Evidence Based

Michael Gavin, President of PRIUM, focuses on healthcare issues facing risk managers in the workers' compensation space and beyond. He places particular emphasis on the over-utilization of prescription drugs in the treatment of injured workers.

Monday, February 13, 2017

We're Skipping the Simple Steps in Chronic Pain Management

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"Take deep breaths.  Drink lots of water.  Get some extra sleep." This is the prescription I tend to apply, at least initially, ...
Monday, January 30, 2017

Chronic Pain: Do We Even Know What We Don't Know?

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My wife is currently training to become a yoga instructor.  Our conversations have begun to revolve around concepts like "being present...
1 comment:
Monday, January 16, 2017

The Mistakes That States Make

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As 2017 gets rolling, state legislatures are convening all over the country.   Several of them are about to make mistakes in the area of med...
Tuesday, January 10, 2017

Pain Acceptance: A Path Forward?

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The world apparently needs more opioids, so the FDA approved another one yesterday .  Egalet Corporation's long-acting morphine formulat...
Monday, December 19, 2016

The Tobacco Playbook: Opioids Go Global

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Remember when the full weight of federal and state governments, along with support from advocacy and public health groups, finally came cras...
Monday, December 12, 2016

Surveys Says? We Still Have a Long Way To Go On Opioids

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Last week, I referred all of you to a piece by Dr. Stephen Martin wherein he offers a critique of the CDC opioid guidelines as well as the ...
Tuesday, December 6, 2016

Confirmation Bias: A Critique of Opioid Guidelines

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If you've bothered to keep track of the drama that's unfolded since the election last month (no one would blame if you haven't.....
Monday, November 28, 2016

The Surgeon General Missed Something

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First and foremost, the Surgeon General's recently released report "Facing Addiction in America: The Surgeon General's Report o...
Tuesday, November 8, 2016

A New Regulatory Approach to Opioids

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The New York Workers' Compensation Board has announced a new avenue for payers to challenge the appropriateness of long-term opioid use ...
Tuesday, November 1, 2016

Does Restricting Opioids Lead to More Heroin Overdose Deaths?

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Turns out Neonatal Abstinence Syndrome (NAS), a condition suffered by newborn babies of opioid-addicted mothers, isn't the only risk to ...
Monday, October 24, 2016

Keep an Eye on the Tramadol: A Global Perspective

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First and foremost, John Oliver covered the opioid crisis on his HBO show Last Week Tonight and it's must-watch for anyone who deals wit...
Friday, October 14, 2016

The Broken Disability Safety Net

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Much has been said and written on the topic of the recent report from the US Department of Labor regarding the supposed inadequacy of the wo...
Monday, October 3, 2016

The Guts to Buck the Lobbyists

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Ohio has proposed something novel: Let's not pay for expensive naloxone prescriptions and instead invest resources in ensuring the deliv...
Monday, September 26, 2016

The Solution to Every Healthcare Debate: Access vs. Cost

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Two things you need to know about Suboxone (or buprenorphine) this morning highlight the essential elements of all past, present, and future...
1 comment:
Monday, September 19, 2016

Bad Pharma: This is What We're Up Against

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We all know that lobbyists exist.  We all know the role they play in American politics, however frustrating that fact might be to us.  We al...
Monday, September 12, 2016

Market Failure and Medications: The Consequences of Healthcare Economics

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I have a friend who happens to be an economist.  He's a really (really) smart guy and I value his views on everything from parenting to ...
Wednesday, September 7, 2016

FDA and Off-Label Drug Use: Danger Ahead

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The FDA has scheduled hearings for November (and a public comment period that will extend to January) regarding the agency's current ap...
Monday, August 29, 2016

Standing Orders: Are You Prepared?

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The Missouri PDMP watch goes on... I think CNN should have a clock for it.  Instead of counting down to an event, the clock would continuall...
Tuesday, August 16, 2016

Health Literacy and Pain Management: How to Do Patient Education

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Whether or not opioid pain medication might actually worsen pain is a legitimate clinical discussion and an important claims management top...
1 comment:
Tuesday, August 9, 2016

So Why is Naloxone Getting So Expensive?

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Last week, I posted a piece on the public health debate around naloxone .  Since then, I've received a stream of new and interesting da...
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PRIUM
PRIUM is a URAC-accredited workers’ compensation-focused medical management company that provides innovative solutions to insurance companies, third party administrators, pharmacy benefit managers, re-insurers and self-insured employers throughout the United States. Our vision of medical cost management leverages both clinical and medical/legal strategies to ensure that injured workers receive the right care at the right time from the right provider. Our commitment to data-driven, outcomes-oriented products and services will exceed your expectations of what is achievable through a comprehensive medical management program.
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