What is the Difference Between a Bundled and Unbundled Certified Network Program?
Stephanie Leras
Director, Program Management Administration
Many states allow certified network programs designed to closely manage workers’ compensation injuries and costs. Our certified networks manage medical costs and return-to-work outcomes without compromising quality of care.
Coventry offers two types of certified Managed Care Organizations (MCO) programs for our clients: fully bundled programs, where we act as either the certified entity or the support for a client's certification by supplying the services required under the MCO regulations, and network-only programs, where we provide appropriate network documentation required to support a client's certification.
In our fully bundled programs, we can act as the certified entity or support your own certification by supplying all the services required under the MCO regulations. We provide fully bundled MCO services in Arkansas, California (MPN), Connecticut (MCP), Florida (MCA), Georgia (MCO), Illinois (PPP), Kentucky (MCP), New Hampshire, New Jersey (MCO), New York (PPO), Oklahoma (CWMP), South Dakota, Texas (HCN) and West Virginia (MHCP).
In our network-only programs, we provide all appropriate network documentation to support your certification. We provide network-only MCO services in Arkansas (MCO), California (MPN), Connecticut (MCP), Florida (MCA), Georgia (MCO), Illinois (PPP), Kentucky (MCP), Massachusetts (PPA), New Hampshire, New Jersey (MCO), Oklahoma (CWMP), Texas (HCN) and West Virginia (MHCP).
Coventry understands the challenges the current workers’ comp and regulatory environment presents to our customers and that developing a comprehensive solution to contain health care and disability costs can be daunting.