By opting out of the
Texas Workers’ Compensation Act, Nonsubscribers lose
significant medical cost containment benefits available to employers
insured under the Act, such as:
-
"managed healthcare"
services utilized by workers’ compensation insurance carriers, like access to preferred provider
organizations, medical case management, hospital preadmission authorization and medical bill
audits.
-
the Texas Department of Insurance - Division of Workers’ Compensation
physician and hospital medical fee guidelines (the "DWC MFG") which statutorily provide for payment below the amounts most often
insurance carriers, such as access to preferred provider organizations,
billed by occupational medical providers.
However,
by utilizing Texas Healthcare Foundation ("THF"), the
Nonsubscribing employer can regain most of those benefits. THF is
a Texas-based organization providing medical cost containment to
responsible Texas employers as an integral part of their successful
Nonsubscriber programs. We now have over 3,000 cooperative medical providers in our
THF Cooperative Medical Provider Directory.
Some key benefits of THF are:
-
Providing
customized managed healthcare services to ensure
appropriate and cost
effective utilization of healthcare treatment while expediting
the employee's return to productive work. When diagnosis
and treatment are appropriately monitored by unbiased specialists,
patients most often receive better medical care and employers do not incur unnecessary charges.
-
Quickly
processing all of an employer's occupational injury medical
bills according to THF's contractual agreements and/or fair and reasonable
medical fee guidelines, generating accurate "ready to pay" bills, and with
no balance billing to the employees.
- Saving significant
amounts off every $1 billed by medical providers. Savings are
currently averaging an amazing 50%+ off billed charges!
| Number
of Bills |
Original
Charges |
Savings
|
| 1,452,000 |
$590,592,000 |
$238,754,000 |
- And the best news is THF
earns a fee only when employers realize actual savings.
There are absolutely no additional or hidden fees. Just ask:
|
ABM Industries
|
Green Bay Packaging
|
Lone Star Beef Processors
|
|
Admiral Linen
|
GreenWood International
|
Lone Star Overnight
|
|
AGE Industries
|
HEB Grocery Company
|
Lutheran Social Services
|
|
Brookshire Grocery Company
|
Jordan Health Services
|
North American Benefits Company
|
|
C.H. Guenther & Son
|
Kent Moore Cabinets
|
Outreach Health Services
|
|
Cheddar’s Casual Cafe
|
Kissito Healthcare
|
Rosewood Corporate
|
|
Daybreak Venture
|
Labatt Food Service
|
Smith Protective Services
|
|
Fiesta Mart
|
Landmark Industries
|
Southern Multifoods
|
|
Food Concepts International
|
Lasko Products
|
Trinity Charter Schools
|
Or
any other of our hundreds of customers. |