Prium and Providio Offering Clinical Medicare Set-Aside Reviews

Prium and Providio MediSolutions said Tuesday they have joined forces to deliver a Medicare set-aside clinical review service that calculates future medical and pharmacy costs of workers’ compensation claims and also reduces medical costs by recommending changes to treatment plans and drug regimens while overseeing their implementation.

"Providio chose to partner with Prium to deliver additional value to clients in situations where the initial MSA calculations are high, and we feel Prium's physician-to-physician intervention will reduce the overall MSA cost and enhance claimant care,” said Ginger Susman, chief marketing officer for Providio.

With MSA-CR, Prium’s physicians review a case and use evidence-based medicine and treatment guidelines to discuss alternate treatment options with the treating physician, the company said in a press release.

"Treating physicians tend to give more credence to other physicians,” stated Mark Pew, Prium's senior vice president of business development. “In 62% of our cases, our physicians obtain the treating physician’s agreement on a new treatment plan.”

Source: Prium and Providio MediSolutions