MANAGED CARE
Innovative Solutions for Quality Care & Results
Our comprehensive suite of innovative managed care solutions is driven by an employee-advocacy philosophy:
We believe that every worker deserves the highest-quality care services immediately following an injury, should experience seamless access to appropriate care during recovery, and, when needed, be afforded coaching to navigate the path back to productive work.
Our employee-advocacy model focuses on recovery, return to work, and positive outcomes.
- Concentrates on the care needs of injured workers to support a prompt and safe return to work
- Optimizes programs to reduce medical and pharmacy spend through a robust Managed Care Service Continuum
Our Continuum of Care
- Panel Cards/Provider Directories
- Online Channeling Tools
- Outcome-based Tiered Networks
- Nurse Injury Triage (Care24)
- Fist Fill Pharmacy Program
- Pharmacy Cards
- Health Tickets
- Telephonic Case Management
- Catastrophic Case Management
- Pharmacy Point of Service (POS) Interventions
- Pharmacy Benefit Manager
- Ancillary Services
- Utilization/Peer Review
- Field Case Management (FCM Signature)
- Fee Schedule/U&C Repricing
- Code Review
- PPO/Specialty Networks
- Out-of-Network Negotiations
- Complex Bill Review
How We Make an Impact

Comprehensive Product Suite
Comprehensive Product Suite
Robust suite of highly integrated managed care solutions

Strategic Partnerships
Strategic Partnerships
Leverage capabilities of industry-leading partners

Expert Oversight
Expert Oversight
Internal industry experts maximizing program impact

Outcome Orientation
Outcome Orientation
Deliberate focus on achieving best outcomes for clients & injured workers

Savings/
Impact
Savings/
Impact
Delivering savings across the board that exceed competitors

Comprehensive Product Suite
Comprehensive Product Suite
Robust suite of highly integrated managed care solutions

Strategic Partnerships
Strategic Partnerships
Leverage capabilities of industry-leading partners

Expert Oversight
Expert Oversight
Internal industry experts maximizing program impact

Outcome Orientation
Outcome Orientation
Deliberate focus on achieving best outcomes for clients & injured workers

Savings/
Impact
Savings/
Impact
Delivering savings across the board that exceed competitors
