Work Comp Bill Review
A week ago, Joe Paduda on his blog examined the current state of bill review and several of the major players in the market. See an excerpt from a recent post of his:
“King hired former Medata exec Don Theis to head up sales and marketing; Theis’ task, and it is a formidable one, is to bring a market- and customer-orientation to the company. With no ownership of networks, Medata is looking to be neutral and customer-driven regarding network access, building links to the major network vendors and assessing customers a transaction fee for access. Word from Medata is the transaction fees will be transparent and modest.Medata’s new leadership could not have come along at a better time, and the tight focus on WC and ‘Switzerland’ approach to networks may help King and Theis reverse the company’s course.”
Regarding all the various bill review organizations that Joe examined, I think he nailed it just right in discussing the need for bill review companies to be “Switzerland”. It seems to me that in the long run it will be hard for them to be successful, if they don’t take a netural approach regarding PPOs, TPA functions, etc… Over the years, the partnership between independent bill review company and PPO has served the industry well.
December 20th, 2007 at 10:30 am
PPO’s have served the industry well. Being (and staying) neutral is quite a challenge in this business. It is up to the PPO networks to continue to develope themselves in the marketplace and develope their networks to meet the provider and savings needs of the industry.
Regarding networks. I would challenge everyone who is looking to evaluate networks due to Coventry’s recent moves - to actually change.
I’m hearing alot of complaining but not seeing or hearing of much movement. There ARE alternative PPO’s in the marketplace. I want to challenge carriers, third party administrators and other to CHANGE.
Change is good. Change will create more competition. It is about time that this happens. I’d like to hear what others think about this.
November 12th, 2008 at 6:31 pm
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