Workers Compensation costs continue to skyrocket for employers.
Self-insured employers, insurance companies and TPAs spend
time and money having each medical bill reviewed for accuracy
against state fee schedules and potential PPO savings. However,
many have not instituted a cost savings program for the fastest
growing component of Workers' Compensation - Pharmacy Benefits.
Many reasons exist for the lack of pharmacy benefits within
Workers Compensation, the biggest being the difficulty in
administration. Premier Pharmacy Solutions' Workers' Compensation
Program - SmartComp -
is easy to administer and drives cost savings below state
fee schedule.
SmartComp delivers many
benefits to self-insured employers, insurance companies and
TPAs. Our Internet administration allows immediate enrollment
of new claimants, instant printing of a Workers' Compensation
Pharmacy Card, auditing of approved drugs for each claimant,
and reduces the burden of employee re-imbursement for out-of-pocket
expenses. Our Pharmacy Network includes over 50,000 pharmacies
comprised of approximately 28,000 National Chains and 22,000
local pharmacies. All claims are processed electronically,
eliminating the cumbersome paper process. Our reporting capabilities
assist in identifying abuse and patterns of injuries, ultimately
reducing the cost of Workers' Compensation.
Pricing through SmartComp
is substantially less than the Usual & Customary charged
by pharmacies in non-fee schedule states, as well as, state
mandated charges within fee schedule states. Our pricing is
based on a discount of the Average Wholesale Price (AWP) plus
a professional fee paid to the pharmacy. Through our network
of pharmacies, customers have recognized saving of over $20
per claim.
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| Workers
Compensation Plans Summary |
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50,000+ Nationwide
Pharmacy Network |
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Mail Order Pharmacy |
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Includes National Chains |
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Transparent Solutions |
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Paperless Claims |
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Low per Claim Administrative
Fee |
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Internet Administration |
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Pre-Prescription
Authorization |
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Claimant Specific Drug Authorization |
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Customized Generic
Program |
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Automatic Generic Substitution
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Client Specific Pricing
Below State Fee Schedules |
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