COSE Preferred MCO since 2006!
To select 1-888-OHIOCOMP as your MCO, complete the
selection form in this issue or log on to my.cose.org/mco
by May 25 at 5 p.m.
Nurse-to-Claim Ratio5
Do staffing levels impact service delivery?
We assign each employer a nurse case manager and claims specialist to help keep medical costs in check.
Plus, we have an exceptional nurse-to-claim ratio when comparing the largest MCOs based on premium
and claim volume.
MCO
ACTIVE CLAIMS PER NURSE
ACTIVE CLAIMS 7
NEW CLAIMS 7
NURSES 6
1-888-OHIOCOMP 53 19,222 363 767
CorVel 23 10,904 474 446
Sheakley 53 27,221 514 1,084
CompManagement 69 40,556 588 1,918
CareWorks 80 76,970 962 3,289
HMS 9 8,668 963 356
3-Hab, Ltd. 3 8,339 2,780 333
How important are RTWs?
Lost-time claims are the most expensive claims!
Listed below are the percentage of lost-time claims that
have returned to work for injuries that occurred in the
years listed. 1-888-OHIOCOMP continues to be a leader
in returning the most difficult and expensive claims back
to work.
Lost-Time Claims Returned to Work5
MCO 2010 RTW8 2011 RT W8
1-888-OHIOCOMP 80.0% 72.3%
HMS 78.4% 67.9%
CompManagement 77.0% 70.7%
CareWorks 76.8% 68.5%
3-Hab, Ltd. 73.8% 60.0%
CorVel 73.3% 65.5%
Sheakley 72.9% 68.8%
In healthcare savings, less is more.
We work with the highest quality health partners, but still
negotiate medical discounts from 5% to 47% below the BWC
fee schedule! 9 And, we’re continually adding providers who
share our commitment to recovery and return to work.
In addition to negotiating discounts, our aggressive
Utilization Review process saved our customers
millions in 2011.
5. Comparison between seven largest MCOs by size, which represent 85% of all
premium in Ohio.
6. Nurse source data based on B WC SP09-1574 report dated August 17, 2009 (RNs
and LPNs).
8. RT W source based on B WC SP12-1260 dated March 20, 2012, for all lost-time claims that
occurred in 2010 and 2011. Percentages are calculated by dividing the number of lost-time
claims with RT W by the total number of lost-time claims.
