The Challenge
Property and casualty – Network-based
A workers’ comp services provider needed help maintaining State Certified Managed Care programs by:
- Eliminating provider coverage gaps in geographies not addressed by its proprietary network
- Strengthening coverage for key medical specialties
The Solution
³ÉÈËÊÓƵ customized a process to meet network access and mandated reporting requirements:
- ³ÉÈËÊÓƵ Workers’ Compensation Network – adds access to 2,200 additional hospitals and over half a million other providers
- Customized reporting to assist in maintaining state-specific provider demographic data
The Results
³ÉÈËÊÓƵ helped the company maintain certification in three markets, together with:
- Over $100 million in charges covered annually under the expanded network arrangements
- Nearly $3 million in annual savings – an additional 7% below bill review reductions
