Majoris Health

Majoris Health Systems is a strong partner for those in the workers’ compensation system. Our mission is to expedite the return of injured workers to their lives and careers, while simplifying processes for insurers and achieving substantial savings. We facilitate high quality care for effective treatment, quick return to work and reduced costs. Our model relies on provider networks developed exclusively for the unique demands of workers’ compensation patients, a proactive collaborative framework, and utilizing board-certified physicians for all medical decisions.

Workers

Worker care is at the heart of what we do. Our commitment to injured workers is that they will receive the right care at the right time by medical experts who understand the unique needs of a work injury. We know having an injury is stressful and brings in many unknowns. Majoris provides an assigned representative dedicated to providing support navigating the medical needs related to a workers’ compensation claim.

Providers

Majoris’ network providers are valued partners, and our framework is developed to encourage collaboration to deliver best-in-class care to our enrolled workers.  Our team is committed to supporting network providers in navigating the workers’ compensation framework and developing treatment plans supported by evidence-based guidelines.

Insurers

Our job is to make yours easier – we adjust to fit your program’s needs, with dedicated claims specialists and solutions calibrated to your needs. We follow care proactively and engage with treating providers collaboratively, using years of workers’ compensation experience and board-certified physician reviewers for all medical decisions. The result is better care, swifter recovery, and reduced cost.

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Worker Resources

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Provider Resources

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Adjuster Resources

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Majoris offers a unique medical review process that ensures high-quality care from enrollment to resolution. We proactively monitor key events, maintain regular communication with claims adjusters and managers, and leverage our physician reviewers to handle complex cases. Our approach includes:

  • Proactive File Review Medical Management
  • Medical Treatment Reviews by Board-Certified Physicians
  • Evidence-Based, Peer-Reviewed Guidelines
  • Physician-to-Physician Treatment Collaboration

Additionally, we address common concerns within the workers’ compensation system with innovative programs like our prospective opioid management and sprain/strain programs. This ensures treatment plans and physical restrictions are informed by objective findings, are focused on the work injury, and incorporate a progressive return to work and life activities. The result is higher quality care and significant long-term savings.

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Better networks create better results.

Majoris is selective in the providers we partner with, seeking those who understand the unique demands of treating workers’ compensation patients and who meet high credentialing standards. Our provider relations staff keeps in close contact with our providers to support strong relationships, providing training on workers’ compensation best practices and outreach on individual cases experiencing administrative stall-outs.

When there are questions about treatment, providers can expect to speak with a board-certified physician with a background in treating injured workers. Our outreach is centered on collaboration, with the goal of finding the right treatment plan for each patient’s unique needs.

Credentialing

Credentialing goes beyond confirmation of licensure and malpractice history – we look at past treatment records to ensure there is evidence of sound medical reasoning, reliance on objective medical findings and integration of daily activities and work into the overall rehabilitation plan.

Best Practice Standards

To support their responsibilities as a provider of care to injured workers, Majoris developed a series of guidelines, protocols and techniques to facilitate efficient delivery of care within the workers’ compensation framework. This includes support of other stakeholders’ responsibilities.

Our provider manual offers a road map of best practice, streamlining the flow of required information to reduce effort and administrative burden for all. Our treatment guidelines are derived from evidence-based medicine and specific to the workers’ compensation patient population when the data is available.

All network providers have committed to following these best practices, and our provider relations team provides hands-on support when needed to ensure information is received and timelines are met.

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We utilize sophisticated IT solutions, featuring customized programs and advanced data interfaces. The result is seamless collaboration with all stakeholders and high data integrity. Our cutting-edge technology streamlines operations, enhances communication, and drives effective collaboration.

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