Prescription Drugs

8/12/2025 - 6 min read

Medicare’s Annual Report Predicts Rising Costs and Partial Trust Fund Depletion by 2033

This article will discuss Medicare’s recently released “2025 Annual Report of the Boards of Trustees of the Federal Hospital Insurance.”

5/20/2025 - 5 min read

New Rx Drug Executive Order and WC Medical Equipment Pricing Trends

Two recent updates in national policy include: President Trump’s Executive Order regarding Rx drug pricing and WC medical equipment pricing trends.

10/10/2023 - 2 min read

An Award-Winning Effort Breaks New Ground in Medical Record Review

Verisk leaders earn Technology Innovation honoree status in the 2023 PC360 Insurance Luminary program for their work on Discovery Navigator

2/28/2022 - 0 min read

Filling the Need for Professional Administration Services

Individuals injured at work are dealing with numerous challenges – from the hardship of physical affliction to feeling overwhelmed by managing medical bills.

7/8/2020 - 6 min read

Seven steps to closed: Maximizing claims settlement projects

There's a thin and potentially costly line between settling a claim and keeping it open. Using a claims settlement project can help close claims faster.

10/31/2019 - 6 min read

CMS releases new WCMSA Reference Guide (Version 3.0)

CMS has released a revised Workers’ Compensation Medicare Set-Aside (WCMSA) Reference Guide (Version 3.0, October 10, 2019).

10/29/2019 - 5 min read

As claim severity climbs, analytic insights hold key to containment

Insurers today are struggling with what seems like an intractable problem: the impact of rising claim severity on their bottom line. This upswing shows no sign of abatement: for the past two decades, severity has increased almost every year for auto and workers’ compensation medical and indemnity claims.

8/1/2019 - 3 min read

WCMSA RX update – FDA approves first generics of Lyrica

On 7/22/19, the FDA announced it approved the first generics of Lyrica. This comes at a critical time as CMS has increasingly been including Lyrica in WCMSAs

5/28/2019 - 3 min read

Georgia senate bill 135 adds exceptions to the 400 week limit for future medicals – Overview and WCMSA impact

Georgia Senate Bill 135 (SB 135) was signed into law on May 7, 2019 and makes notable changes to Chapter 9 of Title 34 of the Official Code of Georgia Annotated related to workers’ compensation.

5/16/2019 - 8 min read

Reality check: Debunking the myths of Medicare Secondary Payer compliance

MSP is a challenging area of compliance for which federal law, regulations, and policy don’t always provide clear answers. It’s vital to understand fact vs fiction.

3/8/2019 - 2 min read

PAID Act Reintroduced in 116th Congress

On 2/26/19, Congressmen Ron Kind (D-WI) and Guy Bilirakis (R-FL) reintroduced the PAID Act as H.R. 1375 into the U.S. House of Representatives.

1/7/2019 - 4 min read

CMS releases new WCMSA Reference Guide (Version 2.9)

On 1/4/19, CMS released their latest version of the WCMSA reference guide Version 2.9.

10/24/2018 - 7 min read

CMS updates its Medicare prescription drug benefit manual – New changes encourage Part D collection and recovery

The Centers for Medicare and Medicaid Services (CMS) has amended its Medicare Prescription Drug Benefit Manual (Part D Manual) to add, in part, stronger language regarding Medicare Part D sponsors’ secondary payer rights and recovery.

8/14/2018 - 6 min read

Drug formularies continue to expand in workers’ comp systems

Balancing rising medical and pharmaceutical costs with appropriate and timely treatment for injured workers has been an ongoing struggle for workers’ compensation professionals. But recent trends indicate a positive change for the industry.

5/22/2018 - 5 min read

Arizona tweaks its "full & final" workers' comp settlement law - New law provides opportunities to settle workers' comp claims

Arizona Senate Bill 1100 provides unprecedented opportunities to settle workers' compensation claims in the state.