Our system and networks encompass data on virtually
the entire universe of workers’ compensation providers
Our proven technology and analytics identifies physicians
who produce superior claims outcomes for injured workers
Why is this important
to our clients?
High performers improve care,
get faster returns to work
and reduce claims costs
for our clients
Continuity of care for outcome-driven care coordination learn more
Turn your claims data
into superior outcomes
Outstanding clinical abilities plus people skills equals top results.
Imagine how efficient and effective your provider system would be if you could use your claims data to easily leverage the doctors with the best medical results who could also work with your team, motivate and engage patients, and even bill appropriately.
That’s what our provider benchmarking services deliver to you – physicians who are superior performers in four critical areas: better outcomes, high patient satisfaction, fast and appropriate claims resolution, and freedom from patterns of abuse.
Identify all available providers
We’ve researched and combed the universe of physicians, so you don’t have to. With one of the largest provider databases in the industry, we have a pretty complete and in-depth view of the doctors treating workers’ compensation patients. We can track the total arc of claims for the patients they care for – including disability measures, claim durations, impact on indemnity, and litigation rates, so we have a complete picture of their performance and their results.
Identify the best providers
Our proprietary scoring system measures the outcomes of these physicians based on the end result of the case, not just the services that took place in the doctor’s office. If desired, you can create custom scorecards for your particular needs. We even have an abuse pattern score card, analyzing millions of lines of bill review data to find the telltale “frequent flier” patterns that point to abuse. For “A” performers, we offer incentives to help them get even better.
Why is this important?
The fastest way to get a patient back to work is to care for their injury in the least number of steps, and make the right decisions all along the way. The balance between optimal care and cost-effectiveness is a delicate one, and we offer the scales and tools to make it all work. Patients want to get better, to be cared for and cared about. Our highly rated doctors do both. For payors, costs average 20% less, with additional savings through reduced litigation and increased productivity.