Aetna and Coventry are negotiating a deal whereby Coventry’s WC customers would gain access to the entire AWCA network thru Coventry. While parameters could change (or the thing could fall apart entirely), multiple sources indicate the AWCA network would replace most or all of the Coventry network offering (in those states where AWCA is viable).
This would represent a sea change for many payers, and yet more consolidation of power at Coventry.

Continue reading Big doings in the workers comp network business

Managed care execs at WC payers are getting increasingly nervous, and well they should be.
There are major changes afoot in the WC managed care market. The consolidation at the top means that changes in policy and practice by the industry leader(s) is likely to have much more impact today than last year. And if that consolidation continues, customers and providers alike may find themselves with even less bargaining power.

Continue reading Is the WC PPO marketplace becoming a monopoly?