MCO Open Enrollment – May 2nd to May 27th
Every two years, the Ohio BWC offers an open enrollment period to allow employers the opportunity to evaluate the services of their current managed care organization. The Open Enrollment period for 2016 begins on Monday, May 2nd and ends at the close of business on Friday, May 27th. Current clients do not have to do anything to keep HMS as their MCO and are automatically re-enrolled.
During the open enrollment period, Managed Care Organizations that are not your current provider may contact you. You may also receive calls and letters from Third Party Administrators and groups such as chambers of commerce or associations marketing on behalf of the MCO. Choosing an MCO is your choice and yours alone. Managed Care Organizations have an important job in helping you control the cost of workers’ compensation and the decision should not be taken lightly.
At HMS, our focus is to ensure quality medical care and returning your injured worker to full duty as soon as it is safely possible. HMS is provider owned which means that our clients have access to the resources and expertise of an integrated healthcare system. Our medical director is a board certified occupational medicine physician and, as our client, you have access to certified pharmacists for drug utilization review.
Providing you with a single point of contact for all of your claims needs and a 24 hour injury reporting hotline, allows our team of highly trained professionals to begin work on the claim quickly and efficiently.
As we begin open enrollment, we’d like to thank you for choosing Health Management Solutions. We value your business and hope that we can continue to partner with you for a long time.
PREMIUM REDUCTION FOR PRIVATE EMPLOYERS
The Ohio BWC Board of Directors has approved an 8.6 percent reduction in overall average rates for private employers. This move will decrease projected annual premiums by $113 million next year.
Since 2011, Ohio private employers are paying $463 million less annually, representing a combined 28.2 percent decrease. Employers have benefited from $4.3 billion in rate cuts, rebates and credits in the last five years.
A full summary of the $4.3 billion in rate cuts, rebates and credits is available on the Ohio BWC website: BWC: A Partner for Economic Growth in Ohio
DRUG FREE, TRANSITIONAL WORK BONUS AND INDUSTRY SPECIFIC SAFETY PROGRAM APPLICATIONS DUE MAY 31
Employers that wish to participate in the Destination: Excellence programs have until May 31 to submit applications. The Drug Free Safety, Industry Specific Safety and Transitional Work Bonus programs all provide discounts in the form of rebates for eligible employers in exchange for meeting participation requirements.
While requirements for the Drug Free Safety and Industry Specific Safety programs do not begin until July 1st, participating in the Transitional Work Bonus program requires employers to submit a written program with the application. For employers that do not currently have a written program, a grant may be available. The Transitional Work Grant will reimburse eligible employers 75 percent of the cost of hiring an Ohio BWC certified Transitional Work developer to write the program. Because the program takes time to develop, we encourage you to begin the process as soon as possible. Your HMS account manager can provide you with more information and help you find a certified developer in your area.
Reminder: Current Transitional Work Bonus and Industry Specific Safety program participants must submit a new application annually. Visit the Ohio BWC website to submit your application.
OHIO BWC ADMINISTRATOR RESIGNS
The Ohio BWC has announced that Administrator Steve Buehrer is leaving after five years of leading the agency.
In Buehrer’s time at the agency, Ohio employers have benefited with $4.3 billion in rate cuts, rebates and credits. Buehrer increased the BWC’s commitment to safety to $44 million, leading Ohio’s workplace injury rate to be well below the national average.
The BWC’s Chief Legal Officer, Sarah Morrison will serve as interim CEO until Governor John Kasich appoints a replacement
WORKPLACE WELLNESS GRANTS AVAILABLE
Employers thinking about implementing a wellness program at their workplace may be eligible for up to $15,000 over four years in a grant from the Ohio BWC. The grant can be used to implement education and programs focused on reducing health risk factors specific to the company’s employees.
To be eligible, employers must contract with a wellness vendor and provide the BWC with demographic information pertaining to their program. The funds are available on a first come, first serve basis.
More information about the Workplace Wellness Grant is available on the Ohio BWC website.