Managed Care

Total managed care. Total confidence.

We take a holistic approach, one that provides the right clinical case manager, right network, right support, right treatment and right cost, all when it matters most. Our commitment is to get it right the first time, improving efficiency, lowering the cost of workers’ compensation claims and driving better outcomes for your injured workers.

Delivering on our mission

Your employees are the most important part of your organization. That’s why we take our mission seriously, getting them back to health, work and productivity. 

Case Management

Our clinical case managers are focused on getting injured workers back to health, work and productivity — an average of 34 percent faster than industry standards. We’ll help you choose the right level of support to ensure the proper level of care is coordinated and expedited, whether that’s through traditional return to work or alternative methods like modified duty-off site (MDOS) and vocational rehabilitation.

  • Case Management Services

    24/7 Nurse triage
    Virtual case management
    Field case management
    Client onsite case management
    Task assignment

Medical Bill Review

We analyze every medical bill to ensure you’re paying the right amount. We adjust bills to the fee schedule and leverage discounted rates from our PPO Network providers, maximizing savings in 60 percent of medical bills we review. This means you receive the greatest discounts, with a fast turnaround time.

Utilization Review

We evaluate prospective, concurrent and retrospective treatments and prescriptions to ensure injured workers receive the right treatment at the right time. York's utilization review processes and decisions comply with all state and local regulations, and all of our services and providers comply with stringent URAC standards. And you can be confident in our decisions to weather analysis and scrutiny — they're upheld 98 percent of the time.

PPO Network

One powerful network. Uniquely ours. Our national network of more than 750,000 medical professionals are specialized in work-related injuries and includes primary care physicians, specialists, urgent care clinics, physical therapists, hospitals and more — all who meet our strict credentialing standards and who share a commitment to getting your injured workers the best care possible, wherever they are. In addition to our national network, we also offer numerous state-specific networks, including California MPN and Texas HCN, and client-specific panels.

Care Concierge

We’re at your service, providing all the ancillary support needed to carry out the treatment plan quickly and with high quality. You’ll have a single point of contact to manage your requests for all required equipment and services.

  • Care Concierge Services

    Transportation
    Translation
    Durable Medical Equipment (DME)
    Medical supplies
    Home health
    Audiology
    Orthotics and prosthetics
    Dental
    Diagnostic test scheduling

Return to Work

We’re here for your employees so they can be there for you. We focus on getting employees back to health, work and productivity as quickly and safely as possible — so you can get your employees back an average of four days sooner. York can help you customize a program that supports your company, culture and people.

  • Return to Work

    Functional job assessments
    Transitional work services
    Modified duty off-site
    Vocational services
    Virtual vocational services
    ADA compliance

Workers' Compensation Utilization Management
Expires 06/01/2020

York provides a national network of utilization review experts which assures state-specific jurisdictional expertise. Our utilization review processes and decisions comply with all state or local regulations, and all of our services and providers comply with stringent URAC standards.

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