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PARSIPPANY, N.J.--(BUSINESS WIRE)--One Call Medical, Inc. (OCM), the nation’s leading provider of specialty services to insurance payers, today announced that it has delivered more than $2 million in diagnostic radiology savings to Group & Pension Administrators, Inc. (GPA) and its self-funded group health clients. OCM offers a complete turnkey solution to manage diagnostic radiology costs, quality, and efficiency, while also providing patient advocacy services.

“For our existing clients, we used historical data to show their projected savings with OCM. For new groups, we showed the average savings over the block of business using the program. With proven results, it became a ‘no brainer’ for clients to sign up”

GPA has long provided exceptional healthcare benefit management to self-funded employers. Kathy Enochs, chief operating officer at GPA, commented on OCM’s diagnostic savings program: “Today, controlling healthcare costs is a national priority. About two years ago, we realized diagnostic radiology costs were rapidly rising and decided to partner with OCM to apply cost containment to imaging services, such as MRIs, CT, and PET scans.”

“Within healthcare, a vast majority of diagnostic scans are not performed by a specialty network like One Call Medical,” said Don Duford, CEO of OCM. “As a result, health plans, plan sponsors, and patients do not realize the full cost, quality, and service benefits that are available. Patients may receive scans that are poor in quality or experience delays in receiving test results. As such, these ‘out of network’ tests can negatively impact care.”

The savings, quality and service benefits of the OCM diagnostic program have been well received by GPA and its clients. OCM has helped GPA expand the program to more than 80 percent of its client base, providing promotional and educational material.

“We initially rolled out the program to our own self-funded plan covering our employees,” said Enochs. “We received positive feedback about the ease in using OCM, so we began to offer the program as an option to our entire book of business. We compared our clients’ historical claims data to OCM results and saw that we were achieving immediate and significant savings—an average 67% reduction across our book of business resulting in more than $2 million in savings.”

A large part of GPA’s success was using data to demonstrate the effectiveness of the program. “For our existing clients, we used historical data to show their projected savings with OCM. For new groups, we showed the average savings over the block of business using the program. With proven results, it became a ‘no brainer’ for clients to sign up,” said Enochs.

Another reason behind the program’s success was easy implementation. With no access fee or per-member-per-month fee, GPA’s clients simply added OCM’s toll-free number to their member ID cards. Clients have the flexibility to design the program to empower plan members to make decisions that ultimately reduced their out-of-pocket expenses.

OCM also provides advocacy services, which serve to walk patients through the diagnostic scheduling process. Patients receive guidance on selecting quality, cost-effective providers conveniently located to their home or work. OCM care coordinators enhance patient service by facilitating same-day scheduling of exams, an open dialogue between provider and patient, and a greater understanding of the imaging procedure that will be performed. In addition, with stringent provider credentialing, OCM imaging facilities are ensured to provide quality, accurate diagnostic information, which leads to appropriate diagnosis, effective treatment, and better overall care.

About OCM Group Health

One Call Medical, Inc. (OCM) offers a turnkey group health solution for diagnostic radiology management, which provides access to credentialed radiologists, reduces the cost of diagnostic scans, and ensures superior service delivery to all parties, including third-party administrators (TPAs), employers, and patients. As an industry thought leader, OCM is focused on meeting the needs of the group health market by helping to contain the rising costs of diagnostic radiology in healthcare. In particular, OCM is a premier provider of diagnostic management programs in partnership with TPAs. Clients reap significant value and savings without having to entirely revamp plan design or transfer costs to consumers. Instead, patients benefit from high quality testing, which leads to improved care and overall satisfaction.

About One Call Medical, Inc.

One Call Medical, Inc. (OCM) is the nation's trusted partner, delivering a suite of easy-to-use, efficient and cost-effective specialty services that help claim professionals achieve superior outcomes. We provide the experience and reliability that optimizes each claim, setting the standard in innovation, customer service, and dependability.

When the management of every claim makes the difference to your bottom line, you can depend on OCM to provide easy, fast, and effective solutions. Through OCM's specialty diagnostic, transportation, translation, interpretation, and dental network services, our customers benefit from access to fully credentialed providers, prompt scheduling of services, and improved care.

Whether you are a payer, provider, injured worker, or patient, OCM’s specialized and consultative programs offer superior service delivery and value. With One Call Medical, better medical outcomes are only one call away.

For additional information regarding One Call Medical, Inc., please contact:

One Call Medical, Inc.
20 Waterview Blvd.
Parsippany, NJ 07054

Contacts

One Call Medical, Inc.
Bill Colacurcio
973-316-3718
Bill_colacurcio@onecallmedical.com
www.onecallmedical.com
or
Media Contact:
Scott Public Relations
Joy Scott
818-610-0270
joy@scottpublicrelations.com