new paradigms for workers compensation managed care networks - PowerPoint PPT Presentation


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Phase One: Discounted Care. UCR and Fee SchedulesMedical LogicDiscounts, etc..Utilization Management. Phase Two: Integration with Case Management. Rehab nurses and UM nursesIMEThe Medical Management ModelPPO as Passive Partners. PPOs: Planned Obsolescence. Discounts for VolumeBacklash:InterferenceLack of Patient VolumeInsufficient Controls.

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