Insurance & Technology News
PMSI's DMEComplete Combines Unit Cost and Utilization Control for More Effective Cost Containment with Durable Medical Equipment
Tampa, FL, Jun 27, 2012 (PRWeb.com via COMTEX) --
PMSI, the nation's largest provider of specialty products and services for the workers' compensation market, addresses the topic of durable medical equipment (DME) spend in the June digital edition of Risk & Insurance magazine, and will feature its DMEComplete(TM) solution at the upcoming Workers' Compensation Institute's (WCI) conference in August. PMSI developed its DMEComplete program as a systematic approach to increase network penetration and more effectively manage utilization of durable medical equipment, showing annual savings of up to 20%.
"Today, cost control in DME demands the same critical focus on data, clinical interventions and protocols as in pharmacy," stated Pat Sullivan, PMSI's President of Ancillary Services. "PMSI's DMEComplete is a comprehensive solution that increases network penetration and delivers a clinically managed approach for consistent and positive outcomes by controlling appropriateness, frequency and duration of therapy. Through this comprehensive strategy, prospective orders increase dramatically so that clinical interventions can be applied earlier in the claim duration."
PMSI's clinical approach is guided by evidence-based medicine and clinical policy guidelines (CPGs) developed by a panel of workers' compensation clinicians and specialists, as well as ACOEM and ODG clinical guidelines. The resulting workers' compensation-specific formulary addresses the top 36 categories of products commonly used to treat workers' compensation injuries, including an evaluation of the appropriateness of initial product selection as well as duration and frequency of use. The ultimate goal is to alert payors when overutilization is potentially occurring.
"Through clinical oversight, use of medical equipment can be managed more aggressively and/or adjusted where it is no longer appropriate, effective or necessary, potentially reducing costs and providing the most effective care," continued Sullivan. "Rooted in sound, workers' compensation-focused clinical guidelines and evidence-based medicine protocols, DMEComplete addresses product necessity, appropriateness, duration, and frequency of use in controlling utilization."
To view the full article and accompanying video, visit http://www.riskandinsurance-digital.com, and view this and other videos online at http://www.pmsionline.com/ExpertInsights. Learn more by visiting PMSI at WCI, booths 633 and 635.
Founded in 1976, PMSI is a leader in developing solutions to control the growth of medical costs in workers' compensation. As one of the nation's largest and most experienced companies focused on workers' compensation and liability markets, we deliver proven solutions for cost containment across the claims lifecycle. PMSI's solutions for Pharmacy, Medical Services and Equipment, and Settlement Solutions deliver quantifiable results and improve the quality of care for injured workers. We provide our customers with the innovation, focus, expertise, analytics and technology needed to successfully deliver workers' compensation benefits.
For more information, visit http://www.pmsionline.com or call 877.ASK.PMSI.
Read the full story at http://www.prweb.com/releases/2012/6/prweb9647382.htm
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UPDATED 2:22 AM EST - Jun 20, 2013
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