Workers Compensation Managed Care Consulting

About Donn & Company

Founded with inside knowledge of all the industry’s intricacies and hidden economies, Donn & Company has been helping self-insured employers change or add workers’ compensation managed care (medical bill review, PPO, case management, UR and PBM) and group health PBM service providers since 2002.

Donn & Company is the first fully independent Workers’ Compensation managed care advisory and research firm exclusively serving the employer community. We provide program evaluation, vendor selection, and restructure/audit services. Our clients are full and partially self-insured Fortune 500 corporations and prominent public agencies including school districts, cities, counties, transit agencies and JPAs.

Our Services

Program Evaluation
& Restructuring

There are many moving parts and factors that lead to lost WC and PBM benefits dollars; Donn & Company provides you with immediate and practical suggestions for bottom-line improvements to your program. Donn & Company introduces product transparency and demystifies program design, pricing structure, options and performance thresholds giving you the knowledge to make informed decisions to improve your program.
A report is provided to you specifically discussing areas for financial and operational performance improvement…

Vendor Selection

Donn & Company helps you evaluate, select, negotiate, implement and monitor the highest-performing, most cost-effective managed care service providers (bill review, PPO, UR, case management, PBM and MPN services) for your program based on vendor and product strength, performance, people, and price. VSS leverages DonnCo.’s group purchasing power, proprietary research and insider knowledge and expertise, and covers RFP development and issuance, customized candidate evaluation and scoring…

Claims Administration/ADR Advisory

Donn & Company advises self-insured municipal and corporate entities on bundled and unbundled claims/managed care program restructurings and vendor selections.  Understanding the hidden economies of both claims and managed care, we ensure that your bundled program is optimized in all areas, and that improvements to one service line are not lost through slippage in another.  We provide superior expertise in all areas of claims program operational and financial performance, as well as ADR program advisory and development.


  • Donn & Company has helped us achieve a 3 percentage point increase in our medical bill review savings (a roughly 10% overall reduction to our medical costs) and a 45% reduction to our per bill rate in our first year using the DonnCo Model. In addition, DonnCo audits our program on an ongoing basis and drives performance by working on our behalf with vendors to expand PPO participation, evaluate network order and ensure that the most qualified staff are assigned to our account. DonnCo has taught us so much about the bill review industry and how they make money at their clients' expense - we could never have achieved these results without DonnCo.

    Steve Craig Managing Director, VML Insurance Programs

  • Donn & Company was instrumental in negotiating program performance improvements that resulted in a cost avoidance in excess of $2 million over the first year of the program (a full 800-basis point gain) If you think you've wrung out all the savings from your managed care program, think again. Working with David Donn is like getting an MBA in this often overlooked area in the workers' compensation arena. I recommend him without reserve.

    Michael J. Tilley Former Vice President, Workers' Compensation, Kelly Services, Inc.

  • By maximizing our managed care savings, DonnCo assisted the MTA in closing a $29 million budget gap.

    Jeffrey Gary Former Manager, Workers' Compensation, SFMTA

  • We are running about 15 percentage points higher in gross savings since bringing DonnCo on board, and we achieved very substantial savings in the first year. Our savings has increased more in the second year compared to the first. Beyond the cost savings, DonnCo has worked with me on ways to improve the operations of bill review, etc. In addition, they have worked on subsequent engagements and reviewing of vendors in the area of pharmacy networks, and nurse case management. They are a great resource and subject matter expert that is great to have when my internal resources are very limited.

    Mark Field Former Risk Manager, Raley’s Supermarkets

  • DonnCo, Inc. has been instrumental in assisting us in oversight of bill review, case management and UR, and has provided data and support that has enabled us to negotiate more favorable rates and reporting formats from our vendors in those areas. As a result of their efforts, we have realized over $24M in savings and fee improvements since 2004.

    Kathy McLean Workers' Compensation Claims Manager, CSAC Excess Insurance Authority