KHA Solutions Group/WorkComp Network (WCN) is a certified, full-service managed care organization (MCO) whose mission is to arrange for the provision of quality, cost-effective occupational health care and workers’ compensation-related services. The cost containment services we provide are designed to meet the specific workers’ compensation needs and requirements of companies in the Commonwealth of Kentucky. Our medical management staff consists of registered nurses with expertise in disability and occupational injury management with medical direction provided by a Medical Director in occupational medicine. Our staff is credentialed and experienced in quality assurance and with all phases of the medical management process. We also have a review panel of board certified physicians representing a variety of specialties who assist as necessary in the medical management review process.
Based on research by Milliman & Robertson, an actuarial firm with extensive experience in the Kentucky workers’ compensation market, implementation of a managed care program has the potential to produce savings of approximately 10% on medical costs and 20% on indemnity costs.
KHA Solutions Group/WorkComp Network provides a full service managed care plan, which includes the following components:
- Third-Party Claims Administration
- Certified State Preferred Provider Network
- 120-County Coverage in Kentucky
- Medical Case Management
- Utilization Review
- Medical Bill Auditing/Re-pricing
- 24-Hour, Toll-Free Phone & Fax
- Prescription Drug Management
- Advanced Software
- Employee Orientation
- Grievance Procedures
A process will be designed to meet your needs with regard to guiding the injured employee through the system.
For further information about KHA Solutions Group WorkComp Network, please contact Kim Naber.