Thought Leadership

PRIUM frequently develops resources to help payers navigate the evolving world of workers' compensation. Some of the resources found here include presentations recently given at major industry events and white papers. Payers will also find tools to help injured workers in their quest to educate injured workers on prescription medications.

CA, CO and NY – The Sentinel (Winter 2017 Issue)

This edition of The Sentinel Newsletter includes regulatory updates in California and Colorado along with the new opioid weaning hearings in New York.

Opioid Restrictions and other State Insights – The Sentinel (Summer 2016 Issue)

This edition of The Sentinel Newsletter includes updates on laws affectng opioid prescriptions, recent case law decisions, and compound medications

TN, AZ, NC and Medical Marijuana – The Sentinel (Winter 2016 Issue)

This edition of The Sentinel Newsletter includes regulatory updates in Tennessee, Arizona, and North Carolina and an update on medical marijuana payment rules.

Medical Marijuana: Summary of Reimbursement Rules – The Sentinel (April 2015 Issue)

This edition of The Sentinel Newsletter takes an in-depth look at issues surrounding reimbursement for medical marijuana across the 24 jurisdictions that have broadly legalized medicinal marijuana.

Regulatory Topics to Watch in 2015 – The Sentinel (January 2015 Issue)

This edition of The Sentinel Newsletter covers a wide variety of regulatory topics to watch in 2015 including changes and updates to Medical Treatment Guidelines, Prescription Formularies, Procedural Issues, and Prescription Drug Monitoring programs.

White Paper: Drug Therapy Tapering Guidelines

A deeply researched assessment for how the tapering process is often deferred indefinitely or handled incorrectly due to drug treatment complexities and lack of guideline clarity. In fact, the research shows there are NO guidelines that address the tapering of a polypharmacy drug regimen, which is a large and important missing piece to what doctors need to know.

Clinical Poster: Tapering Algorithms for Opioids

An Academy of Managed Care Pharmacy award-winning clinical poster that presents the findings from a comprehensive overview of the published peer-review literature related to opioid tapering strategies in pain management.

Clinical Poster: Tapering Algorithms for Benzodiazepines

An Academy of Managed Care Pharmacy clinical poster that presents the findings from an algorithm developed for tapering benzodiazepines that are used in conjunction with pain management therapy.

White Paper: Mitigation Strategies for the Medicare Set-Aside (MSA)

Methods, proven over time, that mitigate the costs (financial and health) of inappropriate drug regimens for long-term treatment of chronic pain in Work Comp. The “package of evidence” is key in overcoming the inertia in settling claims due to extraordinary lifetime medical expenses.

Info-graphic: Managing Chronic Pain

An educational info-graphic designed to help patients understand chronic pain therapy and how opioids help (or hurt) that process. Easy to read with helpful statistics and hints, this resource is available for anyone who wishes to use it, including patients, physicians and clinicians, nurses, claims adjusters, attorneys, etc.

Info-graphic: The Tapering Process

This easy-to-read info-graphic educates patients on the process whereby inappropriate medications, such as opioids, can be tapered (or weaned) from a treatment plan. This resource is available to all interested audiences, including patients, physicians and clinicians, nurses, claims adjusters, attorneys, etc.

White Paper: Legacy Cleanup, Texas Style

A comprehensive review of the Texas Closed Formulary (TCF) on prescription drugs for Work Comp claims, both the proactive tactics taken to address new claims and the “cleanup” of the older legacy claims whose drug regimens have become inappropriate over time. The success of the TCF is a model for other jurisdictions that have issues with the over/misuse of prescription drugs.