Managed Care

MCO Best Practices

Sheakley
Reading time 4 Mins
Published on May 12
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When it comes to selecting a managed care organization (MCO) to provide medical management for your workers’ compensation claims, you should keep in mind that not all MCOs are created equally. While all MCOs are required to perform the same basic functions, Sheakley UniComp uses best practices to ensure that our work is always second to none. Here are just a few examples of the best practices that Sheakley UniComp employs to deliver the best service to you and your injured workers.

Reporting

The most important step that employers and employees can take to ensure the best outcome for a claim is to ensure that the injury is reported as early as possible. Sheakley UniComp continually stresses to our clients the importance of early reporting, to help workers get the treatment they need and to help employers address possible safety issues in the workplace.

Sheakley UniComp works with our clients to put a plan in place before an accident occurs. We ensure each employer has the forms in place to report an injury as soon as possible. We can also work with you and your management team to put personnel policies and procedures in place to establish the steps for reporting an injury.

Early reporting means that your Sheakley UniComp case manager can ensure that the injured worker receives the medical interventions they need sooner. Delayed reporting can result in additional injury and delay the employee’s eventual return to work. Additionally, early reporting allows Sheakley UniComp to begin gathering the details behind the claim, allowing our case managers to make recommendations to reduce similar accidents.

Referring

Though an injured worker can receive emergency medical intervention from any provider in the immediate aftermath of an injury, once the claim has been made the worker must begin receiving treatment from a BWC-approved provider. Sheakley UniComp’s relationship with a network of medical providers allows us to refer injured workers to doctors, therapists, and other providers with experience in treating workplace injuries

Sheakley UniComp’s provider network offers savings of up to 20% below the BWC fee schedule. Additionally, your case manager will work with the provider to develop an approach to return injured workers to full duty faster.

Communication

Communication is essential for best practices. Your Sheakley UniComp Client Relations Manager (CRM) will maintain regular contact with your company, ensuring that you’re kept up to date on the status of your claims. Additionally, our reporting can help you track the history of the most common types of injuries, identify specific areas of the workplace where workers are most prone to injury, and help identify if some positions are more likely to sustain an injury than others. All of this data can help your company avoid future injuries and keep your claims costs lower.

Return-to-work

Sheakley UniComp employs a range of return-to-work strategies to help workers during their recovery period and to help reduce claims costs for the employer. Sheakley UniComp’s approach even allows employers in physically demanding industries to get their injured workers back to work quickly and safely.

Modified duty off-site assignments place injured workers in local nonprofits during their recovery period. These positions allow employees to stay engaged and connected to the workforce during the recovery, reducing the likelihood of total disability claims or drawn-out lost-time claims. Helping reduce the length of lost-time claims allows employers to retain great employees while also limiting the impact of the claim on your premiums.

Is Your Current MCO Using Best Practices?

It is important to choose an MCO that utilizes best practices. With MCO open enrollment in full swing, now is the time to select an MCO that best fits the needs of your company. To select Sheakley UniComp as your MCO fill out our enrollment form. Learn more about Sheakley UniComp and how we can help get your injured workers back to work quickly and safely.

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