Discover how the right provider network leads to better claim outcomes.

Careworks isn’t just another PPO.

We’re a purpose-built managed care solution for workers’ compensation payers who demand more. Our proprietary network of over 900,000 providers is curated specifically for occupational injury care — delivering precision, performance and value.

 

We go beyond access to deliver outcomes that matter for your clients, your adjusters and your bottom line.

45%

average savings on 
injured workers’ care

$500

average savings per medical bill

82%

medical bill penetration

.03%

dispute rate, versus the industry average of 0.8%

Localized strategy, national strength

For over 40 years, our belief in local healthcare has driven our approach to PPO networks for workers’ comp. We’ve reimagined the traditional PPO model to deliver regionally optimized access, customized configurations and measurable savings that outperform national averages. Our network structure blends best-in-class savings and penetration — not just nationally, but precisely where you need it most. With our flexible, data-driven model, clients can align network access with their population’s geographic footprint. Our localized precision translates into:

•  Greater network penetration at preferred rates

 

•  Improved provider access in complex jurisdictions

•  Simplified administration for adjusters

 

•  Stronger policyholder satisfaction and retention

Workers’ comp PPO networks tailor-made for you

Our PPO strategy isn’t one-size-fits-all. We build custom network mosaics by state or region, combining:

Direct contracts through our proprietary Careworks PPO

Dynamic network optimization for increased savings and penetration

State-certified networks that meet jurisdictional and compliance standards

Specialty network for telemedicine, diagnostics, durable medical equipment (DME), home health and more

We focus exclusively on the contracts that deliver the best results for you and bottom line. Our business rules operate at the provider level, ensuring the deepest discounts are prioritized — especially at high-cost facilities like hospitals and ambulatory surgery centers.

Beyond network access

Our PPO solution is built around exceptional service, unmatched flexibility and personalized support. We don’t just deliver access; we deliver attention. Our dedicated PPO support team works closely with each client to understand their unique needs and provide tailored solutions that drive results.

 

To complement our PPO offering for carriers, we provide a comprehensive suite of services, including:

•  Custom panel development: Thoughtfully designed provider panels that align with your goals

 

•  Out-of-network negotiation: Expert tactics that reduce costs and expand access

 

•  Bill review integration: Streamlined workflows, turnkey access and greater efficiency and cost containment

 

•  Assurance of network integrity: Perpetual data validation and provider credentialing

 

•  Repricing solutions: Flexible, client-specific strategies that maximize savings

With Careworks’ PPO solutions, you get more than a network. You gain a strategic partner committed to you, your clients and employees. Let us show you how Careworks can elevate your workers’ compensation program.

Connect with Careworks – your workers' comp PPO experts.