Medical Management Services
At Alaska National, we see the management of the medical aspect of workers’
compensation as a critical factor in determining the final outcome of an injury.
Quickly responding to an injury with the best medical care available is the
first step in accident response efforts. Responding quickly helps minimize the
effects of the injury, allowing early return to work, and eventual recovery without
permanent disability. In addition, responding to the worker’s needs quickly and
professionally sends a strong message that the employer cares and wants the best
for their workers. Quickly responding also positively impacts the employer’s
operations and costs by minimizing the re-scheduling of work, the finding of
replacement workers, and many of the other secondary complications of on-the-job
injuries.
Alaska National Insurance Company in cooperation with Medcor, has
developed a Workplace Injury Hotline that can be called for immediate medical
assistance following an on-the-job injury. The Workplace Injury Hotline is
staffed 24 hours a day 7 days a week with specially trained nurses who will
assess the injury and provide treatment recommendations to the injured worker.
Often these nurses are able to help resolve many injuries with self-care,
however, a nurse can also help identify injures that may be more serious than
they first appear, and timely direct the injured worker to the level of care
that is needed.
However, it should be noted that providing the best medical care is not
the only necessary step in effectively managing medical services.
At Alaska National, we have developed a company-wide, fully integrated
medical management services program. Alaska National’s Medical Management
Services program assures that injured workers not only receive the best care
available, but also the most appropriate care.
Where allowed by jurisdictional requirements, Alaska National has implemented
utilization review programs that help determine which treatment recommendations
are appropriate for the injury in question, and suggest alternatives when current
treatment is not appropriate. Inappropriate care is not likely to improve the
worker’s condition, and may serve to prolong the recovery process. If needed, our
reviewers can discuss options with the treating physician, and agree upon a treatment
plan designed to maximize the injured worker’s recovery.
Alaska National has found that complex, serious cases benefit from intervention
by a nurse case manager. Nurse case managers have personal contact with the injured
worker, facilitate communication with the treating doctor, and offer to help resolve
medical questions. In many cases utilizing a nurse case manager speeds recovery and
eventual return to work. The nurse case manager also benefits from having access to
our physician networks and utilization review programs so that their activities are
coordinated and consistent with efforts already undertaken.
Last, but certainly not least, making sure the costs of medical treatment are
properly managed is another important aspect of Alaska National’s Medical Management
Services program.
At Alaska National, every bill received is reviewed to make sure it is properly
coded and supported by medical reports detailing the services provided. Every charge
is then compared to the applicable medical fee schedule and adjusted accordingly.
Finally, where allowed, further reductions are taken when the treatment provided is
within a contracted Preferred Provider Organization.
As part of Alaska National’s integrated medical services program, all prescription
drug requests are reviewed for appropriateness, dosage and potential abuse, assuring
injured workers receive the treatment they need, and in amounts appropriate to their
condition. In addition, all requests for Durable Medical Equipment are reviewed, and
alternatives to outright purchase are often identified that helps keep costs for use of
these temporary aids to a minimum.
In California, Medical Provider Networks provide an additional means to better
manage the course and cost of claims following injuries at work. These networks provide
all medical treatment to workers injured on the job, and, subject to an appeals process,
will do so for the life of the claim. These networks have proven to have a significant
impact on workers compensation costs, and the rapid recovery and return to work for injured
workers.
At Alaska National, we have partnered with CorVel Corporation to implement our medical
services program with bill review services, a prescription drug program and Corvel’s
California Medical Provider Network. Corvel Corporation is a national provider of leading-edge
managed healthcare solutions to employers, third party administrators, insurance companies
and government agencies.
For more information about CorVel, please go to www.corvel.com.
Click here for more information about the California Medical Provider Network.