PMA Management Corp. | Medical Savings Program

Medical Savings Program

Medical inflation puts a strain on everyone's bottom line. That's why PMAMC invests in numerous programs to increase your cost-savings. We understand the link between escalating medical costs, higher insurance rates and overall business costs-and how innovative medical savings strategies can reduce the financial impact on your business.

Superior Medical Management — PMAMC's Case Managers are registered nurses, most with Certified Case Manager designations. Medical case management begins within 24 hours after injury notification. Our three-tier management strategy includes telephonic case management, on-site management for complex workers' compensation injuries, and for catastrophic case management, we partner with a nationally recognized specialist.

Preferred Provider Networks (PPN) — PMA Management Corp. provides injured workers with access to a network of carefully credentialed providers who offer quality medical care at preferred rates. PMAMC's PPN includes a broad network of hospitals and medical providers, so injured workers have many providers from which to choose. We also offer our clients the option of nominating new providers to our network..

Medical Bill Review — Our multi-step program is designed to realize savings by identifying appropriate medical charges. PMAMC's Customer Service Center and medical bill repricing software review all medical bills. Bills with more complex coding combinations and clinical reports are reviewed by our Medical Cost Containment Team of Coding and Nursing Professionals.

Out-of-Network Negotiation Program — Our Out-of-Network Negotiation Program targets costly medical bills from providers that are outside of our Preferred Provider Network Program, often generating additional savings below submitted charges, traditional state fee schedule rates, or usual and customary charges on these bill types. Enhanced savings are achieved on medical bills received for ambulatory surgical services, outpatient hospital services, inpatient hospital services, durable medical equipment, emergency room treatment and ambulance services.

Pharmacy Benefits Management Program - Our program helps to address rising prescription drug costs by providing discounts on drugs at over 50,000 pharmacies nationwide. Injured workers can access an array of pharmacies and incur no out-of-pocket costs.