Services

  • Rightcoding

    35% of all WC medical bills should be manually reviewed for improper upcoding, generating 8-10 points of additional medical cost reductions. This is what drives superior bill review performance.

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  • Corporate Independence

    DDC is an independent advisory firm with no financial affiliations with any direct managed care providers or TPAs.

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  • Group Purchasing

    DDC leverages the combined buying power of its self-insured client base to achieve preferential pricing for all our clients.

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  • The Sentinel Effect

    To achieve superior financial performance, WC managed care programs must be continually audited just like claims programs.

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  • Finding Alpha

    DDC finds and extracts industry-beating financial performance, or “Alpha,” from your existing WC managed care vendor.

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  • Hidden Economies

    An ancillary profit center for claims administration, WC managed care is an opaque industry where vendors can capitalize on hidden fees and deliver suboptimal financial performance.

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  • The Emperor Has No Clothes

    The managed care industry knows its pricing and performance is broken, but won’t change without a vocal advocate for the self-insured payer.

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There are many moving parts and factors that lead to lost WC and PBM benefits dollars; DonnCo provides you with immediate and practical suggestions for bottom-line improvements to your program. DonnCo 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. The report provides a detailed discussion of how to implement cutting-edge strategies and obtain financial and operational efficiencies. DonnCo manages the implementation process to achieve maximum results through research-backed and database-supported negotiation, restructuring, and program enforcement.

Our Services

Program Evaluation
& Restructuring

There are many moving parts and factors that lead to lost WC and PBM benefits dollars; DonnCo provides you with immediate and practical suggestions for bottom-line improvements to your program. DonnCo 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.

Vendor Selection

DonnCo 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.

Claims Administration/ADR Advisory

DonnCo 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.

Customized Projects

The following are some examples of customized projects on which DonnCo can provide assistance:
-Identify and recapture managed care fee overcharges and overpayments to medical providers.