Workers' Comp

Integrated Program Leads to Optimal Outcomes

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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.

 

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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.

 

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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.

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6.5% Increase in Bill Review Savings

 

15% Decrease in Pharmacy Spend

 

157% Increase in Telephonic Case Management Savings

 

2% Increase in PPO Penetration

 

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