How PCT Benefits You:
Our approach to injured-worker
treatment offers high quality medical services that are
easily accessible and convenient. Providers participating
in the PCT program have an interest and expertise in the
treatment of injured workers and the medical management
performed by PCT. They are partners with PCT and our
customers in reducing unnecessary costs associated with
treating work injuries. PCT Providers use the PCT
treatment protocols based on the ODG treatment guidelines
that promote aggressive management and support an early
return-to-work strategy that allows the worker to remain
in a productive environment while recovering. PCT is
committed to developing the best proven tools to meet our
goals and the needs of our customers and providers.
Our factors of success:
1. Our
Physician-Sponsored Network model is based on the
successful model of the Providence MCO in Oregon, ranked
one of the top 10 Health Plans in the United States!
2. Our
structure includes expert leadership from our Executive
Advisory Board, Regional and Community Provider
Committees, and Regional Advisory Committees representing
all stakeholders and our customers!
3. Our
high quality panel of providers are carefully selected and
credentialed, providing superior healthcare!
4. Our
Physician Sponsored Network model has proven effectiveness
in superior clinical outcomes and return-to-work results!
5. Our
Customers play a vital role in the PCT policies,
strategies and success!
6. Our
cost containment programs provide savings to our
customers!
7. We
offer flexible pricing models that meet the unique needs
of our customers, such as PerMember/PerMonth, PerCase/PerMonth,
Case Rates, Percent of Medical Claims Paid and Shared
Savings!
8.
We offer flexible service options that meet the unique
needs of our customers, such as a) Network Access b)
Medical Management and c) Third Party Administration!
9. Our
dispute resolution and appeals process is efficient and
fair; reducing overall costs!
10.
Our ability to review “legacy” claims for revised
treatment plans and re-direction into network providers or
return to work
11.
Our utilization management programs - hospital stays and
procedures are determined medically necessary by
established and Provider accepted criteria!
12.
Our proven Medical treatment review process utilizes the
ODG Treatment Guidelines!
13.
Our proven Education and Training programs focused for the
benefit of Providers, Employees, Employers and Payors!
14.
Our programs result with satisfied Employees, Employers,
Payors and Providers!
