For over 25 years, OMCA has used the latest medical science, highest industry standards, and the most innovative programs to help payers control medical costs in both Workers’ Compensation and Group Health.
OMCA is a unique group of professionals who assist employers, insurance and reinsurance carriers, third party administrators and self-funded entities in managing their Workers’ Compensation and Group Medical claims costs.
Our job is to give you the advantages of using the most qualified medical and insurance professionals. Whether it is physician resources to help control medical expenses, plan design experts to assist in delivering the most cost-effective benefits, or registered nurses to responsibly manage the care of injured or ill individuals, we commit to bringing you only the finest, most talented advisors.
Specialties
Workers' Compensation, Group Medical Cost Containment, Group Benefit Programs, ClaimsCLEAR(R), PharmCLEAR(R)
OMCA-Occupational Managed Care Alliance, Inc. Activity on LinkedIn
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OMCA-Occupational Managed Care Alliance, Inc. A Billion Here, A Billion There... What costs more than ALL cancers, ALL diabetes and ALL strokes? Click on the link below to get the answer. -
OMCA-Occupational Managed Care Alliance, Inc. “How We Do Harm” Perhaps the most important book written in the continual struggle to control medical costs in America is entitled “How We Do Harm: A Doctor Breaks Ranks About Being Sick in America”. It was written by Otis Webb Brawley, MD who, among other things, is Chief Medical and Scientific Officer for the American Cancer Society.
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OMCA-Occupational Managed Care Alliance, Inc. To Err is Human…and Deadly! A few years ago a seminal report was published by the Institute of Medicine. It concluded that medical errors caused 100,000 patient deaths per year. 90% of those deaths were due to procedural failures at medical institutions.
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OMCA-Occupational Managed Care Alliance, Inc. The Myth of “It will all work out”. ACT 1 – Managing medical costs often comes under fire from a variety of groups. Libertarians say we should all be responsible for our own decisions, some ( a lot) physicians resent any intrusion of case management, utilization review and the like and even a few insurance carriers say “it’s our money – we’ll spend it anyway we like”. To see Acts 2-4 click the link!
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OMCA-Occupational Managed Care Alliance, Inc. Is Care More No More? The Care More Pain Clinic…ahh, yes…where to begin? Recently Dr. Richard Albert, a physician at the Care More Pain Clinic in Paintsville, Kentucky pleaded guilty to the federal charge of conspiring to illegally prescribe some 50,000 Percocet. Albert was estimated to have prescribed more than 100,000 pills per month. Problem solved? Not so fast.
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OMCA-Occupational Managed Care Alliance, Inc. Healthcare’s One Percenters Much is being made in this political season of the 1 percenters – presumably those amongst us who make the most money- and who somehow have become tainted with this dubious vice. Healthcare seems to have its 1 percenters as well.
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OMCA-Occupational Managed Care Alliance, Inc. Here are some miscellaneous notes on narcotics in general and Kentucky in particular:
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OMCA-Occupational Managed Care Alliance, Inc. Utilization Review--A Nuisance or Cost Saver? UR, when done right; In many situations will convince providers early on to voluntarily withdraw a request. Communicating/suggesting revised treatment protocols saves money on denials/appeals and improves outcomes,
