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Status of networks in Arkansas
Arkansas Workers'
Compensation Commission Rule 33 provides for MCO's to offer
physician/hospital/medical provider networks that agree to discounted
pricing on workers' comp medical treatment.
There are various discount
networks available to Arkansas employers, but they can vary greatly in
the number of providers, geographical distribution and size of
discounts. A large multi-specialty network can substantially increase an
employer's savings in Arkansas workers' comp.
Systemedic and True Blue PPO
Through
Systemedic's medical bill review program,
employers,
TPA's and carriers are enjoying substantial increased savings by utilizing
the USAble True Blue PPO.
USAble, a wholly owned
subsidiary of Arkansas Blue Cross and Blue Shield, is the state's
largest PPO offering workers' compensation discounts. It covers all 75
counties with choices of 90+ hospitals in Arkansas and adjoining states,
and includes over 6,000 medical providers. USAble is the MCO of choice
of over 15,000 Arkansas employers, comprising 74% of the states workers.
If employers select the
USAble MCO, they are allowed to "carve out" their own customized network
within the larger PPO provider group. USAble charges a fee of 25% of any
additional savings after the Arkansas fee schedule re-pricing and
nurse review.
Systemedic provides
monthly outcome reports to our customers, documenting the substantial
savings from our state fee schedule, nurse review and PPO discounts.
For additional
information, contact:
Doney Williams, ControlMed Manager, PD
Phone: 501-227-5553 or 800-822-2680 (ext. 136)
Fax: 501-227-6954
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