Understanding Medical Provider Networks

To get a feel for how Coventry does its business, and does its business well, take a look inside the official "Physician Core Body of Knowledge" document that the company gives to California doctos participating in its Medical Provider Networks.

The Bethesda, Md.-based health care services organization, which entered the workers' compensation field earlier in this decade, introduces doctors to its way of doing things by saying how "this document is intended to emphasize Coventry's desire to establish and maintain a collaborative and collegial relationship with MPN physicians."

After all, within its workers' comp MPNs, Coventry recognizes how important its physicians are. "We need MPN physicians to deliver excellent patient care, consistent with ACOEM and other evidence-based guidelines, cost-effectively and expeditiously, with concern for customer satisfaction," the MPN document says.

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FMLA rules and regs (03/25/13)

Peter Rousmaniere, our workers' comp columnist, says that the Coventry document is "a skillful presentation of the kinds of things that a well-designed PPO is supposed to have."

Coventry would not permit us to post their California MPN Physician Core Body of Knowledge document directly on our site, but check its California Medical Provider Network page on their Web site for an updated version of it (which Coventry claims will be posted soon), as well as a wealth of other comp-related information.

February 14, 2008

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