Clinical Blogs

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.

In their latest WorkCompWire Leaders’ Speak article, MyMatrixx by Evernorth experts, Brandie Traylor, Vice President of Product Management, and Cliff Belliveau, Chief Innovation Officer, discuss the “bad actors” that are hiding withing workers’ comp claims and the clinical and financial benefit of a strong FWA program.

Learn how data-driven insights can help identify and prevent workers’ comp fraud and abuse, saving costs and improving claims management.

Get expert insights, best practices and guidance from myMatrixx clinical pharmacists regarding drug safety for injured workers, their families and everyone involved in the broader workers' compensation system.

The Value of a Comprehensive PBM. There is a difference, and it is a big deal.

The Lowest Price Doesn’t Always Mean the Greatest Value especially when it comes to choosing a Workers’ Comp PBM.

Paper bills are a common practice in workers’ compensation due to out-of-network pharmacy fills, or medications dispensed from a physician office.

Albert Einstein reportedly said, “Insanity is doing the same thing over and over again and expecting different results.