ESIS Medical Impact℠

Achieve Positive Medical Claims Results With ESIS' Health Pass

ESIS' Medical Impact Solution Results in an Additional $135K in Net PPO Savings for Client

About

Medical care now represents 60 percent of benefit dollars provided to injured workers nationally, up from 40 percent 25 years ago. This consistent price surge is correlated to progressively expensive medical testing, equipment, medication, and physician services.

Prompt direction of injured employees to a Preferred Provider Organization (PPO) network provider and Pharmacy Benefit Manager (PBM) can have a significant positive effect on overall claim outcomes and savings. With the use of effective notification tools, such as ESIS' Health Pass, injured workers are channeled to appropriate resources. 

Achieving Results with ESIS

By collaborating with ESIS and implementing recommended loss cost reduction solutions, such as the ESIS Health Pass, clients have additional opportunities to improve their PPO savings.

Results for over 100 ESIS clients using the ESIS Health Pass reflect an average increase in PPO penetration of 11.7%, an 8% decrease in average cost per closed claim, and a 40% reduction in average days per closed claim. 

ESIS' assessment of one of our client's internal claims processes led to a more efficient practice, which included the utilization of ESIS' Health Pass to help improve PPO net savings by an additional $135,000 (44% increase), measured during a 6 month period post implementation. 

ESIS' Health Pass is personalized, jurisdictionally-driven, and provides: 

  • Specific contact information for the ESIS claim office to which the claim is assigned
  • Information and instructions regarding ESIS Pharmacy Program enabling injured employees to receive their prescriptions timely, with no out-of-pocket expenses
  • Useful information to help injured employees effectively locate PPO providers and preferred vendors which include:
    • Diagnostic Imaging
    • Pharmacy
    • Durable Medical Equipment
    • Physical Therapy
    • Transportation and Translation Services

ESIS MyView

On-the-go access to the ESIS Health Pass and medical providers via our mobile application. The portal enables users to access their workers compensation claim information through their personal computer, tablet, or smartphone. ESIS MyView enhances the opportunity to channel to ESIS' high quality preferred providers, further increase PPO Penetration, and ultimately reduce overall costs. 

Services & Solutions

Preferred Provider Organization (PPO)
Preferred Provider Organization (PPO)
Pharmacy Benefit Manager (PBM)
Pharmacy Benefit Manager (PBM)
Case Management
Case Management
Contact Us

Learn more about how ESIS can assist with your claims and risk management success.