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Top Doc Health Care Value


Our Top Doc Health Care Value strategy boosts employee and insurer well-being.

Have you ever heard the term “doctor’s doctor?” Those doctors are considered the best of the best — the ones that physicians go to based on doctor-to-doctor word of mouth. However, it can be difficult even for physicians to find the right specialists. And ordinary patients generally have little information to go on beyond practice reputation for courtesy, cleanliness and convenience.

The most effective workers’ compensation (WC) PPOs are not just about medical savings; they are about enabling people to receive the right care at the right cost and achieve the right outcomes. This is why it’s so important for WC PPOs — especially in states like New Jersey that allow patient steerage for life of claim — to create streamlined referral pathways to the best orthopedists.

“At Horizon Casualty Services, we have the most comprehensive WC data trove in the state, and more than 25 years of experience working with New Jersey musculoskeletal-focused providers. And we leverage these strengths to help our clients’ adjusters connect WC claimants to top orthopedists easily and efficiently,” says Ilene Wachs, President, Horizon Casualty Services, Inc. (HCS).

By leveraging the HCS OFN WC health care value strategy, WC insurers, self-insureds and TPAs achieve best-in-class results for WC claimants and all stakeholders by achieving best medical and return-to-work outcomes at the lowest cost.

“HCS is committed to its mission of working with medical providers and legislators to do what’s right for the long-term well-being of New Jersey employees and their families,” says Ilene Wachs. “That’s why HCS is New Jersey’s #1 WC and PIP PPO with largest market share, highest medical cost savings and a unique WC health care value strategy that decreases cost and improves outcomes of WC claims.”