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
Court Orsborn: Presenting at AGRiP’s Fall Educational Forum, an event open to AGRiP member risk pools
Court Orsborn: “Next generation strategies for PBMs – from opaque to transparent in 60 minutes” It’s no small undertaking to review your PBM service components and financial structures, whether you use a PBM to support your pool’s health program, workers’ compensation program, or both. The tangle of pricing structures for drug discounts, rebates, formularies, clinical […]Read more
8/24/17 …Court Orsborn, president of Donn & Co. in San Francisco, said most of the managed care advisory firm’s clients are concerned about opioids, and many are expanding their efforts to address the issue. “This is definitely something all payers should look at,” Orsborn said. “It’s one of the clearest win-wins in comp, where more […]Read more
We are pleased to announce that Donn & Company will be exhibiting at NWCDC 2017 Annual Conference & Exhibition this December 6-8, 2017 in Las Vegas. Be sure to stop by our booth #1420 in the Exhibit Hall to learn more about how we competitively bid all managed care products including bill review, PBM, case management, […]Read more
Court Orsborn quoted in Workers Compensation News – WCRI: Reforms Have Had Limited Impact on Physician Dispensing
7/12/2017 …Court Orsborn, president of Donn & Co. in San Francisco, said physician dispensing can represent a significant percentage of some payers’ total prescription costs. Donn & Co. is a workers’ comp managed care advisory firm serving employers and carriers. “While there are certainly some situations where physician dispensing may be appropriate, the reality is […]Read more
Court Orsborn quoted in Workers Compensation News – PBMs Under Pressure to Provide Price Transparency
05/01/2017 …Although Alexander with PCMA said clients can specify how much transparency they want from their PBM, Orsborn said that may not be as easy as it sounds. “A lot of PBMs are reluctant to provide pricing ‘transparency,’” Orsborn said. “You may find yourself without many options if that’s your selection criteria. And transparency may […]Read more
David Donn: Demystifying Managed Care in Workers’ Compensation Programs May 17 – May 19, 2017 Indianapolis, IN By David A. Donn, CEO, Donn & Company This session will provide a basic overview of the distinctions between workers’ compensation managed care and group health. A high-level overview of some of the “hidden economies” will also be […]Read more
We are pleased to announce that David Donn Consulting, Inc. will be exhibiting at NWCDC 2016 Annual Conference & Exhibition this November 30- December 2 in New Orleans. Be sure to stop by our booth #1438 in the Exhibit Hall to learn more about how we competitively bid all managed care products including bill review, PBM, […]Read more
We are pleased to announce that David Donn Consulting, Inc. will be exhibiting at RIMS 2016 Annual Conference & Exhibition this April 10-13 in San Diego. This year’s event includes more educational sessions, three inspiring TED-style keynotes presentations, more networking opportunities and exciting events each day in the Exhibit Hall. Be sure to stop by our […]Read more
David Donn: Understanding the Hidden Economy of Medical Bill Review October 20, 2015 – 2015 NLC-RISC Staff Conference By David A. Donn, President, David Donn Consulting, Inc. This session will explore the medical bill review process for workers’ compensation claims and the costs associated with these services. Learn how medical bill review companies make […]Read more
David Donn Consulting, Inc., a workers’ compensation managed care advisory and research firm exclusively serving the employer community, announced that it has been retained by the City and County of Denver to assist with a workers' compensation vendor selection for medical bill review, PPO and PBM services.Read more
David Donn Consulting, Inc., a workers’ compensation managed care advisory and research firm exclusively serving the employer community, today announced that it has been retained by SUPERVALU to evaluate and restructure its workers' compensation managed care program. Founded in 1870, SUPERVALU currently has approximately 3,400 owned, licensed, franchised and affiliated stores across the country.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
David Donn Consulting, Inc., has been retained by VML Insurance Programs (VMLIP) to run and manage an RFP for Repricing services and perform ongoing DDC Model Audit and Enforcement.Read more
David Donn Consulting, Inc., has been retained by Oakland USD to evaluate and restructure its workers' compensation managed care program.Read more
David Donn Consulting, Inc., has been retained by Navistar to evaluate and restructure its workers' compensation managed care program.Read more
David Donn Consulting, Inc., has been retained by Albertsons LLC to evaluate and restructure its workers' compensation managed care program.Read more
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.
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