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.
We are pleased to announce that Donn & Company will be exhibiting at NWCDC 2019 Annual Conference & Exhibition this November 6-8, 2019 in Las Vegas. Be sure to stop by our booth #2604 in the Exhibit Hall to learn more about how we competitively bid all managed care products including bill review, PBM, case management, […]Read more
Tuesday, July 9, 2019By Elaine Goodman The largest third-party claims administrator is about to get bigger: Sedgwick on Monday announced it is acquiring York Risk Services Group. York has nearly 5,000 employees in more than 60 offices across the U.S., as well as an international presence, the companies said in a news release. With the acquisition […]Read more
Tuesday, June 11, 2019By William Rabb Workers’ compensation carriers could be doing much more to scrutinize medical bills, something their health insurance brethren have done for more than a decade, health care industry analyst and consultant Joe Paduda told the National Council of Self-Insurers on Monday. Speaking at the NCSI’s annual meeting in Orlando, Florida, […]Read more
Monday, March 18, 2019By Elaine Goodman Benefit delivery costs account for about 15% of the total cost of workers’ compensation claims involving lost time and are divided nearly equally between medical cost containment and litigation expenses, according to new data from the Workers Compensation Research Institute. But benefit delivery costs varied among 18 states examined, […]Read more
Nurse Triage Process Draws Increased Scrutiny: Top [2018-07-10] Companies that are primarily providers of workers’ comp nurse triage services may have an incentive to recommend self-care for injured employees rather than an in-person or telemedicine visit to a doctor, according to one cost-containment company. But the seemingly cost-saving strategy can backfire and actually increase costs, […]Read more
David Donn quoted in Workers’ Compensation News – Calls Renewed for Managed Care Price Transparency…
12/13/17 …David Donn, Chief Executive Officer of managed care advisory firm Donn & Co., said that while some recent progress has been made in pharmacy-benefit manager pricing transparency, that hasn’t been the case for most PBMs or for bill review, preferred provider organizations and utilization review companies. “I’d say transparency, in general, is still given […]Read more
David Donn featured as a WorkCompWire Industry Leader with "Leaders Speak" article, The Commoditization of Medical Bill Review.Read more
David Donn featured as a WorkCompWire Industry Leader with "Leaders Speak" article, The Fallacy of ROI as a Measurement Tool.Read more
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…
Claims Administration/ADR Advisory
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