California State Fund to Launch Revolutionary UR tool in Partnership with Conexia
State Fund’s new UR Connected solution, developed in partnership with Conexia Inc., will empower doctors to provide expedited care for injured workers and demonstrate how innovative technology can improve efficiency and quality of care in California’s workers’ compensation system.
Pleasanton, CA—State Fund announced today that it will soon launch a revolutionary utilization review (UR) technology called UR Connected. The system will dramatically speed up the approval process for most UR requests and help physicians treat their patients faster and more effectively. By providing physicians with real-time approvals in most cases, UR Connected will help injured workers return to work as quickly as possible. The technology will also reduce the administrative burden felt by physicians during the current UR process.
During UR, an insurance administrator reviews treatment recommendations for an injured worker requested by his or her doctor, as required by California law. UR Connected leverages Conexia’s real-time point-of-care technology to respond to most UR requests in seconds, rather than days (as is often the case today).
UR Connected maintains State Fund’s current UR standards and will ensure that patients continue to receive evidence-based care that is proven to work.
“UR Connected will speed up medical care for injured workers and reduce the administrative burden on medical providers while maintaining the quality of care standard adopted by California,” said State Fund President and CEO Vern Steiner. “This will help eliminate many of the concerns we hear expressed by injured workers and providers today, and we believe it will ultimately enable us to allow providers more discretion to develop individualized treatment plans without increasing the risk of abuse that has plagued the California workers’ compensation system.”
State Fund is revolutionizing healthcare delivery in California workers’ compensation with this innovative end-to-end solution. Beginning this summer via key access points such as direct integration services and a web-based portal, medical providers will be able to connect with State Fund in real time—a first for workers’ compensation carriers in California.
“Interoperable healthcare delivery, the idea of providing relevant information in real-time at the point-of-care, is an idea whose time has come,” said Conexia Chief Executive Officer Luis Navas. “We are very pleased to have the opportunity to partner with State Fund to deliver on this idea by bringing our state-of-the-art solutions to California’s complex workers’ compensation system.”
In addition to all of the benefits UR Connected will deliver to patients and doctors, the system will also improve State Fund’s claims efficiency and, over time, help direct more premium dollars toward patient care.
For information about Conexia Inc., please visit www.conexia.com.
Conexia is a technology services provider with over twenty years’ experience transforming healthcare delivery. Conexia’s innovative real-time point of care model enables more efficient administrative processes, meaningful collaboration between patients, providers, and payers, and measurable improvement in claims outcomes. Conexia Inc. is headquartered in Texas, with a California Center of Excellence in Pleasanton.