Report Shows Positive Results for Outcomes-based Network

For More Information

Barb Robinette
barbrobinette@cvty.com
858-547-2528
www.coventrywcs.com


In 2009, the Outcomes-based Network (OBN) program was launched in Florida, providing clients an opportunity to access a more selective and focused workers' compensation managed care option.  Since the pilot, Coventry has been closely monitoring the program's impact and is pleased to report findings from a recent study of OBN claim results since the program's inception. 

 

Specific findings include:   

  • OBN claims averaged 40% lower medical treatment durations and approximately 20% lower claim durations than non-OBN Claims
  •  The average medical cost was 50% lower for OBN claims
  • OBN lost time claims have 30% lower indemnity cost as compared with non-OBN claims
  • For those claims with a hospital admission, hospital inpatient costs per claim were approximately 45% lower for OBN claims 
  • OBN claims experienced approximately 50% lower incidence of permanent partial disability compared with non-OBN claims at the 12 month mark as compared to 14% at the 6 month evaluation period  

 

"We are pleased that the results are beginning to reflect our initial expectations of the program, and expect that we will continue to report positive results from the program as we continue to monitor it," stated Bruce Singleton, vice president, network strategy at Coventry.   


Coventry expanded the Outcomes-based Network program into five additional states in 2011, and plans to report our initial findings on those states in the near future.  In 2012, Coventry expanded the program to three additional states. By the end of the third quarter of 2013, Coventry's Outcomes-based Network program will be offered in 21 states, focused primarily in states that have similar employer-choice provider framework.  


About Coventry Workers' Comp Services
Coventry Workers' Comp Services, a division of Coventry Health Care, Inc. (NYSE:CVH) offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, we leverage more than 30 years of industry experience, knowledge and data analytics. We offer an integrated suite of solutions, powered by technology to enhance network development, clinical integration and operational efficiencies at the client desktop, with a focus on total claims cost. 


Go to www.coventrywcs.com  for more information.

 

Copyright © 2013 Coventry Health Care Workers Compensation, Inc. All Rights Reserved.