Payors Advantage

Our commitment to trusted relationships with payors

 

Payors and employers face new challenges in today’s market. Occupational medicine has become a chaotic field where one player controls a disproportionate share of the market, and the rest of the industry remains fragmented and inefficient.

Akeso’s leadership has significant experience both in claims as well as provider sectors. We have a unique ability to see and leverage the powerful alignment between these communities. We are committed to developing unique partnerships with the ultimate goal of improving the workers’ compensation and occupational medicine industries.

 

We invest in communication solutions that streamline orders and results for employer services like pre-employment screenings and industry specific testing, as well as technology solutions that improve the quality of billing and authorization processes. We understand that for our goals to be met, we must commit to solving common problems that make claims and employer processes more expensive and time consuming. By committing to solving each others’ problems, we ultimately improve the system as a whole.

Benefits of our approach

for clients and payors

REDUCED CLAIM COSTS

Today’s complex claims operations have to run lean and efficient to remain competitive in the healthcare market. Partnering  with Akeso will reduce overall claims expense through accurate billing that reduces bill review costs and guideline compliant authorization requests which reduces UR costs.

 

BETTER CONNECTIVITY

We understand the needs of carriers and self-insured companies when it comes to claims assignment and reserving on claims. Our team welcomes the opportunity to develop new levels of connectivity that ensure the next generation of claims and AI systems receive the timely and accurate data needed to improve claims operations.

 

TRUSTED PROVIDERS

We build trust through professional operations and transparent systems. We know how difficult it is to find a provider partner that can deliver reduced disability and litigation through better patient focus and ease oversight burdens through rigorous commitment to compliance with managed care and financial operations.

 

COMMITMENT
TO GROWTH

Recent changes in the occupational medicine landscape have created significant difficulties for large employers and payors who need trusted groups large enough to have a meaningful solution for your covered locations. Akeso is committed to acquiring existing clinics or quickly starting new clinics where necessary to support our larger partners in more areas

 

Our MPN partners...

 

We particpate in all of the major Medical Provider Networks to ensure

coverage for clients' injured workers. Here are some of our partners: