As workers’ compensation professionals are taxed with increasingly
complex claims, Genex
Services — a leader in medical cost containment and disability
management services — has launched Unity, a sophisticated managed care
platform. Unity helps relieve the intensifying burden adjusters face on
a daily basis and empowers case managers with the information they need
anytime, anywhere.
The Unity software platform works behind the scenes to drive and
streamline managed care operations. Its mobile application facilitates
rapid delivery of case updates to appropriate parties. Unity enables
payers and employers to refer and easily coordinate the services needed
on each claim, accelerate delivery of those services, improve outcomes
and enhance program performance. The system’s overarching architecture
was designed to provide relevant data, care management insights, and
event-driven workflow processing throughout the entire continuum of
medical management services, including case management, independent
medical examinations, ancillary services and disability management.
“In developing Unity, we set out to reimagine the managed care process
and find ways to close gaps, create new connections, and reveal data
that was previously inaccessible,” said Peter Madeja, Genex CEO. “From
our experience, we knew there were inefficiencies because claims
stakeholders weren’t connected in real time. Information delays and
paperwork were adding unnecessary administrative burden. We saw the
opportunity to make intelligent automation intrinsic to medical
management, so we could speed up and improve the quality of care for
injured employees. Big picture, we wanted to aggregate and analyze claim
and medical data to identify additional savings and achieve performance
improvements.”
Unity will operate as the intelligent hub for managed care operations.
It integrates smart-logic technology with best practices and customer
rules. In addition, its claims-specific options facilitate stronger
treatment protocols and ultimately help drive better outcomes. At the
same time, its mobile application gives all parties real-time access to
claim information. This means clinicians can spend less time on
administration and more hands-on time with injured employees, helping to
improve care and reduce claims duration and spend. It also provides
immediate delivery of case-critical information to adjusters, equipping
them with the most recent clinical data available to make the
best-informed case decisions possible.
“Unity enables real-time orchestration of services that are
individualized to each claim,” added Helen Froehlich, vice president of
field case management services. “When a referral is received in Unity,
its proprietary algorithms select the case manager best suited for the
claim. The optimal service providers are chosen based on both
qualitative and quantitative information. For independent medical exams,
Unity provides customers with instant scheduling access to our
best-in-class network of providers and clinics.”
Unity was designed to recognize the importance of injured workers’
privacy and the security of medical information. Unity is accessible
from desktop or mobile devices in a secure environment, including
multi-factor authentication.
About Genex Services, LLC
Genex Services (www.genexservices.com)
provides best-in-class clinical solutions that enable customers to
transform their bottom lines while enhancing the lives of injured and
disabled workers. Genex, a clinical management leader throughout North
America, serves the top underwriters of workers’ compensation,
automobile, disability insurance, third-party administrators and a
significant number of Fortune 500 employers. In addition, Genex clinical
services are enhanced by intelligent systems and 360-degree data
analysis. Its clinical expertise consistently drives superior results
related to medical, wage loss, and productivity costs associated with
claims in the workers’ compensation, disability, automobile, and health
care systems. Genex Services and Mitchell International merged recently
to create the broadest continuum of technology and products servicing
the auto, workers’ compensation, and disability markets.
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