Drug cost inflation in workers' compensation is up 7.5 percent according to Health Strategy Associates' (HSA) Sixth Annual Survey of Prescription Drug Management in Workers' Compensation.

Previous surveys by HSA--a national consulting firm serving insurers, employers and health care providers--documented five years of progressively lower drug cost inflation.

Workers' compensation payers said the primary cost driver was utilization, citing such specific issues as the over-use of pain medications and physician prescribing patterns. To combat inflation, payers are increasing investments in analytics and moving towards step therapy and stronger clinical management of pharmacy.

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