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Sharing perspectives leads to greater understanding and fuels innovation. The ​Optum Insights ​blog is where we share our perspective and challenge preconceptions to clear a new path forward



  • Lots of Changes in CMS’ Latest WCMSA Reference Guide

    by
    • Rafael Gonzalez
    | Nov 07, 2019
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    Side Effects, Medicare Insights, medicareinsights blog, CMS, WCMSA
    On October 10, 2019, the Centers for Medicare and Medicaid Services (CMS) published its latest Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide.


  • How comorbid respiratory diseases & smoking impact injured claimant outcomes: Part four

    by
    • Clinical Connection team
    | Oct 31, 2019
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    Clinical Intervention, Comorbidities, comorbidity
    Respiratory health is an important but often overlooked component of a person’s overall health and well-being. Respiratory issues not only can worsen an injured person’s prognosis, but can increase the risk of adverse health effects in some working environments.


  • Comorbid High Blood Pressure in the Injured Individual: Part three

    by
    • Clinical Connection team
    | Oct 23, 2019
    Tag Icon
    Workers' Compensation, workers compensation, Clinical, Chronic Pain, Comorbidities
    Part three of our series discusses how injuries can often lead to comorbidity and complications that can lengthen the duration of treatment, delay return to work and increase costs.


  • Comorbid Mental Health Disorders in Workers’ Compensation & Auto No-fault: Part two

    by
    • Clinical Connection team
    | Oct 17, 2019
    Tag Icon
    Auto No-Fault, Workers' Compensation, mental health, comorbidity, Comorbidities
    Comorbid mental health issues can lengthen return-to-work times and increase costs in workers' comp and auto no-fault. Learn about the impact of mental health comorbidity and what steps to take to mitigate its effect.


  • Comorbidity and Injured Individuals: Part one

    by
    • Clinical Connection team
    • Medicare Insights
    | Oct 09, 2019
    Tag Icon
    MSA, Medicare Set-Aside, Medicare Insights, Comorbidities, clinical info, Clinical
    Comorbid conditions in workers’ compensation and auto no-fault can create a trifecta of negative outcomes and aggravate an already difficult situation for an injured individual. In Part one of our series on comorbidities, we will define what they are and describe the three ways comorbidities can make a bad situation worse.


  • Generic Lyrica® price drop and other updates ― significant MSA savings

    by
    • Medicare Insights
    | Sep 09, 2019
    Tag Icon
    Medicare Insights, Medicare Set-Aside, WCMSA, Lyrica, MSA
    The Workers’ Compensation Medicare Set Aside (WCMSA) portal has been updated to reflect new lower cost generic formulations of Lyrica®, as well as additional medication price decreases.


  • AWP price decrease for tizanidine tablets hits the WCMSA portal

    by
    • Medicare Insights
    | Aug 07, 2019
    Tag Icon
    Medicare Insights, medicareinsights blog, AWP
    A new lower price for tizanidine HCL 4 mg tablets is now reflected in the Workers’ Compensation Medicare Set Aside (WCMSA) portal pricing. It was updated August 2, 2019 due to a new lower RED BOOK® Average Wholesale Price (AWP).



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