California medical provider networks.
Participation in a California medical provider network (MPN) is an important component of a medical cost containment strategy as it allows employers better control over the care of the injured worker. For any insurer in California, care for the injured worker, control for the duration of the claim, access to quality medical services, and medical provider discounted rates are all important to decrease employee downtime and return back to work at a financially advantageous amount to the company.
An MPN is a group of health care providers used by employers to treat employees injured on the job. In California, the MPN must meet certain requirements including being able to treat injuries in a timely manner, having close access to care, providing an adequate mix of physicians and medical facilities specializing in workers' compensation cases, and for the in-network providers to offer treatment at reasonable times to all employees.
Our CA MPN clients & networks:
Each MPN is certified individually for an insurer and goes through a certification approval process by the California Division of Workers’ Compensation (DWC).
Health care providers included in our CA MPN include physicians, surgeons, psychologists, acupuncturists, optometrists, dentists, podiatrists, chiropractic practitioners, physical therapists, and other ancillary services. All providers have a contractual agreement to treat workers’ compensation injuries. Have more general questions about an MPN in California? Here are answers to frequently asked questions.
A medical provider network (MPN) is an important component of any insurer’s medical cost containment strategy and we are here to help. To learn more about the Prime Health Services MPN in California call 1-866-348-3887.
Texas Health Care Network.
Texas is the 2nd largest state by population, has the largest number of counties, and has the 2nd highest workers compensation costs in the country. The costs to employers were making it difficult to operate in Texas and still be competitive. The Texas Division of Insurance created the Texas Health Care Network (HCN) in 2005 to provide a tool to employers in their effort to control the rising costs of claims. A major part of this legislation was the creation and certification of networks of providers that were focused on return to work treatment guidelines. Please contact us for more information regarding the Prime Health Services TX HCN.
Prime Health Services becomes the largest Texas HCN.
In 2010, Prime Health Services set the goal to be the largest (in terms of certified counties) of any Texas HCN. Through aggressive direct contracting with Texas-based providers, Prime Health achieved that goal early in 2012. Because our contracting effort is recent, the Prime Health Services HCN provider population has been provided with more current guidelines, communication, and compliance information.
Prime Health Services is certified in 250 of the 254 counties in Texas, and includes over 27,000 providers. (The Texas Department of Insurance has not approved the remaining 4 counties for any network.) As a result, Prime Health is better positioned than any other PPO network to cover the geographical needs of any client in the state of Texas.
Texas HCN Resources
- 250 out of 254 counties (remaining 4 not approved for any network)
- Majority of providers contracted below fee schedule
- Highly customizable to meet individual client needs.
- Over 27,000 providers and growing
- Initial credentialing included treating provider on-site visits
- Notification materials in English or Spanish
- Case Management, Utilization Management, Utilization Review are available, as required, if necessary
- Flexible pricing options