May Offer Reduced Risk Profile
Phase 2/3 clinical trial results for Korsuva demonstrate pain relief with fewer side effects.
Mark of the Millennial: Managed Care for a New Generation
Millennials are more diverse and more open to alternative therapies, medical marijuana, healthcare technology, and dialogue surrounding psychosocial concerns.
Support for Marijuana Continues to Grow Across the Nation
A flurry of recent developments continues to bring the medical marijuana debate front and center, including further legalization, a Senate bill, a drug approval, and more.
JAMA Study Questions the Effectiveness of Negative Pressure Wound Therapy
In a randomized clinical trial of 460 patients, researchers found the treatment to have similar impact on self-rated disability as standard wound dressing.
Healthesystems at WCIEC Orlando 2018
Visit Healthesystems in booth #914 to see how we explore the conference’s “Cosmic” theme, and for a chance to win a $250 gift card.
Drug Approvals Impacting Workers’ Comp
The FDA recently approved drugs to treat opioid dependence, migraines, and rheumatoid arthritis.
The Burden of Opioid-Related Mortality in the United States
Among many findings, JAMA reports that 20% of deaths among those aged 25-34 were opioid-related.
More States Pass Opioid Prescription Limits
Within the last month, laws have passed in Tennessee, Colorado, South Carolina, Oklahoma, and Hawaii.
IQVIA Reports on Global Oncology Trends
Global spending on cancer therapies now exceeds $133 billion.
Healthe Leaders Comment on Clinical Use of Marijuana & MDMA
Our Chief Medical Officer and VP of Clinical Services comment on the clinical use of ecstasy and marijuana.
FDA Encourages Drug Developers to Focus on Buprenorphine Depot Products
A newly released draft guidance encourages the development of more sustained-release buprenorphine products.
WCRI Releases CompScope Benchmarks
In-depth reports for 16 different states examine medical payments, costs, duration of disability, and more.
Illinois Bill May Allow Patients to Trade Opioids for Marijuana
Senate Bill 336 passed with a 44-6 vote and is now headed to the House.
The Craze Over Kratom
Kratom continues to grow in popularity as a drug for pain and opioid withdrawal, despite concerns from the FDA, CDC and DEA.
Four Current and Near-Future Drug Trends Impacting Rx Management
In a special partner post with WorkCompWire, Healthesystems discusses developments in pain management, specialty drugs, and more.
Opioid Withdrawal Drug Closer to Approval
If approved, Lucemyra (lofexidine) would be the first non-opioid drug approved to treat the symptoms of opioid withdrawal.
Dr. Silvia Sacalis Discusses Value-Based Care with WorkCompWire
Healthesystems’ VP of Clinical Services discusses how workers’ comp is embracing a value-driven approach.
WCIRB Reports on Chronic Opioid Use and Weaning
A new study analyzes the characteristics of chronic opioid use claims, while also examining opioid weaning data.
PTSD Bills Gain Momentum in Workers’ Comp
A Florida bill was recently signed into law, and states such as Arizona, Utah, Connecticut, and Oregon may follow suit.
More States Embrace Closed Drug Formularies
Indiana and Kentucky signed off on formulary bills, while other states continue to make progress on their promised formularies.
Dr. Robert Goldberg to Speak at IRSG
Healthesystems’ Chief Medical Officer will present "Can Workers’ Comp Catch Up to the Rest of Healthcare?" at the 2018 IRSG Annual Conference.
FDA Approves New Opioid Prodrug, Apadaz
Apadaz oral tablets were approved for the short-term management of acute pain, at no more than 14 days of use.
Dr. Silvia Sacalis to Speak at National Rx Drug Abuse & Heroin Summit
Healthesystems' VP of Clinical Services will co-present Workers' Comp Opioid Use Trends and Effective Population Health Management.
Ohio BWC Reports Falling Levels of Opioid Dependence
The number of opioid-dependent injured workers in the Ohio workers' comp system fell 19% in 2017.
Air Ambulances: State v Federal Cost Control
Many states have attempted to implement fee schedules for air ambulances, but courts citing federal regulations have stricken them down.
State and City Lawsuits Continue to Mount Against Opioid Manufacturers
Forty-one states and over 200 cities and counties claim drug makers deceived patients and doctors regarding opioid safety and addiction risks.
Drug Recalls Impacting Comp
Senna Laxative bottles were found to contain NSAIDs, while 55 lots of compounded drugs face questionable sterility.
Medication Multiplication
A visual depiction of how opioid side effects can cascade across the body.
Increased Abuse Among Anti-Diarrhea Drugs
When taken in excessive doses, the anti-diarrhea drug loperamide can mimic opioid euphoria, and toxicity events and deaths are on the rise.
State Legislatures Increase Action Against Opioid Epidemic
The passage of opioid action plans in Arizona, Tennessee, and Pennsylvania are the most recent additions to growing statewide efforts to curb the epidemic.
The Rise of the Gig Economy
In 2003, gig workers made up less than 5% of the workforce. Today, estimates vary between 8% and 40%, raising questions for comp.
FDA Continues to Shift Opioid Strategy
2018 may hold more opioid policy revisions and the approval of new, non-opioid pain medications.
Artificial Intelligence and Workers’ Comp
Machine learning aims to automate parts of claims management.
No End in Sight for the Opioid Epidemic?
Despite decreases in prescribing rates, the opioid epidemic claims more lives than ever before, partially due to synthetic formulations.
State and Federal Governments Clash Over Marijuana
The Department of Justice’s recent announcement may come to a head with the will of state governments and popular opinion.
March of the Millennials
By 2020, millennials will make up half the workforce, so how will they impact workers’ comp?
FDA Approves Once-Monthly Buprenorphine Injection
Sublocade has been approved as the first once-monthly injectable buprenorphine product for opioid use disorder.
Dr. Silvia Sacalis Discusses Specialty Drug Trends with WorkCompWire
Healthesystems’ VP of Clinical Services covers specialty drug trends in workers’ comp, weighing costs alongside potential clinical benefits to injured workers.
New Study Ties Medical Marijuana to Reduced Opioid Use
A study from the University of New Mexico is the newest piece of research to link medical marijuana programs to decreased opioid use.
2018: The Year of Telemedicine?
While certain states move forward with telemedicine legislation, the market continues to grow, signaling a potential boom.
New RxInformer Clinical Journal Now Available
The Winter 2017 edition of Healthesystems’ clinical journal covering trending and influential topics in workers’ compensation is now available online.
Rexista Denied FDA Approval Over Abuse-Deterrent Properties
The FDA found that the abuse-deterrent properties of Rexista (oxycodone hydrochloride) extended-release tablets were not scientifically valid enough for approval.
Dr. Robert Goldberg Speaks to WC Magazine on Formularies
Healthesystems’ Chief Medical Officer was recently interviewed by WC Magazine on the growing popularity of workers’ comp formularies and the upcoming California formulary.
NCCI Analyzes Virginia’s Impending Fee Schedule Implementation
House Bill 378, which will implement the first workers’ compensation fee schedule in Virginia, takes effect January 1, 2018.
WCRI Reports on New York Opioid Use
When compared to a 26-state median, New York dispensed opioids to fewer claims, but the average opioid pill count per opioid claim was significantly higher.
Healthesystems at NWCDC 2017 in Las Vegas
Healthesystems will exhibit in booth #3707 from December 6-7. Our Clinical Pharmacist, Dr. Britten Featherston, will also co-present an educational session.
FDA Approves Zilretta for Osteoarthritis Knee Pain
Zilretta (triamcinolone acetonide extended-release injectable suspension) has been approved to manage osteoarthritis knee pain for 12-week intervals.
Healthesystems Pharmacists Named Finalists for Comp Laude Awards
Jeanette Connelly, PharmD, and Cheryl Hayes, PharmD, MBA are up for a prestigious award in workers’ comp for their commitment to ensuring the safety and appropriateness of pharmacotherapy for injured workers.
Acupuncture in Workers’ Comp
More clinical organizations support acupuncture as an alternative therapy to reduce opioid use, as do systematic reviews.
Arkansas Formulary Updates
The formulary implementation date has been changed to January 1, 2018, and the latest draft includes new opioid regulations.
Dr. Sacalis to Speak at WCI Emerging Trends Seminar Series
Healthesystems’ VP of Clinical Services will co-present Advancing Your Return to Work Program at the Workers’ Compensation Institute’s (WCI) Emerging Trends Seminar Series.
FDA Designates MDMA a Breakthrough Therapy in PTSD
The FDA gave the go-ahead for methylenedioxymethamphetamine (MDMA), the primary ingredient for the party drug ecstasy, to move forward with Phase 3 trials in patients with post-traumatic stress disorder (PTSD).
Dr. Robert Goldberg Speaks to Risk & Insurance on Physician Dispensing
Healthesystems’ Chief Medical Officer spoke with Risk & Insurance magazine on how the workers’ comp industry has managed this trend.
Ohio BWC Reports Reduced Opioid Usage
In 2016, 44% fewer injured workers received opioids when compared to 2011.
California DWC Moves to Update MTUS
As the California formulary will be based on ACOEM treatment guidelines, the MTUS may soon move away from ODG.
NCCI State Advisory Forums Highlight State-Specific Issues
Thirty-six member states plan to release reports detailing various trends in workers’ compensation.
FDA Approves Two New Hepatitis C Drugs
Mavyret and Vosevi are both indicated to treat HCV genotypes 1-6 without cirrhosis or with mild cirrhosis.
Tate Rice: Use of Virtual Reality and Video Games in Physical Therapy
Healthesystems’ Director of Physical Medicine discusses virtual reality with IAIABC.
Shifting Physician Dispensing Patterns
WCRI reports that while physicians dispensing has decreased after legislative reform, spending remains high due to new prescribing patterns.
Missouri to Enact PDMP
Executive Order 17-18 will make Missouri the final state in the U.S. to enact a prescription drug monitoring program.
DEA Proposes Descheduling Naldemedine
The DEA has found that the opioid-induced constipation drug appears to have very low abuse potential.
Non-Opioid Pain Medication Gets Fast Track Designation
Tanezumab, a biologic currently in Phase 3 development for chronic low-back pain, may benefit from increased FDA communications.
Healthesystems at WCI Orlando
Healthesystems will exhibit in booth #914 from August 7-9, and our VP of Clinical Services, Dr. Silvia Sacalis, will join a panel presentation on opioid best practices.
CDC Vital Signs – Opioid Prescribing Still High, Differs by County
While opioid prescribing rates have declined over the last several years, MME per person has tripled since 1999.
Texas Aims to Close Compounding Loophole
The Division of Workers’ Compensation released an informal working draft of a rule change that would exclude compounds from the state formulary.
Polypharmacy: How Many Drugs is Too Many?
The cost and safety concerns of multiple simultaneous drug regimens.
FDA Requests Removal of Opana ER, Reexamines Abuse-Deterrent Opioids
After requesting a manufacturer remove the opioid Opana ER from the market, the FDA announced a public meeting to discuss the real-world impact of abuse-deterrent opioids.
How Off-Label Prescribing Drives a Claim Off Course
How can common forms of off-label prescribing impact claim costs and outcomes?
New York Workers’ Comp Formulary Update
The New York Workers’ Compensation Board has clarified a deadline for formulary selection and rule development, along with certain formulary requirements.
Illicit Opioid Use Linked to Hepatitis C
The CDC found that Hepatitis C infections tripled in the last five years due to drug use related to the opioid epidemic.
Dr. Silvia Sacalis Discusses the Need for Early Opioid Interventions
Healthesystems’ VP of Clinical Services spoke with Business Insurance on the importance of preventing opioid misuse to avoid long-term complications.
FDA Approves New Opioid: RoxyBond
The FDA approved RoxyBond® (oxycodone hydrochloride) tablets for the treatment of pain for which alternative treatments are inadequate.
Not-So Science Fiction: Innovative Technologies in Workers’ Comp
Learn how brain-computer interface, exoskeletons, 3D printing and virtual reality can impact workers’ comp.
Utah Bill May Allow Insurers to Enforce Opioid Prescribing Policies
House Bill 90 went into effect May 9th, allowing group health and workers’ comp insurers to enforce evidence-based opioid prescribing policies.
Are Opioid-Related Deaths Underreported?
A CDC report ties several unexplained deaths in Minnesota to opioid use, indicating that more deaths nationwide could be opioid-related than previously thought.
WorkCompWire Interviews Daryl Corr
Healthesystems CEO, Daryl Corr, was recently featured in a “RIMS Review” by WorkCompWire, in which he discusses formularies, a more adherent healthcare model, and protecting data.
Symproic® Approved for Opioid-Induced Constipation
The FDA approved Symproic® (naldemedine) oral tablets for the treatment of opioid-induced constipation (OIC) in adults with chronic non-cancer pain.
Future Opioids and the Injured Worker: Why “Safer” is a Relative Term
Drug makers are developing new opioids with potential safety improvements over old formulations, but do they fall short for injured workers?
New York to Enact Workers’ Comp Formulary
The passage of Assembly Bill A3009C calls for a workers’ comp formulary by 2018.
How Initial Opioid Use Impacts Long-Term Opioid Use
Data from 1.3 million patients reveals how early prescribing decisions can influence long-term opioid use.
Successful Speaking Events in Atlanta and Denver
Healthesystems clinical leaders recently presented at the National Rx Drug Abuse & Heroin Summit in Atlanta, Georgia, and at the American Occupational Health Conference in Denver, Colorado.
Olinvo (oliceridine) Completes Phase III Clinical Trials
An opioid developed to reduce adverse effects yielded lower rates of certain opioid-related side effects, but only in low drug doses.
Dr. Robert Goldberg Comments on Virtual Reality in Workers’ Comp
VR application in workers’ comp has great promise, but clinical guidelines are still years away.
Formularies Continue to Gain Steam
Pennsylvania, Kentucky, and Nebraska join the many states considering workers’ comp formularies.
ACP Releases Guideline for Chronic Low Back Pain
New guideline emphasizes non-pharmacologic treatments and alternative therapies.
Focus On: Opioid Overdose and Dependence Therapies
Claims considerations for the opioid-overdose drug naloxone, and the opioid-dependency drug buprenorphine.
FDA Approves Two New Opioids, New Dose for Narcan Nasal Spray
The FDA approved Arymo ER, Vantrela ER and a new 2mg dose of the opioid overdose reversal agent, Narcan.
Naloxone: The Path to Increased Patient Access
How has innovation and legislation impacted naloxone use?
Brain-Computer Interface: New Research
Providing mobility for paralyzed patients?
More State Limits on Opioid Prescriptions?
New Jersey, Utah, Indiana, Oregon and Maryland consider opioid prescription limits.
Compound Drug Trends in Florida
Compound spending has decreased as pharmacies dispense fewer compounds, but prescriber-dispensing continues to increase.
Safer Opioids?
Manufacturers are working to develop opioids with fewer adverse effects.
Expect More State Formulary Action in 2017
Momentum behind state formularies will continue, especially as current data help inform what is working and what can be improved.
Incoming Exoskeleton Boom?
They work, they are expensive, and everyone wants to build them.
Mandatory PDMP Use
Legislation hints at a new trend, one that takes the effectiveness of PDMPs to a new level.
Telemedicine: Slowly But Surely
It’s been championed as a new tool for workers’ comp. But are there enough data on telemedicine to expect large-scale implementation?
Cantrell Drug Company Issues Voluntary Recall Due to Lack of Sterility Assurance
Common workers’ comp drugs impacted by the recall include fentanyl, hydromorphone, morphine sulfate, and lidocaine.
Using Multidimensional Data to Estimate Potential Opioid Misuse
Analyzing multidimensional data across a broad patient population can reveal hidden risk factors for opioid misuse.
Department of Health and Human Services Expands Buprenorphine Access
Nurse practitioners and physician assistants will soon be able to prescribe the opioid dependence drug buprenorphine for up to 30 patients.
California DWC Formulary Webinar
Dr. Robert Goldberg, Healthesystems’ chief medical officer, will host an educational webinar for WOEMA on Wednesday, December 21 at 12:00 PM PT.
What Should Claims Professionals Know About Therapeutic Duplication?
The prescribing of multiple medications for the same indication can lead to serious safety and cost concerns.
New Evzio Strength Approved
The FDA approved a new 2 mg strength of Evzio (naloxone hydrochloride) auto-injector for the emergency treatment of opioid overdose.
Compound Medications: A Formula for Disaster
Often prescribed to treat pain associated with workplace injury, compounds are less regulated than FDA-approved drugs, resulting in significant patient safety and cost concerns.
WCRI Measures Opioid Use Between States
States with closed drug formularies and strong PDMP usage saw decreases in opioids per claim.
New York Expresses Interest in Workers' Comp Drug Formulary
The New York Workers' Compensation Board (WCB) announced their intent to establish a workers' comp prescription drug formulary.
Connect with Healthesystems at NWCDC 2016 in New Orleans
As proud gold sponsors of NWCDC 2016, Healthesystems invites you to visit us at booth 1419, and to attend one of our speaking sessions.
FDA Approves Biosimilar Amjevita
The FDA approved Amjevita (adalimumab-atto) as a biosimilar to Humira (adalimumab) for multiple inflammatory diseases.
Don't Overlook the Impact of Age and Comorbidity
With the number of claims including a comorbidity almost tripling in the last decade, how do comorbid conditions impact pharmacy management in the injured worker?
Ohio BWC Limits Opioid Reimbursements
Effective October 1st, the Ohio Bureau of Workers\' Compensation will only reimburse opioid prescriptions that adhere to best medical practices.
DEA Reduces Opioid Manufacturing Quotas for 2017
Schedule I and II drugs will see manufacturing quotas drop by 25% or more for 2017.
Dr. Goldberg Comments on California PDMP Law
Dr. Robert Goldberg, Chief Medical Officer, spoke with WorkCompCentral on California's new law requiring prescribers to consult the state prescription drug monitoring program before prescribing Schedule II-IV drugs.
FDA Approves New Opioid: Troxyca ER
The FDA approved Troxyca ER (oxycodone hydrochloride and naltrexone hydrochloride) extended-release capsules for severe pain. The new product has been labeled as abuse-deterrent.
Medically Speaking: Marijuana and Pain Management
With state and federal legislation expanding the use and research of medical marijuana, what does the data say about marijuana and pain?
NCCI Reports on Prescription Drug Costs in Workers' Comp
A new update by NCCI shows prescription drug spending comprises 17% of total workers' comp medical costs, despite decreased utilization.
California DWC Releases Draft Formulary Regulations
The formulary seeks to improve quality of care, and to reduce frictional costs and the cost of prescription drugs.
Dr. Sacalis to Speak at CWC & Risk Conference
Dr. Silvia Sacalis, VP of Clinical Services, will co-present Integration Is the Key to Managing Claim Complexities at the CWC & Risk Conference.
FDA Approves Relistor Tablets for Opioid-Induced Constipation
The FDA approved Relistor tablets (methylnaltrexone bromide) for the treatment of opioid-induced constipation (OIC) in adults with chronic non-cancer pain.
Gender Considerations in Workers' Compensation
Do women face increased risks with prescription pain medications?
Impacts of Physician Dispensing Reforms
New cost drivers have emerged to offset savings from state-wide physician dispensing reforms, according to WCRI.
New State Opioid Limits
New York passed A10727, limiting initial opioid prescriptions for acute pain to a seven-day supply, joining other states that have enacted similar laws.
Topical Convenience Packs
Low-cost drug products face severe and unnecessary increases in price when they are packaged together in convenience packs, often with no medical benefit.