Clinical Blogs

Explore the evolving landscape of presumptive coverage in workers’ compensation as Alan Rook of MyMatrixx by Evernorth® discusses legislative trends, chronic condition management, and strategies for improving patient outcomes while controlling costs.

In a recent WorkCompWire Partner Post, Julie Black, Senior Clinical Account Executive for MyMatrixx by Evernorth, and Dr. Gerry Stanley, Chief Medical Officer, Express Scripts by Evernorth, describe how good pharmacy management adds value, so everybody wins.

Workers’ compensation claims are no strangers to chronic conditions. "Chronic" refers to a condition or illness that persists for a year or longer. In workers’ compensation we see this in patients who are dealing with chronic pain, pre-existing comorbidities and presumptive illnesses/conditions.

In our latest Risk & Insurance interview, Paul King, president of MyMatrixx by Evernorth, discusses why pharmacy benefit managers (PBM's) matter in workers' comp.

In recent years, an expensive treatment known as MACI has been gaining traction in workers’ compensation claims. Read more about what MACI is, how it works, and more.

When chronic disease is involved in a workers’ compensation claim, a holistic, whole-person approach to care creates better outcomes for both patients and payers.

Learn how effective pharmacy management for chronic conditions in workers’ comp can mitigate payer costs while improving patient outcomes.

Along with life, technology and automation are also moving pretty fast. From how we make phone calls to how we build cars, to even how we manage claims, over time, manual processes are automated to help people perform tasks faster and more efficiently, which is good because, now more than ever, we are expected to do more with less.

If you search the function of a pharmacy benefit manager (PBM), the internet responds with “an intermediary between health plans, pharmacies, and drug manufacturers to negotiate drug prices and manage prescription drug benefits.” This is true, but they can and should do so much more.

If you search the function of a pharmacy benefit manager (PBM), the internet responds with “an intermediary between health plans, pharmacies, and drug manufacturers to negotiate drug prices and manage prescription drug benefits.” This is true, but they can and should do so much more.