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PRIUM Guarantees ROI on Workers’ Compensation Medical Intervention Services

March 5, 2014 - WorkCompWire

Atlanta, GA -(BusinessWire)- PRIUM has announced a return-on-investment guarantee on its workers’ compensation medical intervention services for reducing inappropriate medications on a book of claims.

“PRIUM’s history of success in addressing the issue of prescription drug misuse and abuse in work comp allows us to offer something no other company can: a guaranteed ROI,” said PRIUM’s President Michael Gavin.

During a two-year ROI pilot program, PRIUM generated quarterly reports that showed hard savings from the discontinuation or reduction of clinically inappropriate medications. When compared to the cost of PRIUM’s services, the aggregate ROI (actual medication cost savings versus PRIUM’s fees) consistently exceeded three to one.

“We’re comfortable offering an ROI because PRIUM and its parent company, Ameritox, own the services involved in our integrated medical intervention approach,” Gavin said. “This gives us the ability to ensure that appropriate methodologies are used to enact the changes needed to help injured workers regain function.”

To participate in the ROI guarantee, payers agree to use PRIUM and Ameritox services when they implement medical management services that are offered by PRIUM and its parent. These services include physician engagement through peer review, drug regimen enforcement through case management oversight and customized formularies, urine drug monitoring, utilization review, independent medical exams, and jurisdictionally specific methods for managing claims when other methods fail. If payers in the program do not attain the agreed-upon ROI on a book of claims, PRIUM will refund a portion of fees paid to achieve the guaranteed return.

For more information about this new service, go to www.roiguarantee.com.

Source: BusinessWire

Filed Under: Claims, Legal, & Compliance News, Industry News, Top Stories, Workers' Compensation

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