Recent Posts
[Video] John Santulli Interview with A.M. Best at RIMS 2018
John Santulli, President and COO of PMA Companies, discusses trends in workers' compensation, including employee health, opioids, and alternative treatments, with ...
04/19/18
Pharmacy Management - Physician Dispensing, Managing the Costs and Injured Worker Safety
To control the sharp increase in pharmacy costs in workers’ compensation claims, pharmacy management must be a priority in a managed care program.
05/06/16
Pharmacy Management - Utilization Management Key to Controlling Opioid Costs
In the last PMA Executive Briefing, I examined two of the primary strategies for controlling pharmacy costs:
03/30/16
Pharmacy Management - Holding Down Costs Through a Fully Integrated Model
In this PMA Executive Briefing, the first of three on pharmacy management, I’ll look at two of the primary strategies for controlling pharmacy costs—managing the ...
01/27/16
Workers' Compensation Savings | Not All Managed Care Programs are Alike
There are vast differences in the managed care programs offered by insurance carriers and third-party administrators (TPAs). Savings can vary widely depending on ...
12/11/15
Network and Out-of-Network Programs Offer Important Medical Savings
During the bill review process, carriers/third-party administrators (TPAs) can reduce medical charges further by applying a "network discount." Carriers/TPAs ...
10/21/15
Medical Bill Review Program: Finding Savings Beyond Fee Schedules
Medical costs now comprise approximately 60 percent of workers' compensation claims costs. Managed care is the primary way for reducing those costs, and a key ...
08/20/15
Nurse Case Management: Providing Targeted Interventions to Ensure Appropriate Medical Care and Facilitate Return to Work
Our fourth issue in the series of PMA Executive Briefings examines the critical role of nurse case managers in a managed care program. Nurses are a key clinical ...
05/01/15
Managed Care Programs Begin with Early Intervention Strategies
A successful managed care program must address every stage of workers’ compensation claims, and the first stage includes early intervention strategies. Early ...
03/06/15
Integrated Wellness Programs Support Managed Care Strategies
In this second of the series, PMA Executive Briefings looks at how to address critical workplace health factors that affect a managed care program. We also ...
02/25/15
