While workers' compensation insurers and risk managers arereporting extraordinary success in lowering the frequency ofjob-related injuries, getting a handle on severity is anotherstory–especially when dealing with complicated claims involvingchronic pain. What's required is appropriate monitoring andcontrols over the utilization of expensive, potentially dangerousand often counterproductive prescription drugs.

Such cases caninvolve complex nuances–including multiple symptoms, chronicanxiety or depression, changes in anger control, various lifestylechanges, and increased tolerance for pain medication, just to namea few.

A case-by-case basis monitoring of prescription drug utilizationis needed for good oversight of such claims.

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