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Three areas where the use of a TPA can make a significant difference are bill review, case management and data integration in medical programs. (Photo: Shutterstock)

Instead of juggling all of the various parties within the workers’ compensation world — physicians, hospitals, nurse case managers, pharmacies, physical therapists, insurance carriers and claims adjusters — employers would be far better off working with a third-party administrator, according to ESIS’ whitepaper, “Why Employers Should Consider Integrated Medical Programs to Manage Workers Compensation Costs.”

“By connecting all programs, people and sources of data together, a wealth of real-time information can be accessed, aggregated and analyzed,” writes Veronica D. Cressman, ESIS’ senior vice president, medical programs. “Employers and their TPA partners are able to detect unusually lengthy claim durations, evidence of fraudulent and inaccurate healthcare provider billing, and other inflated costs, arming them to take actions to quickly resolve these issues.”

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Katie Kuehner-Hebert

Katie Kuehner-Hebert is a freelance writer based in Running Springs, Calif. She has more than three decades of journalism experience, with particular expertise in employee benefits and other human resource topics.

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