Does different necessarily mean better? Not always, but approaching a challenge in smart new ways often improves results. The workers’ compensation process is extremely complex, producing many unique challenges for organizations. At Athens Administrators we continually strive to build the most successful workers’ compensation programs possible.
Today is the perfect time to assess your workers’ compensation program – What is working? What is not? What would an ideal program look like? Most likely, several thoughts quickly came to mind. Following is a list of challenges we have found that workers’ compensation program managers often encounter, along with potential solutions.
2011 is the year to explore alternatives, make informed decisions about your workers’ compensation program, and become a hero within your organization!
“I’m tired of the constant staff turnover at my current TPA. It is detrimental to the momentum towards resolution of our claims. Plus, I don’t even know who my contact person is anymore.”
Athens Administrators is a TPA that understands the importance of examiner continuity on a claim file. During 2010 our staff retention rates were greater than 95%. We are also regularly recognized as a “Best Place to Work” in the industry. At Athens you will have a designated team that will be involved with your program for the long haul. www.athensadmin.com
“I have a handful of claims where prescription drug costs are out of control. This year I am going to do something about it.”
Professional Dynamics, Inc. (PDI) offers a unique and successful chemical dependency program that is designed to impact those cases that show patterns of chronic or emerging pain medication usage and dependencies. http://www.professionaldynamics.com/chemical-dependency.aspx
ScripNet offers an industry leading Pharmacy Benefit Management (PBM) program. Their program has proven to deliver cost savings and improved pharmacy related results for many years. Upon implementation (PBM) programs can deliver immediate positive relief for a program. http://www.scripnet.com/services/
“I don’t love the occupational health clinic that my company is using. They are not conveniently located and their results have been sub-par for my employees and for my company.”
Kaiser on the Job (KOJ) provides exceptional Occupational Health Services. They have over (50) locations throughout California. Also, over time their approach has proven to produce significantly better than average results from a cost perspective. If you have not explored (KOJ) recently, now is the time:
“I’m not happy with the network of physicians that our employees have access to through our MPN. There must be a better solution and I’m going to find it this year.”
Medex offers a unique Medical Provider Network (MPN). The number of participating physicians is limited. All participating providers have been nominated by employers and/or their professional claim administrators. The MEDEX MPN network is based on providers who offer quality medical care and have the ability to write quality and ratable medical reports. This is a great MPN solution for the State of California. http://www.medexhco.com/serv_mpn.php
These examples represent a handful of potential challenges and solutions that employers throughout California may encounter within their workers’ compensation program. When assessing your program you may find it challenging to determine where to begin. Hopefully these scenarios will provide a basic framework for determining where to start your review and assessment process.
Athens Administrators is available to help navigate the assessment of your total workers’ compensation program. We can work with you to identify issues and implement solutions.
The benefits of this approach include:
- Fresh, new perspectives and ideas
- Questioning and the testing of the “status quo” of your program
- Assistance with the development and plan for your workers’ compensation program
- Overall cost savings
To discuss the assessment of your workers’ compensation program and to learn how we can increase efficiency while saving costs, please contact us at:
|Northern CaliforniaBruce Lees
|Southern CaliforniaMichael Landa