Advantages for Claims Administrators

• Reduces both medical and indemnity costs without compromising healthcare quality
• Minimizes the number of days a case remains open
• Medical case manager provides impartial and objective review of treatment plan
• Early identification of "red flags" and complex cases with possible solutions
• Ensure quality care with timely and cost effective treatment based on medical necessity
• Improves communication to prevent adversarial relationships with providers and claimants
• Integrated case management treatment plan with bill review system to ensure compliance with treatment plan recommendations.

Advantages for Employers

• Program is focused on early return to work principles
• Produces a reduction in both medical and indemnity costs
• Reduces indirect costs such as loss of production,
  replacement costs, and training
• Early, effective communication with the employee by the case manager will prevent miscommunication in regard to modified duty availability and job requirements
• Reduces incidence of litigation
• Limits the opportunity for psychosocial issues to arise by returning the employee back to work as soon as possible

Advantages for Employees

• Assurance of prompt, quality, cost effective medical care
• Employee education – employees are increasingly faced with treatment choices that may result in different outcomes, yet they often are not given accurate information about how a specific treatment may affect their lifestyle
• Medical treatment aimed at returning the employee to his/her job
• Elimination of unnecessary treatment

Advantages to the Treating Physician

• Established referral procedure to obtain timely approval of proposed treatment
• Effective follow through with timely utilization review of
  treatment requests
• Partnership with the provider to ensure successful
  outcomes and achieve early return to work