Coverage - Workers' Compensation 

The annual network report card shows that the Alliance helps members control the costs associated with workplace injuries.  

Since the COVID-19 pandemic began, telemedicine has transformed from a fairly new concept to an essential form of treatment for public education employees. Learn more about this shift in usage and how to get started using telemedicine at your organization.

The better your organization understands the workers’ compensation system, the better equipped it is to take full advantage of the benefits. With that in mind, here are five things you need to know about workers’ compensation coverage.

Read this list of six common questions our claims professionals have fielded about coronavirus and workers’ compensation coverage.

Have you ever been in a situation where you, a co-worker, or an employee is injured or becomes ill on the job and panic settles in, leading to an emergency room (ER) visit for a minor issue? If so, you are not alone. The National Hospital Ambulatory Medical Care Survey estimates that between one-third and half of all ER visits are for non-urgent care. It is estimated that more than $18 billion could be saved annually if patients whose medical problems were not urgent visited a primary care office, urgent care center, or occupational health clinic.

The Alliance, a joint partnership network of five risk pools including the Fund, achieved high scores once again on the Texas Department of Insurance Workers’ Compensation Network Report Card. The report evaluated 17 medical networks on the basis of: health care costs; utilization; satisfaction; access; return to work; and health outcomes.

Are you curious about how your organization can implement telemedicine as a part of your Workers’ Compensation program? Learn more about what telemedicine is, the benefits of a telemedicine program, and how you can collaborate with a telemedicine provider to implement it at your organization.

The Fund helps employees get back to work after injury or incident, including teachers back in their classrooms to deliver quality education to Texas students. We’re there every step of the way to help your employees get the care they need without unnecessary costs.

About 10 miles east of Austin on Highway 290, just past a twisting network of toll roads, sits the once-rural community of Manor. Since 2000, attractive home prices have fueled a 650 percent population surge and transformed this blink-and-you-missed-it outpost into one of the country’s fastest-growing suburbs.

Employers that effectively manage employee absences often have systems in place to ensure workers’ compensation and leave benefits are coordinated. How do you do this? First, establish proper communication between the staff responsible for administering workers’ compensation, leave programs, and payroll.

The Alliance, a medical provider network consisting of five risk pools including the Fund, achieved high scores once again on the Texas Department of Insurance Workers’ Compensation Network Report Card. The report evaluated 16 medical networks on the basis of health care costs; medical utilization; access to care; satisfaction with care; return-to-work outcomes; and health outcomes.

The TASB Risk Management Workers’ Program works with the Political Subdivision Workers’ Compensation Medical Alliance (The Alliance) to provide medical care for injured workers. The Alliance has made improvements to their provider search on their website, making it easier than ever to find providers nearby.

One of your employees was injured while at work, so you rushed to file your First Report of Injury immediately. The claim is set up and the investigation is underway. Now you can relax and take care of other pressing issues. After all, if the adjuster needs anything further they will let you know – right?

When an employee is released to return to work with restrictions, the organization must consider whether there is an obligation to provide a reasonable accommodation in order to comply with the Americans with Disability Act.

We are proud of our efforts to keep costs down for members workers’ compensation claims and to process claims in a timely manner. Recently, the Texas Department of Insurance released two separate reports that acknowledge the Fund’s efforts to provide efficient service that also keeps costs under control.