Coventry has expanded its outcomes-based network program into an additional 16 states, bringing the program to a total of 37 states across the U.S.
The program focuses on total claim outcomes using Coventry’s proprietary methodology. Provider performance is measured using statistical methods and data on medical billing, clinical, pharmacy, and client claims.
In addition, Coventry incorporates benchmarks from the Official Disability Guidelines related to physical medicine treatments by injury type.
Coventry said that claims being managed by an outcomes-based network provider tend ...
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