| Our
business is making yours healthier.
Medical
Case Management > Bunch’s
Nurse Case Managers serve as employee
advocates to help secure timely and
appropriate medical care. Nurses increase
the use of in-network providers and
capture dynamic cost savings while
expediting return to work. Working
cooperatively with adjusters, Bunch’s
nurses apply their clinical expertise
as an invaluable resource to the adjuster,
employee and employer.
Utilization
Review > Bunch performs
utilization management services ensuring
its focus on quality, medically necessary,
appropriate and timely care. This
may include customized utilization
review, pharmacy management and continuity
of care. While all services are provided
nationally, solutions adhere to individual
and state requirements.
Certified
Managed Care
Solutions
> Bunch places a high priority
on regulatory compliance, dedicating
resources appropriately to stay on
the cutting edge of developments in
each state. Regulatory compliance
is guaranteed, while offering clients
customized solutions for each state,
to capitalize on opportunities and
help contain potential exposures.
Solutions in this service area are
proactive, focused on employee care
and employer protection.
Medical
Bill Review > Bunch’s
uniquely proactive and integrated
approach to bill review delivers dynamic
savings for clients. This philosophy
is unique in the industry, consistently
delivering savings beyond industry
expectations. With proprietary wrap-around
software, Bunch integrates and optimizes
all services that intersect with repricing
bills. From nurse-negotiated rates
to adjuster-documented compensability,
the bill review processor has all
relevant information at his or her
disposal throughout the process.
Medical
Bill Payment > In addition
to bill review, Bunch can perform
check writing services that are entirely
automated and customized according
to client preference. Based on client
preference, Bunch can relieve the
adjuster of the burden of handling
the provider billing process, allowing
the adjusters to focus on resolving
claims. As with all Bunch’s
service areas, this process is customized
according to preference.
Network
Management > Selections
are based upon criteria customized
for each client’s overall program
goals. Bunch has negotiated fair and
reasonable rates with strategic partners
that maximize savings for its clients
and ensures that each provider shares
the same return to work commitment.
The same focus and attention Bunch
dedicates to implementing the ideal
network alignment for each client
is followed through every day, to
ensure the client consistently has
access to the most appropriate providers
for the individual program. Bunch
constantly analyzes network performance,
including penetration, savings and
provider quality. Results are documented
and presented to the client at regular
intervals, including recommendations
for options available to further increase
outcomes.
Predictive
Modeling > The
goal of predictive modeling is to
accurately and precisely project claim
progress, so that resources can be
strategically and proactively applied
for at-risk claims. It is used to
assess risk per claim on a predetermined
scale, by analyzing historical and
current claim data. Although many
competitors do offer predictive modeling,
it is on a more limited scale, and
is often outsourced, which further
dilutes its effectiveness. Also unlike
similar analyses, Bunch’s predictive
modeling is based solely on each individual
employer, rather than an entire book
of business or line of business. This
is especially important considering
the diverse clientele in a book of
business, with varying employee demographics,
loss history and corporate priorities.
Disability Management
Consulting > Many
clients have requested assistance
and recommendations on how to further
improve their workers’ compensation
program including integrated disability
management and program analysis. Bunch
offers innovative solutions for those
challenges. Through thorough analysis,
Bunch clients ensure that their decisions
are driven by data relevant to the
outcome they seek.Regardless of the
combination of services implemented
for each client, Bunch exhaustively
analyzes program data, for reporting,
measurement/outcome tracking, routine
assessments and stewardship reporting.
|