Services for Self-Insured Employers

University Hospitals CompCare works with self-insured employers across Ohio to help them establish and manage qualified health plans (QHPs) to improve the quality and efficiency of medical management for work-related injuries and illnesses. Much like our MCO program, our approach to QHPs involves assigning a customer service representative, nurse case manager and provider relations staff member to each employer. We process claims, administer medical management and return-to-work programs, and coordinate our efforts with medical providers and the employer on claim allowance issues to ensure a smooth process.

There are many reasons why you should consider choosing us to manage your QHP. Consider:

• We use a team approach, assigning a customer service representative, nurse case manager and billing staff member to every employer, ensuring a quick, knowledgeable and personal response to client questions and needs.
• We are an affiliate of University Hospitals Health System, one of Ohio's premier health care systems.
• This full-featured, easy-to-use Web site provides password-protected, anytime-access to claims and treatment data, which can be used to assist with OSHA-mandated recordkeeping and reporting, to track workers' compensation costs, and to identify safety training and return-to-work opportunities.
• Our network of health care providers includes access to leading occupational medicine and rehabilitation providers in all 88 Ohio counties.
• We have earned Case Management Organization full accreditation from URAC, the premier organization for accreditation of case management services.

Establishing a QHP is optional for current self-insured employers but mandatory for newly self-insured employers. Because self-insured employers do not pay into the state fund, self-insured organizations are financially responsible for all services related to the QHP. A self-insured employer can establish a QHP, and choose University Hospitals CompCare to manage the program, at any time; there is no open enrollment period.

For additional information about creating a QHP and University CompCare's QHP management services, call us at 1-800-818-7273.