What can University Hospitals CompCare do for self-insured employers?
University Hospitals CompCare helps self-insured employers establish qualified health plans (QHPs) to improve the quality and efficiency of medical management for work-related injuries and illnesses. Much like our MCO program, our approach to QHP involves assigning a customer service representative, nurse case manager and provider relations staff member to each employer. We process the claims, administer the medical management and return-to-work programs, and coordinate our efforts with medical providers and the employer or its representative on claim allowance issues to ensure a smooth process. Establishing a QHP is optional for current self-insured employers but mandatory for newly self-insured employers. Because self-insured employers do not pay into the state fund in the same manner as state-fund employers, the self-insured are financially responsible for all services related to the QHP. The Ohio Bureau of Workers’ Compensation has many specific criteria for the QHP design and appl