I had a chance to spend more time with the Medcor folks this morning at RIMS, and liked what I saw. They’ve been doing the combo first report of injury (or most of it)/nurse triage/network direction work for ten years now, and some of their nurses (all calls are answered by nurses) have logged over 5000 calls.
Because they don’t have any stake in any network, they don’t worry about increasing network penetration (a wholly misguided metric used to evaluate managed care plans) per se, but rather focus on getting claimants to the right doc. They do have the ability to send patients to specific docs based on the type of injury – but (here’s a shocker) most of their customers are not yet sophisticated enough to be able to identify those ‘right’ docs.
The value? Avoided ER admissions and reduced claim frequency.
Not an earth-changing business, but one with a lot of potential – even more if the employer is somewhat sophisticated.
Apr
30
