Why It Starts With Trust

The System is Broken
Up until now, the workers' compensation healthcare system was controlled by the insurance companies and third party administrators.  The insurance industry determines job classifications which, in turn, dictate the premiums paid by the businesses.  There are no incentives to classify jobs into less expensive categories -- the higher the premium, the higher the commissions earned by the insurance agents.  Meanwhile, the insurance industry also controls how much is paid to the doctors who treat injured workers.  They not only control the fees the doctors must pay to the insurance carrier, but they also control how much the doctor can even charge the patient.

Trust in the system has been lost.

How has trust been lost?
Doctors are being squeezed by high expenses, less revenue from traditional sources (e.g., pharmaceuticals), and high fees paid to insurance carriers.   Many of California's finest providers have abandoned workers' compensation care because of reimbursements being significantly lower than market rates and payments taking months - even years - to be paid.  In short, doctors aren't empowered with being able to provide the best kind of care that they can. 

Employers carry heavy burdens for providing better healthcare, insuring a safe work environment, and struggling to balance their cost to profit ratio.  They are not empowered with being able to make the best choice for their healthcare options or workers' compensation coverage.  Generally, they have become victim to delegating this duty to claims management and insurance carriers.  Most often, the employer pays a high price -- increased claim costs, never ending case struggles, and huge premiums.

It starts with trust!
In short, most employers, patients, and even the doctors, don't believe that the system is watching out for them.  The current paradigm is designed to waste time and money, while doing little to provide quality care and get patients healthy and back to work as quickly as possible.  In the end, whether it be the doctors, the employers, or the patient, each entity is frustrated with the system, except the Third Party Administrators and the Insurance Carriers.

With the Prospice Group Corporation paradigm, a shift will occur!  Finally, a company that stands up for both the employer AND the employee.  Finally, a company that understands and listens to the frustrations with the current system.  And, finally, a company that is doing something about it.  Now, the doctors, the employers and the patients have a voice --  and a system that treats them fairly.  The solution is here, today, and it starts with Trust!