 MPNs allow employers and insurers to build a team of
medical providers who will treat industrial patients most effectively.
Unfortunately, many Medical Provider Networks (MPNs) are actually unfiltered lists containing every doctor agreeing to accept a discounted fee.
But "cheap" does not mean "effective." Providers try to make up for the discounts by increasing the number of services.
At worst, more money is paid for less effective care. At best, your UR program is overburdened as it deals with extraneous requests for treatment.
MPNs should centralize medical control and ensure high-quality treatment, not merely discount fees. PacMed develops tailored,
thoughtful networks which address important geographic requirements and specific claims-handling styles of insurers and employers.
Note: PacMed is a certified HCO in California. |