Healthesystems ads

Workers’ comp managed care is evolving – and leading the way starts with partners who aren’t afraid to disrupt convention. With Healthesystems’ next-generation Pharmacy Benefit Management (PBM) and Ancillary Benefits Management (ABM) programs, we are uniquely positioned to help you overcome your greatest challenges in workers’ comp.

Degenerative comorbid conditions are present in 19% of workers’ comp claims. How do they impact claims outcomes and costs?

A small percentage of claims are driving the majority of costs in workers’ comp. What are these “mega claims” and what strategies can we deploy to mitigate them?

Complex claims have become a persistent issue in workers’ comp. Understanding the factors that drive longer claim duration and higher costs is the first step to managing them.

In today’s complex workers’ comp environment, payers need more than just vendors – they need partners who prioritize their goals above self-interest. That’s where Healthesystems comes in. As an independent third-party integrator and managed care enabler, we connect best-in-breed vendors, capabilities, and networks to build a program tailored to your needs.

Healthesystems’ mission to simplify the complexities of workers’ comp managed care began with a question from a trusted partner: “Hey…we have a problem. Can you help?” Ever since, we’ve been leveraging our deep domain knowledge to help payers and claims teams overcome their biggest challenges.