Outcomes Based Networks Program
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Outcomes-based Network Program

When implementing an outcomes-based network program, an employer’s strategic focus shifts from unit-cost reductions to life-of-claim disposition including clinical, utilization, and return-to-work outcomes.

 

A philosophical shift

We understand the key differences between access-focused and outcomes-focused network models. Expansive provider selection criteria including medical, pharmacy, and indemnity financials, as well as return-to-work and clinical outcomes.

  • Shift from individual transactions to entire claim outcomes
  • Collaborative program design, data submission, and shared expectations that differ from traditional access-focused models
  • Active channeling to OBN providers vs. pre-program channeling rates

 

 

A philosophical shift

We understand the key differences between access-focused and outcomes-focused network models. Expansive provider selection criteria including medical, pharmacy, and indemnity financials, as well as return-to-work and clinical outcomes.

  • Shift from individual transactions to entire claim outcomes
  • Collaborative program design, data submission, and shared expectations that differ from traditional access-focused models
  • Active channeling to OBN providers vs. pre-program channeling rates

 

 

A philosophical shift

We understand the key differences between access-focused and outcomes-focused network models. Expansive provider selection criteria including medical, pharmacy, and indemnity financials, as well as return-to-work and clinical outcomes.

  • Shift from individual transactions to entire claim outcomes
  • Collaborative program design, data submission, and shared expectations that differ from traditional access-focused models
  • Active channeling to OBN providers vs. pre-program channeling rates

 

Network Solutions

Network Solutions

The OBN is a subset of the largest national provider network in the workers’ compensation industry.

Nurse Triage  (NT24) 

Channeling is the driving force behind a successful OBN program. Telephonic nurse triage at the point of injury means employees will be directed to your OBN providers.

Providers who have meet the criteria to be included in Coventry’s OBN program are identified for those clients who choose to implement this program.

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