Broadspire, a Crawford Company and a third party administrator of workers compensation claims, liability claims and medical management services, has introduced the BOLD network, a custom preferred provider organization (PPO) strategy that includes targeted selection of medical networks on a state-by-state basis to produce better outcomes for clients.
The BOLD network features regional networks, which typically have better relationships with local providers; and specialty networks that concentrate on workers compensation needs such as durable medical equipment (DME) and physical therapy.
According to the company, some of the cost-saving solutions include DME formulary with integrated clinical protocols, physical therapy protocols and utilization review guidelines, diagnostic imaging un-managed & retrospective guidelines, clinical home health guidelines and vendor integration, and coding methodology for medical and non-medical transportation.
Broadspire’s networks and partners include Aetna, Align Networks, Black Diamond, Express Scripts, Healthcare Solutions, HFN, MedFocus, MTI, Next Imaging, Rockport, Signature Networks, Three Rivers, Total Medical Solutions, Universal Smart Comp and United Health.
Broadspire has said that additionally through the use of objective metrics, it will be able to identify needs and cost drivers to build network solutions that are unique and specific to clients.
Danielle Lisenbey, chief operating officer of medical management services at Broadspire, said: Our new state-stratified, multi-tiered approach allows us to partner with the best network by region, industry and sometimes even by company.