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Texas Health Care Network (TX HCN)
Comprehensive State-Certified Managed Care Plan for Texas Insurers
Advance your claims strategy with Coventry’s certified statewide Texas HCN solution, designed to reduce claim spend, improve return-to-work outcomes and simplify implementation.
With PPO savings, tighter medical oversight, and proven return-to-work results, the Texas HCN model provides predictable cost containment while delivering quality care.
12-14% PPO Savings
7-10% Higher RTW Rate
11% Higher Employee Satisfaction
16% Faster First Treatment
Why Choose Coventry’s Texas Health Care Network?
Coventry’s Texas HCN delivers a clear advantage over traditional workers’ compensation programs. With certified network participation, payers gain access to PPO discounts below the state fee schedule, structured provider oversight, and expanded preauthorization protocols—driving immediate and sustained cost savings.
19 years of expertise in the Texas HCN
Serving 15k+ injured employees each year
Certified in all 254 Texas counties
The HCN model strengthens control at every stage of the claim: network doctors follow occupational medicine guidelines, referrals are coordinated through a gatekeeper and nurse case managers engage early to support faster recovery. Employers benefit from fewer delays, more predictable care and stronger return-to-work results.
In contrast, non-HCN claims face higher medical costs, longer durations, and less administrative oversight. For insurers and self-insured employers in Texas, choosing a certified HCN is not just smart—it’s strategic.
This side-by-side comparison shows the advantages of Coventry’s Texas HCN versus non-HCN claims—from lower medical spend to faster return-to-work outcomes. These results are driven by network-only provider access, structured referrals, mandatory case management, and pre-negotiated discounts below the state fee schedule.
Non-HCN claims? Higher costs, open referrals, minimal oversight, and longer durations. Explore the chart to see how the certified HCN approach leads to predictable savings, better oversight and stronger results.
HCN Implementation Without the Complexity
Coventry has been delivering Texas HCN solutions since the program’s inception. We understand the process, the paperwork and the path to success. Our experienced team simplifies every step of implementation—supporting carriers and their employer clients with the administrative details so they can focus on results.
While compliance requirements are part of any certified program, Coventry makes it easy to get started. Our proven approach removes complexity and helps you capture the full value of HCN participation: lower costs, stronger oversight and faster return-to-work outcomes.
Texas HCN Knowledge Center
Build your knowledge of state-certified managed care plans with these additional resources to explore real results and expert perspectives shaping workers’ comp in Texas.
Get More from Your Texas Claims
Talk with an Enlyte expert about how the HCN can fit your claims strategy.