Your ANSwer for Workers' Compensation Medical Cost Containment

Medical Cost Containment Does Not Mean Compromised Care

medical cost containment strategies delivered via legal nurse consultingThe existing way that the workers’ compensation industry handles large loss claims has been contributing to diminished quality in care for injured workers, increased costs associated with treatments, and poorly coordinated care. Care delivery within workers’ compensation programs is arguably even more inefficient than in general healthcare but it does NOT have to be this way. Payers can have the best of both worlds with medical cost containment strategies that provide quantifiable outcomes […]

By |October 30th, 2015|Legal Nurse Consulting, Medical Cost Containment|Comments Off on Medical Cost Containment Does Not Mean Compromised Care

ANS Solutions Exhibiting at the National WC & Disability Conference & Expo – Booth #646

National WC & Disability Conference - ANS Solutions 2015 Conference ScheduleANS Solutions, one of the top healthcare cost management companies, will be exhibiting at the National Workers Compensation & Disability Conference & Expo November 11-13, 2015, Booth #646.

For anyone involved in the workers’ compensation and disability management industries, the National WC & Disability Conference is the ultimate ground for new learning and networking with like-minded professionals. The event will be taking place at Mandalay Bay in Las Vegas from November […]

By |October 26th, 2015|Medical Cost Containment, Pharmaceutical Industry, Workers Compensation Payers|Comments Off on ANS Solutions Exhibiting at the National WC & Disability Conference & Expo – Booth #646

What Role does the Doctor-Patient Relationship Play in the Opioid Epidemic?

According to the DEA, sales of prescription painkillers in the United States have quadrupled since 1999. If that isn’t enough to raise eyebrows, consider the following: almost twice as many people abuse prescription drugs as the number of people abusing cocaine, heroin, hallucinogens and inhalants combined. And if that’s that enough, the U.S. Center for Disease Control and Prevention has stated that prescription drug overdose death rates in the United States have more than tripled since 1990 and have never been higher. These statistics have raised serious concerns, triggering […]

By |September 30th, 2015|Drug Utilization Review, Medical Cost Containment, Opioid Abuse, Pharmaceutical Cost Containment, Pharmacotherapy Review|Comments Off on What Role does the Doctor-Patient Relationship Play in the Opioid Epidemic?

High Risk Patient Profiles & Opioid Abuse

Drug Utilization Review and Medical Cost Containment StrategiesPredictive models in our industry show that specific risk factors correlate to the potential for long term opioid use -most notably, patients that smoke and/or have a history of substance abuse.   With increased opioid prescribing linked to trends of misuse and abuse and opioid related overdoses contributing to more deaths annually than vehicular crashes, it begs the question, are risk factors truly being taken into account with the treatment of chronic pain?

Improving […]

By |September 15th, 2015|Drug Utilization Review, Medical Cost Containment, Pharmacotherapy Review|Comments Off on High Risk Patient Profiles & Opioid Abuse

Ineffective Intervention Results in Less Than Optimal Outcomes

Workers’ compensation payers industry-wide have relied on pharmaceutical cost containment measures in one form or another as a means to manage escalating costs. But as everyone has learned, not all strategies are created equal. In fact, most are limited in scope and effectiveness.Holistic Drug Utilization Review

A Holistic Approach to Medical Cost Management

At ANS, we take a holistic, collaborative approach to managing medical costs. When a comprehensive analysis is conducted on a pharmaceutical regimen, it reveals the bigger picture, thus uncovering […]

By |August 30th, 2015|Drug Utilization Review, Medical Cost Containment, Pharmacotherapy Review|Comments Off on Ineffective Intervention Results in Less Than Optimal Outcomes

3 Elements of Successful Medical Cost Containment Strategies

Medical Cost ContainmentMedical cost containment is a complex game as there is a level of responsibility that needs to be acknowledged. These strategies need to do more than just address the obvious financial costs of large loss claims as often factors driving financial costs also correlate to effects on an injured workers quality of life. In short, medical cost containment strategies need to take into account the injured workers course of treatment and quality of life including the following:

  • Physicians are […]
By |August 15th, 2015|Medical Cost Containment|Comments Off on 3 Elements of Successful Medical Cost Containment Strategies

Advanced Strategies for Pharmaceutical Cost Management

Pharmacuetical Cost ContainmentWith large loss claims, the road to managing the hefty costs associated with pharmaceutical therapies can be long and winding. As more drugs become available within drug classes, there is often a large cost disparity among medications. Further, patient access to more affordable and equally (if not more) effective medications is limited. Fortunately, there are advanced pharmaceutical cost management solutions available. One such solution, Pharmacotherapy Review, is ANS’s highly evolved approach to drug utilization review. The Pharmacotherapy Review Program […]

By |June 30th, 2015|Medical Cost Containment, Pharmaceutical Industry|Comments Off on Advanced Strategies for Pharmaceutical Cost Management

The Human Side of Medical Cost Management

ANS Medical Cost Management - the Human Side of medical cost containment through drug utilization reviewWhen we talk about the costly nature of large loss Workers’ Comp claims, it is sometimes hard to think beyond the financial impact. Further to this point, when medical cost containment strategies are discussed they are often geared toward addressing the clinical and pharmaceutical treatment programs for injured workers from a financial perspective. What about the less tangible side of medical cost containment-the human costs which […]

By |June 15th, 2015|Drug Utilization Review, Medical Cost Containment, Pharmaceutical Industry|Comments Off on The Human Side of Medical Cost Management

A Deep Dive Look into Medical Cost Projection

ANS Solutions Medical Cost ProjectionMedical Cost Projection, or MCP, is a comprehensive analysis of a medical claim which seeks to deliver the best possible outcome for the patient while managing the overall lifetime medical cost of the claim for the Payer. Recommendations produced by an MCP are based on hard-evidence and expert opinion, allowing all parties to be confident that the proposed settlement is the best solution. Using an MCP will help to ensure that the estimation of lifetime costs is […]

By |May 15th, 2015|Medical Cost Containment, Medical Cost Projection|Comments Off on A Deep Dive Look into Medical Cost Projection

The Financial Repercussions of MSAs on Large Loss Claims

Medicare recommends an allocation of funds in a Workers’ Compensation settlement that is set aside to ensure that the injured party’s qualified medical expenses are funded, also known as Medicare Set Aside. These funds must be used to pay for treatment related to the Workers’ Compensation injury, that would otherwise be paid for by Medicare. The financial repercussions of MSAs on settlements can be significant.

medicare set aside  ANS Soltuions medical cost containment strategies for workers comp large claims

By |April 15th, 2015|Medical Cost Containment, Pharmaceutical Industry, Workers Compensation Payers|Comments Off on The Financial Repercussions of MSAs on Large Loss Claims