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
Yasmine Subhi Ali, MD, MSCI, FACC, FACP Nashville Preventive Cardiology
"Thank you so much for the update and for passing along the feedback! You helped make my day. :-) I have to say, you all at OMCA have been extraordinarily easy to work with, too, and I look forward to continuing to work with you!"
- Utilization Review
- Managed Care Organization
- Pharmaceutical Solutions
- Medical Cost Containment
01/10/19 | Google This in 40 Years
In writing these newsletters, I’m always looking for current, relevant, and credible materials. More often than not, I focus on the rising cost of healthcare […]
12/18/18 | Reefer Madness — From Down Under
…and I’m not talking about the Great Barrier Reef. There was a recent study published in The Lancet Public Health and Pain Medicine News […]
12/11/18 | Pill Popping Protocols
We are learning that the fight to contain opioids is multifaceted. There are many tentacles and cutting one off doesn’t mean the others have […]
12/04/18 | Shocked to Their Senses
I’m linking to an Associated Press article by Mitch Weiss and Holbrook Mohr that recently ran in The Courier-Journal. The story highlights the safety, expense […]
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’ […]