NOVO Health Bundled Payment Program for Workers’ Compensation Health Care Services

The NOVO Health Bundled Payment Program for Workers' Compensation Health Care Services was a requested program option from our employer partners who currently use our Bundled Payment Program for Health Services to cover health benefits through their self-funded plan or commercial health insurance. The same benefits afforded to employers and their employees in that flagship program also work well for workers' compensation claims.

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How does this work?

Workers’ Compensation BP Program Features:·

  • Easy and fast access to a provider that can diagnose and treat the core issue
  • Quality vetted providers and facilities to ensure the safest treatment of the patient
  • Known price for surgical episode of care in advance of treatment
  • Aligned incentives of provider, employer and employee to return to work
  • Financial incentive provided to the employee for choosing a value-based care option
  • Exceptional patient experience that treats patients the way they want to be treated

Workers’ compensation payers enjoy substantial cost savings on excellent care, all while supporting another locally-owned small business.

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Inclusive Bundles

The bundle includes surgery, surgeon and assistant, anesthesia, facility fees and a 90 day post-operative limited warranty, which covers post-operative care at participating sites. (See Program Terms for additional details.)

Race to the Bottom?

Workers’ compensation price bundles cover all of the expenses of managing a workers’ compensation claim, while aligning employer and provider interests to return workers to the job as soon as is safely possible. With a predefined treatment plan, everyone is incentivized to get the diagnosis, treatment and return to work plan right the first time.

Known Costs

Employers know that the medical cost to return an injured worker to the job is only a fraction of the total cost to manage an injured worker situation. Increased overtime expense, or replacement costs can add up quickly, as can increased insurance premiums and experience modification rates. The NOVO Health bundled payment option ensures that employees get back to their full-time role as quickly as possible.

Return to Lifestyle

The bundled payment methodology and improved communication with employers, case managers and the employee allow us to better predict how soon a worker can return to full-duty. Our goal is to have employees interacting with their colleagues in a limited role as soon as possible and then progress them to their full functional capacity.

End of Healing

With aligned incentives and improved communication between employee, employer and case manager, providers can get a better feel for when an employee has reached end of healing and can fill out the WKC 16 as the final step in the plan of care for the employee.

How do I get involved?

To see if you are eligible to participate in the NOVO Health Bundled Payment Program for Workers’ Compensation Health Care Services, please complete the appropriate online intake form.

Once completed, your information will be analyzed by our team and we will respond with the best way to install the NOVO Health Bundled Payment Program for Workers’ Compensation Health Care Services to your WC program.

If you are an employer, complete the Employer Intake Form. If you are a provider interested in providing medical services in the Bundled Payment Program for Workers’ Compensation Health Care Services, please complete our Provider Intake Form.

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