Outcomes-based Network Program

Better Care and Lower Costs

Outcomes-based network providers are benchmarked against their peers in areas like claim duration, medical utilization, indemnity spend, and overall claim costs, delivering superior outcomes and cost-effectiveness for all stakeholders involved.

OBN's Impact

A Philosophical Shift

We understand the key differences between access-based and outcomes-focused network models. Expansive provider selection criteria including medical, pharmacy, and indemnity financials, as well as return-to-work and clinical outcomes.

  • Shift from individual transactions to entire claim outcomes
  • Collaborative program design, data submission, and shared expectations that differ from traditional access-focused models
  • Active channeling to OBN providers vs. pre-program channeling rates
  • Providers who have meet the criteria to be included in Coventry's OBN program are identified for those clients who choose to implement this program

Coventry’s Outcomes-based Network Mission

  • Depth of experience treating workers’ comp injuries and
  • Consistently better measures of clinical outcomes, medical utilization, pharmacy utilization, return to work, and financial outcomes when compared to their peers.

We utilize the industry’s largest integrated data warehouse of medical billing, clinical, and pharmacy data, alongside partnered client claim data, in the measurement of providers according to stringent comparative statistical methodologies.

Workers’ comp clients that can strategically direct injured workers to the OBN providers will know that their injured workers are being treated by providers with a proven track record against their peers on measurements such as:

  • Claim duration
  • Medical utilization
  • Indemnity spend
  • Overall claim costs

OBN Product Map

Regulatory Compliance Infographic

Let's Connect

Need Network Solutions That Will Deliver Better Total Care and Cost Outcomes?

To help you achieve the outcomes you are aiming for, we offer a FREE consultation with a workers’ comp network expert. Together, we will determine the network solutions that best meet your needs.

Schedule a Consultation