Insights & Info

Healthcare Trends in Focus Healthcare Trends In focus covers arising issues in the healthcare industry, particularly as they relate to workers' compensation—including long-term and managed ...

Jack Aspen, Vice President, Risk Control Services 09/28/16

Best Practices to Address the Growing Complexity of Workers’ Compensation Claims PMA Executive Briefings explore strategies necessary to effectively manage workers’ compensation costs.

Ray DiCello, Senior Vice President & Chief Claims Officer 09/15/16

Handling Foodborne Illness Claims Susan DeCaro, PMA Companies liability claims manager, shares her expertise in liability claims management in the Claims Management magazine article, "When ...

Susan DeCaro 07/29/16

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.

John Santulli, President & Chief Operating Officer 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:

John Santulli, President & Chief Operating Officer 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 ...

John Santulli, President & Chief Operating Officer 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 ...

John Santulli, President & Chief Operating Officer 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 ...

John Santulli, President & Chief Operating Officer 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 ...

John Santulli, President & Chief Operating Officer 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 ...

John Santulli, President & Chief Operating Officer 05/01/15