Workers’ Compensation Network
“Less is more”
- Select Work Comp Kentucky and National Providers Network
- Focused on Aggressive Return to Work
- Credentialed to NCQA/Joint Commission Standards
- Competitive Provider Rates
Workers’ compensation medical provider networks are significantly different than group health insurance networks. In group health, panels should be as large as possible. However, in workers’ compensation we look for a much smaller panel; one that includes the right doctors with the clinical, philosophical and communication skills required to be good workers’ compensation providers.
Our providers have the same objectives as our employer-clients. OMCA physicians help workers return to work as soon as possible. OMCA and our network providers recognize the fastest way to recovery is to have the patient, when medically appropriate, in the workplace and not at home.
The identification and credentialing of good occupational medicine physicians is a constant and ongoing commitment. OMCA providers are recruited through a variety of methods that have proven effective over the last 25 years. Frequently, we take the suggestion of other physicians, employers, adjusters or attorneys. In addition, a continual review of our providers’ credentials, licenses and malpractice settlements is required to remain in the OMCA network.
Not all physicians make the cut. OMCA’s expertise in identifying the right provider is critical as we help payers control their medical costs and case reserves.
In Kentucky, OMCA has a comprehensive statewide network of both physicians and hospitals, including coverage in the surrounding border states. This network is in all of Kentucky’s 120 counties and includes approximately 2,500 providers. OMCA clients have the ability to lease the entire network or OMCA will tailor a geographic area to meet a specific need.
Many of our providers and hospitals have agreed to reimbursements at less than the respective State Fee Schedules.
OMCA has linkage arrangements across the nation that bring competitively priced network coverage.
Specialized Pharmacy Network
In Kentucky, our certified managed care clients have the option to participate in a specialized pharmacy network. This enables employers to restrict pharmaceutical access to select providers. This allows OMCA to manage and limit physician dispensing, compounding and high cost pharmacies.
From our Clients & Colleagues
Mike Bibelhauser AIG
“OMCA is an elite managed care organization, committed to operating at the highest level”
- Utilization Review
- Managed Care Organization
- Pharmaceutical Solutions
- Medical Cost Containment