Networks
“Less is more”
Workers’ Compensation Network
- Select Work Comp Providers
- Focused on Aggressive Return to Work
- Credentialed to NCQA/Joint Commission Standards
- Competitive Provider Rates
OMCA Philosophy
Workers’ compensation medical provider networks are significantly different then 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.
Recruiting/Credentialing
The identification 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. 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 including coverage in the surrounding border states. OMCA clients have the ability to lease the entire network or OMCA will tailor a geographic area to meet a specific client’s needs.
Rates
In Kentucky the state publishes a fee schedule for reimbursement to providers who treat workers’ compensation injuries. Additionally, many of our providers have agreed to reimbursements at less than the Kentucky Fee Schedule.
Leasing the OMCA network
OMCA leases its network to carriers, third party administrators, self-funded employers, national networks and others. If you would like further information contact denise.weissrock@omca.biz
From our Clients & Colleagues
Scott R. Medical Benefits Mgr, of a 2000+ employee group
"OMCA gives 6 star service on a 5 star scale."
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OMCA News
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02/17/12 | A Billion Here, A Billion There
What costs more than ALL cancers, ALL diabetes and ALL strokes? The answer is occupational injuries and illnesses. According to a study authored by J. [...]
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02/10/12 | why ARE prescription drugs like teenagers…or vampires for that matter?
Parents of teens know that teens are on the third shift. Just as the adults are ready for bed, the teens are just getting fired [...]
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02/07/12 | “How We Do Harm”
Perhaps the most important book written in the continual struggle to control medical costs in America is entitled “How We Do Harm: A Doctor [...]
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02/02/12 | To Err is Human…and Deadly!
A few years ago a seminal report was published by the Institute of Medicine. It concluded that medical errors caused 100,000 patient deaths per [...]
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02/01/12 | The Myth of “It will all work out”.
ACT 1 – Managing medical costs often comes under fire from a variety of groups. Libertarians say we should all be responsible for our own [...]
