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.

 

 

Service Benefits

Reduced lost-time percentage

Increased savings

Reduced multiplier

Reduced cost of insurance

Reduced cost per claim


Employers who partner with Bunch see a significant reduction in medical costs, experience a positive and productive rapport with injured employees, and streamline their workers’ compensation program.

Individual employers have different needs, workplace cultures and competitive environments. From a comprehensive suite of services, Bunch creates individual employer solutions tailored to each client’s unique needs. These services are shown to the left.