Workers' Compensation - Pharmacy Benefit Management (PBM)

Northwood is committed to helping injured workers and workers’ compensation carriers with all their home health care needs.

With one call, Northwood can coordinate the home care needs of an injured worker whether the injury is minor or catastrophic.  Northwood has been a trusted partner bringing their clients superior results.  From savings to member satisfaction, Northwood is the industry leader.

Northwood Home Care Services

• Durable Medical Equipment, Prosthetics, Orthotics and Medical Supplies
• Pharmacy
• Home Health Care
• Home Modification
• Transportation
• Translation

Northwood Solutions

• Convenient access to a nationwide network of credentialed providers
• Provider Network Management
• Utilization Management
• Electronic Claims Processing and Claims Management
• Customer Service Management
• Discounted Fee Schedule
• Pre-authorization Process
• Centralized Call Center
• Easy Referral Button – Online Referral Process – No Password Required
• Walk-in and Home Delivery Services

Results

• Significant Savings
• Member Satisfaction
• Claims Accuracy
• Customized Reporting and Analysis
• Pre-determination of Work Relatedness

Northwood is an expert in the home care products and services industry.  Whether you’re an injured worker, a workers’ compensation carrier, or a claims adjuster/case manager we are here to help. Give us a call at 1-800-447-9599 and we will show you how easy it is to provide high-quality home care products and services at competitive prices.

Auto No Fault Pharmacy Benefit Management

Northwood has an extensive history of being an integral part of a number of health plans benefit administration for durable medical equipment, prosthetics, orthotics and medical supplies (DMEPOS).

Health plans, whether large, small or self-funded, have looked to Northwood to assist in the effective administration of their DMEPOS benefit to provide significant savings and member satisfaction. Pharmacy Benefit Management (PBM) programs have allowed health plans to achieve greater cost control in the area of pharmaceuticals.

Northwood has modeled its DMEPOS administration after the strengths of the PBM strategy.  Similar to what a PBM does for managing pharmacy benefits, Northwood does for the management of DMEPOS benefits.  Our Durable Medical Equipment Benefits Management (DBM) model creates a transparent program that enhances the value of DMEPOS benefits, while reducing overall costs and improving patient care.

Northwood offers health plans tailor-made solutions to best address their organization’s specific DMEPOS management, payment processing and cost containment goals.  Some of our solutions include:

Provider Network Management

• Over 5,800 U.S. and Puerto Rico Provider Locations
• Accredited, Credentialed and Contracted
• Independent and Hospital-based Local Providers
• Extensive Retail Access
• Volume Pricing Discounts
• Negotiated Fee Schedule

Utilization Management

• Pre-authorization
• Rent-to-purchase, Capped Rentals
• Appropriate Equipment/Supplies for Medical Need
• Appropriate Quantities, Duration and Features
• Reduce Not-Otherwise-Classified Charges

Member Service Management

• Dedicated Toll-free Call Center Access; 24/7
• Local and National Networks
• Member Satisfaction Monitoring and Reporting
• Language Interpreter Services

Claims Management

• Paperless Claims Adjudication
• Electronic Payments
• Medicare Administration Experts
• EOB Statements
• HIPAA Compliant

Northwood’s DBM Results 

• Significant Savings on DMEPOS Expenditures
• Increased Member Satisfaction
• Claims Accuracy
• Comprehensive Reporting and Analysis

Northwood’s team of DMEPOS benefits management experts are ready to employ their ‘highly-managed, high-touch’ DBM delivery model to meet your goals in today’s healthcare marketplace. We encourage you to contact us at 1-877-684-9276 or by e-mail at info@northwoodinc.com for a personal consultation and presentation.

Workers Comp Pharmacy Benefit Management

Northwood has an extensive history of being an integral part of a number of health plans benefit administration for durable medical equipment, prosthetics, orthotics and medical supplies (DMEPOS).

Health plans, whether large, small or self-funded, have looked to Northwood to assist in the effective administration of their DMEPOS benefit to provide significant savings and member satisfaction. Pharmacy Benefit Management (PBM) programs have allowed health plans to achieve greater cost control in the area of pharmaceuticals.

Northwood has modeled its DMEPOS administration after the strengths of the PBM strategy. Similar to what a PBM does for managing pharmacy benefits, Northwood does for the management of DMEPOS benefits. Our Durable Medical Equipment Benefit Management (DBM) model creates a transparent program that enhances the value of DMEPOS benefits, while reducing overall costs and improving patient care.
Northwood offers health plans tailor-made solutions to best address their organization’s specific DMEPOS management, payment processing and cost containment goals. Some of our solutions include:

Provider Network Management

• Over 5,800 U.S. and Puerto Rico Provider Locations
• Accredited, Credentialed and Contracted
• Independent and Hospital-based Local Providers
• Extensive Retail Access
• Volume Pricing Discounts
• Negotiated Fee Schedule

Utilization Management

• Pre-authorization
• Rent-to-purchase, Capped Rentals
• Appropriate Equipment/Supplies for Medical Need
• Appropriate Quantities, Duration and Features
• Reduce Not-Otherwise-Classified Charges

Member Service Management

• Dedicated Toll-free Call Center Access; 24/7
• Local and National Networks
• Member Satisfaction Monitoring and Reporting
• Language Interpreter Services

Claims Management

• Paperless Claims Adjudication
• Electronic Payments
• Medicare Administration Experts
• EOB Statements
• HIPAA Compliant

Northwood’s DBM Results 

• Significant Savings on DMEPOS Expenditures
• Increased Member Satisfaction
• Claims Accuracy
• Comprehensive Reporting and Analysis

Northwood’s team of DMEPOS benefits management experts are ready to employ their ‘highly-managed, high-touch’ DBM delivery model to assist your health plan meet its goals in today’s healthcare marketplace.  We encourage you to contact us at 1-800-447-9599 or by e-mail at info@northwoodinc.com for a personal consultation and presentation.