Problem
A new workers’ compensation leader at a national employer was looking for a collaborative team consisting of a TPA and managed care partner to execute on an integrated program.
Solution
Aligning to the client’s vision, Enlyte created a customized, fully integrated program of bill review, pharmacy, telephonic case management, specialty network solutions, utilization review and independent medical exams. The program was designed to ensure the client’s employees realized efficiencies and greater productivity.
Outcome
The dedicated service of the integrated team has delivered optimized outcomes. The clinical expertise embedded into the program is preventing unnecessary costs, reducing delays in treatment and delivering increased savings.
6.5% Increase in Bill Review Savings
15% Decrease in Pharmacy Spend
157% Increase in Telephonic Case Management Savings
2% Increase in PPO Penetration