What factors should be considered when enrolling a worker in an MCO?

When enrolling a worker in a Managed Care Organization (MCO), one of the most important factors to consider is the location and access to medical services. This is crucial because the proximity of medical providers directly affects the worker’s ability to receive timely and effective care. If a worker is enrolled in an MCO that does not have accessible medical service providers near their location, it can result in delays in treatment, prolonged recovery times, and further complications. Ensuring that there are adequate medical facilities and professionals available nearby enhances the quality of care that the worker can receive, thereby impacting their recovery and return to work.

Assessing the location and accessibility of services also involves considering transportation options and the range of services offered by the MCO's network, which can vary widely. This thorough understanding helps claims adjusters make informed decisions that promote the well-being of injured workers while also complying with organizational and insurance requirements.