TASB Risk Management Fund

2019 Texas Department of Insurance (TDI) Network Report Card

October 29, 2019 Hiawatha Franks

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Fund’s medical network recognized once again for quality care

The Political Subdivision Workers’ Compensation Alliance (Alliance) achieved high scores once again on the Texas Department of Insurance Workers’ Compensation Network Report Card.

The Alliance is a medical provider network consisting of five risk pools including the Fund. These risk pools formed the Alliance in 2006 and cover the operating costs of the medical network. The Alliance contracts with high-quality medical providers throughout Texas. Because the Alliance focuses on quality of the network over quantity, it consistently delivers savings to network members through low cost; lower prescription drug use; and quicker return-to-work for injured employees. The Alliance exclusively serves the founding risk pools, serving more than 3,000 public employers and 500,000 employees.

The Network Report Card evaluated 17 groups, 16 of which are medical networks. The groups were rated based on health care costs; medical utilization; access to care; satisfaction with care; return-to-work outcomes; and health outcomes.

This year, the Alliance received the highest satisfaction with care in the report card, meaning that injured employees were highly satisfied with their treatment. The network has consistently received high scores compared to other networks and non-networks.

Some of the other accolades the Alliance received this year include:

  • Top tier performer in every category measured
  • Second highest access to care
  • Third highest overall satisfaction with medical care

The Fund’s partnership with the Alliance helps ensure that workers receive timely medical care from qualified health care providers who share common goals—providing quality care, treating according to nationally recognized treatment guidelines, and returning injured employees to work.

The measures presented in this report card were created using data gathered from a variety of sources, including:  

  • The Division of Workers’ Compensation medical billing and payment database
  • An injured employee survey conducted by the Public Policy Research Institute at Texas A&M University
  • A network data call issued by the Texas Department of Insurance

The Fund has experts who care and has consistently been recognized for excellence in Workers’ Compensation. To learn more about the Alliance, visit the Political Subdivision Workers' Compensation Alliance website or view the entire network report card.

Tagged: "Network Report Card", TDI, "Texas Department of Insurance", "the Alliance"