Enlyte

A lot of auto UR programs are asking the wrong question. It is not just whether bills are being reviewed. It is whether the right bills are reaching clinical review. Swipe through to learn the difference.

Our latest work comp pharmacy insights highlight declining prescription costs and reduced opioid use. Dive into more trends shaping pharmacy decisions in our latest in-network snapshot report. https://lnkd.in/gB-tH9X7

Bodily injury severity is rising, and it’s not just inflation. The real culprit? Inconsistent demand evaluation creating unnecessary financial exposure. Join Dan Zemel and Michael Fricke, both with real claims experience, for a 30-minute discussion on why even strong claims teams are seeing leakage on bodily injury claims and how plaintiff demand tactics are increasing risk. What you’ll learn: ✔️ Where overpayment starts and how it drives downstream costs ✔️ Why outcomes vary across claim handlers and how to create consistency without adding more work ✔️ How to assess demands, spot red flags and approach negotiations in complex cases Register now to save your spot: https://lnkd.in/ev3D6GK8

Disorganized demand packages are costing you more than you think. Not just in time, but in missed opportunities to control costs and improve outcomes. With Demand Package Review, your team gains the insight needed to challenge excessive charges, strengthen negotiations and deliver more consistent settlement decisions. Explore how: https://lnkd.in/eFQ8bP2t

Return-to-work after workplace violence is not just about physical restrictions. The employee may be medically cleared but still not feel safe returning to the same site, shift, or role. Tammy Bradly's RIMS RiskWorld session made the case for earlier contact, stronger communication, and return-to-work plans that account for both physical and psychosocial recovery. The deeper article from Business Insurance on the session is worth a read: https://lnkd.in/eifGxs7X

When trauma is part of a workers’ compensation claim, recovery rarely follows a straight line. PTSD-related claims can involve missed appointments, fear of returning to the worksite, medication concerns, sleep disruption, and other barriers that are easy to miss early. That is why clinical coordination matters. In this article, we explore how case management can help keep care connected and support a safer path toward recovery and return to work. https://lnkd.in/evxapkys

Surgical costs were rising year over year for a large self-insured employer. The turning point came from expanding utilization review beyond the states where it’s required. The result was stronger oversight of surgical requests, more consistent use of evidence-based guidelines, and a meaningful reduction in unnecessary procedures. See how the strategy worked and the results it delivered in the full case study: https://lnkd.in/gh9KuFKi

Celebrating 35 years with Enlyte! 🎉 Eileen Stasuk’s dedication and commitment to supporting clients and teammates have made a lasting impact over the years. “Over the last 35 years I have had the pleasure of meeting and working with many people who have helped me be successful. My goal is to service our clients to the best of my ability.” Thank you, Eileen, for 35 years of hard work, care, and dedication to both our clients and our team.

In honor of National Nurses Week, we recognize the nurses and clinical staff who power recovery every day. At Enlyte, we value the clinical expertise, persistence, and compassion that keep complex cases moving forward. This work builds trust, removes barriers and drives stronger outcomes. Heart of Case Management shares the stories behind that impact: https://lnkd.in/gv2tWPmq #NationalNursesWeek #CaseManagement #WorkersComp #Claims

What separates high-performing networks from the rest? Our latest article looks at why network value in workers’ compensation and auto depends on active management, strong provider relationships and a broader view of performance. See what’s driving more predictable outcomes. https://lnkd.in/e-sA84SN