Workers' Comp

Actionable Analytics Deliver Smarter Outcomes

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Problem

A national carrier did not have their network hierarchy fully optimized in all states. Enlyte analyzed their bill data to forecast where additional savings could be realized based on network performance within the Enlyte book of business.

 

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Solution

A dynamic set of owned networks and strategic partners was recommended to include: broad-based networks, out of network, specialty and negotiations to achieve optimal outcomes in all states.

 

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Outcome

Enhancing their network performance was a driving factor of increasing their per bill savings by $187.56 or 25%. The network savings and penetration by state is an ongoing actionable insight provided in the real-time dashboard.

 

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38% increase in Coventry PPO savings

 

11% additional savings in Apricus Specialty savings

 

41% increase in overall PPO savings
 

 

We appreciate Enlyte’s continual growth as they add new companies and offerings. The affiliation with Coventry and Apricus has added efficiency and synergy to our program and is a major asset to us.

 

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