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
Don McNay McNay Financial Services
“Bill is a very knowledgeable speaker and understood his topic very well. OMCA is efficient at what they do, there is never a service issue.”
- Utilization Review
- Managed Care Organization
- Pharmaceutical Solutions
- Medical Cost Containment
10/30/18 | That’s One Small Step For Kentucky…
Actually, it’s a pretty big step. The most recent session of the General Assembly gave a very big task to Department of Workers’ […]
10/24/18 | Fill Me Up Buttercup
Today’s lesson is on a Big Pharma term that may be new to my readers. “Overfill” is the extra drug quantity, over and above the […]
10/16/18 | Consistency is the Hobgoblin of Little Minds
“Consistency is the hobgoblin of little minds.” ~ Ralph Waldo Emerson, Self-Reliance There was a recent publication from NPR concerning a study of physicians who […]
10/08/18 | Fasten Your Seatbelts, It’s Going to be a Bumpy Ride
“Fasten your seatbelts, it’s going to be a bumpy ride.” ~ Bette Davis in All About Eve I’m linking to a press release from the […]
09/18/18 | FDA Surrenders in TIRF War
Were you expecting TURF instead of TIRF? This is not a typo. TIRF stands for transmucosal immediate-release fentanyl. We all know about these fentanyl sprays, […]