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900 West Valley Road, Suite 300
Wayne, PA 19087


888.853.6412
www.kingstree.net
Note from Kingstree
The Kingstree Group, Inc., a disability management firm, was founded with a single-minded
drive, to deliver a better service than our competitors and to save our customers money. We do
that every day, skillfully, efficiently and consistently.

At the Kingstree Group, the employer is our customer. Our proprietary medical service
delivery platform focuses on achieving positive outcomes and significant savings for our
customers.

Our commitment to our customers allows them to manage the cost of their risk without
jeopardizing the integrity of care required for their employees.

The Kingstree staff comes together with a variety of uniquely qualified backgrounds and
wealth of experience to deliver a service model that is unmatched by our competitors. We
understand the need for a custom fit and provide it. We know that “customer service” is not
just a buzzword and deliver it. We believe in our programs and people and it shows.

We invite you to call us to find out how to make the Kingstree difference work for you.
Work Solutions
                                                           Triage
                          “Medical drives Indemnity”…It’s become a catch phrase in managed care.
                              We at the Kingstree Group Inc. however understand the impact
                                       on you, your injured worker, your bottom line.
                                                     Our triage team:
	   	   •   The first step in setting the course for claims resolution
	   	   •   Identifies the issues and develops the most expeditious plan for the claim from day one
	   	   •   We do it every day, every claim, expertly, seamlessly and efficiently
                                                        Predictive Modeling
                                            “20% of claims represent 80% of the costs”
	   	   •   Science, evidence based questions were identified to measure claim cost and longevity
	   	   •   Psychosocial indicators are inherent in the process and show predictive patterns with certain claim outcomes
	   	   •   Early identification allows early intervention for medical resolution
	   	   •   Predictive medical data mining means better medical outcomes and thus better claims outcomes
                                                   The 80/20 rule demystified.

                            Telephonic Disability Management
                               Triage identifies the issues and our telephonic division establishes
                                       the plan to resolve them, expertly and seamlessly.

	   	   •   Immediate identification of and plan for medical and claims issues
	   	   •   Reserve detailing that saves you money
	   	   •   Compliance to recommended course of action
	   	   •   Return to work timeline, clearly and concisely detailed and achieved
	
                                         Exceptional communication… a pre-requisite.

                                              Field Case Management
                                      The most difficult balance to achieve is the transition
                                       from telephonic disability management to the field.

	   	   •   Field team staff ready when and where needed
	   	   •   Manage the cost of the risk without jeopardizing the integrity of the care needed
	   	   •   Quick response in coordination with telephonic counterparts – seamlessly
	   	   •   Clear, concise, goal focused communication with your entire team
	
                                      Creatively and efficiently managing care… expected.

                                     Network Management
                                       Creative implementation of specialty networks that
                        cut your costs and streamline targeted, specialized care for your injured worker.

	   	   •   Increased network penetration
	   	   •   Exceptional treatment results – consistent follow up
	   	   •   Focus on results…increased productivity and decreased costs
	
                                             Finding the “right” provider… a must.
FMLA
                             Kingstree works directly with internal HR, General Counsel or other designees
                                                   to structure the optimal program.

	   	   •   Data analysis to identify appropriateness of the leave request
	   	   •   Seamless coordination of information
	   	   •   Clear, fast and comprehensive reports
	
                                                 Determining appropriateness… critical.

                                          Short/Long Term Disability
                                   Kingstree understands the policy driven issues that drive your costs
                                                    and endeavors to resolve them.

	   	   •   Analysis of the policy constraints so that only appropriate steps are taken
	   	   •   Customized programs based on the policy constraints and claim specific issues
	   	   •   Custom plan with report to resolve/mitigate the issues
	
                                                      Policy constraints… a reality.

                                                             At Risk Claims
                                           When questionable claims/treatment are an issue,
                               Kingstree will immediately identify high risk medical issues and behaviors.

	   	   •   Clear multi-option strategies are outlined
	   	   •   Unnecessary or inappropriate claims are swiftly identified
	
                                                 Ability to see the “red flags”… essential.




        KBIZ
                                     Our experience produces superior results...
                                    our technology provides superior performance
                              K-Biz, the proprietary internal web application for the Kingstree Group Inc.:

        •	Developed to increase the speed of information                •	System modification can be done with less
           gathering to manage claims                                       cumbersome programming and thus more
        •	Designed to create a central information point                   efficiently
           for multiple users to handle medical/claims data              •	Standard and customized reporting for our
           seamlessly; internally or remotely                               clients
        •	Utilizes a scripting language that allows for                 •	 User friendly environment
           flexibility of technology integration                         •	 Secure data storage
Kingstree Service Delivery Platform
    Goal: Implement an innovative, customized strategic medical management platform that will directly reduce
    workers compensation losses. This results driven approach will dramatically impact your claims.




                       HOW IT WORKS
                            CUSTOMER                     THE TEAM                  ADJUNCT TEAM



                                                      KINGSTREE                 Claims Data Management

                                                                                Pro-tailored Provider Panels

                                                                                Specialty Networks
                                                                                • Pharmacy Benefit Managers
                                                   BROKER / AGENT               • All therapies
                                                                                • Durable Medical Equipment
                                                                                • Drug testing
                                                                                      - post accident
                                                                                      - medication compliance
                         ULTIMATE CONTROL              CLAIMS                   • Language Services
                                                      ADJUSTER




                                                Your Cost Controlled
	    • Average Indemnity Costs: Kingstree’s collaborative approach on early medical and return to work strategies
    	
       reduce average indemnity costs up to 50% per claim.
	   	• Average Medical Costs: Kingstree’s collaborative approach involving ongoing medical management has
        proven to reduce medical utilization and duration. Average medical costs on indemnity claims are reduced by
    	   up to 50% per claim.
	   	• Identify Hidden “Benefit Delivery” Costs: Benefit Delivery services such as out of network medical
        management and legal related costs can be up to 25% of the total loss. Drive down average costs per claim
    	   up to 20% for benefit delivery services and target proactive management strategies.
	    • Medical/Indemnity Claim Split: Early claim and medical management initiatives reduce claims paying lost
    	
	      time benefits up to 25%.
	   	   •   Claims Closure Rates: Early medical and return to work strategies increase the percent of claims closed
	   	       up to 20%, reducing both medical and indemnity costs on high dollar claims.

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The Kingstree Group Solutions and Platform

  • 1. 900 West Valley Road, Suite 300 Wayne, PA 19087 888.853.6412 www.kingstree.net
  • 2. Note from Kingstree The Kingstree Group, Inc., a disability management firm, was founded with a single-minded drive, to deliver a better service than our competitors and to save our customers money. We do that every day, skillfully, efficiently and consistently. At the Kingstree Group, the employer is our customer. Our proprietary medical service delivery platform focuses on achieving positive outcomes and significant savings for our customers. Our commitment to our customers allows them to manage the cost of their risk without jeopardizing the integrity of care required for their employees. The Kingstree staff comes together with a variety of uniquely qualified backgrounds and wealth of experience to deliver a service model that is unmatched by our competitors. We understand the need for a custom fit and provide it. We know that “customer service” is not just a buzzword and deliver it. We believe in our programs and people and it shows. We invite you to call us to find out how to make the Kingstree difference work for you.
  • 3. Work Solutions Triage “Medical drives Indemnity”…It’s become a catch phrase in managed care. We at the Kingstree Group Inc. however understand the impact on you, your injured worker, your bottom line. Our triage team: • The first step in setting the course for claims resolution • Identifies the issues and develops the most expeditious plan for the claim from day one • We do it every day, every claim, expertly, seamlessly and efficiently Predictive Modeling “20% of claims represent 80% of the costs” • Science, evidence based questions were identified to measure claim cost and longevity • Psychosocial indicators are inherent in the process and show predictive patterns with certain claim outcomes • Early identification allows early intervention for medical resolution • Predictive medical data mining means better medical outcomes and thus better claims outcomes The 80/20 rule demystified. Telephonic Disability Management Triage identifies the issues and our telephonic division establishes the plan to resolve them, expertly and seamlessly. • Immediate identification of and plan for medical and claims issues • Reserve detailing that saves you money • Compliance to recommended course of action • Return to work timeline, clearly and concisely detailed and achieved Exceptional communication… a pre-requisite. Field Case Management The most difficult balance to achieve is the transition from telephonic disability management to the field. • Field team staff ready when and where needed • Manage the cost of the risk without jeopardizing the integrity of the care needed • Quick response in coordination with telephonic counterparts – seamlessly • Clear, concise, goal focused communication with your entire team Creatively and efficiently managing care… expected. Network Management Creative implementation of specialty networks that cut your costs and streamline targeted, specialized care for your injured worker. • Increased network penetration • Exceptional treatment results – consistent follow up • Focus on results…increased productivity and decreased costs Finding the “right” provider… a must.
  • 4. FMLA Kingstree works directly with internal HR, General Counsel or other designees to structure the optimal program. • Data analysis to identify appropriateness of the leave request • Seamless coordination of information • Clear, fast and comprehensive reports Determining appropriateness… critical. Short/Long Term Disability Kingstree understands the policy driven issues that drive your costs and endeavors to resolve them. • Analysis of the policy constraints so that only appropriate steps are taken • Customized programs based on the policy constraints and claim specific issues • Custom plan with report to resolve/mitigate the issues Policy constraints… a reality. At Risk Claims When questionable claims/treatment are an issue, Kingstree will immediately identify high risk medical issues and behaviors. • Clear multi-option strategies are outlined • Unnecessary or inappropriate claims are swiftly identified Ability to see the “red flags”… essential. KBIZ Our experience produces superior results... our technology provides superior performance K-Biz, the proprietary internal web application for the Kingstree Group Inc.: • Developed to increase the speed of information • System modification can be done with less gathering to manage claims cumbersome programming and thus more • Designed to create a central information point efficiently for multiple users to handle medical/claims data • Standard and customized reporting for our seamlessly; internally or remotely clients • Utilizes a scripting language that allows for • User friendly environment flexibility of technology integration • Secure data storage
  • 5. Kingstree Service Delivery Platform Goal: Implement an innovative, customized strategic medical management platform that will directly reduce workers compensation losses. This results driven approach will dramatically impact your claims. HOW IT WORKS CUSTOMER THE TEAM ADJUNCT TEAM KINGSTREE Claims Data Management Pro-tailored Provider Panels Specialty Networks • Pharmacy Benefit Managers BROKER / AGENT • All therapies • Durable Medical Equipment • Drug testing - post accident - medication compliance ULTIMATE CONTROL CLAIMS • Language Services ADJUSTER Your Cost Controlled • Average Indemnity Costs: Kingstree’s collaborative approach on early medical and return to work strategies reduce average indemnity costs up to 50% per claim. • Average Medical Costs: Kingstree’s collaborative approach involving ongoing medical management has proven to reduce medical utilization and duration. Average medical costs on indemnity claims are reduced by up to 50% per claim. • Identify Hidden “Benefit Delivery” Costs: Benefit Delivery services such as out of network medical management and legal related costs can be up to 25% of the total loss. Drive down average costs per claim up to 20% for benefit delivery services and target proactive management strategies. • Medical/Indemnity Claim Split: Early claim and medical management initiatives reduce claims paying lost time benefits up to 25%. • Claims Closure Rates: Early medical and return to work strategies increase the percent of claims closed up to 20%, reducing both medical and indemnity costs on high dollar claims.