How expert managed care services and support make an impact for Ohio employers

Open enrollment for Ohio managed care organizations runs through May 23, 2025 and, if you’ve already partnered with Sedgwick Managed Care Ohio (MCO), we look forward to continuing our service for you and your employees for the coming years. As you consider the value of your MCO partnership, think about what makes Sedgwick MCO the right choice for your program.

Simplifying the process

The resolution of workers’ compensation claims — in a way that limits future impact on your Ohio Bureau of Workers’ Compensation (BWC) rates, premium and discount options — depends on injured employees following a safe, quick path to recovery. In Ohio, managed care organizations (MCOs) work closely with employers, employees and physicians to facilitate timely, appropriate medical treatment. MCO case managers keep everyone focused on the return-to-work/return-to-life goal. Your connection to your MCO ensures lost workdays and costs are kept to a minimum. An MCO’s focus on recovery will help ensure the health and productivity of your workplace. 

At Sedgwick MCO, we simplify the claims process. We thoughtfully engage with physicians for better treatment options and medical outcomes. We pursue transitional and early return to work opportunities. We seek out medical savings. And we understand our clients’ business challenges, bringing industry-specific expertise, local connections, access to technology and data, and a depth of resources to care for their people and their performance. 

Controlling costs

Ohio employers pay workers’ compensation premiums to BWC based on the cost of claims, relative to organization size and payroll level. Lower claim costs yield lower rates and premiums, and lost time is the biggest cost driver in claims. An MCO that excels in facilitating timely and safe return to work is going to be an asset to employers seeking lower premium costs.  

Another hidden cost to employers is the absence of valuable and experienced employees. A high-performing MCO will help an injured employee navigate the treatment and recovery process and return to the workplace quickly, preserving productivity requirements and avoiding alternative labor costs to the employer. An MCO that rates highly in return-to-work efficiency supports lower direct and indirect costs to the employer.  

Providing expert guidance every step of the way

It’s important to choose an MCO that will quickly and safely lead injured employees on a path toward work and health. An MCO’s process and resources matter. MCOs guide the claims experience, influence outcomes, and impact an employer’s financial health. Choose an MCO who will be able to provide stable, consistent support over the next two years and beyond. 

Sedgwick MCO’s strength is the investment we make in clients’ overall experience and the care we take in supporting all aspects of their workers’ compensation programs. Our 400 employees across the state are part of customers’ communities, with expertise aligned to meet their needs. Our full-time, on site medical director provides clinical insight and assists with complex cases. Our bill review team finds opportunities to lower medical expenses, helping reduce costs applied to premium rates. And at Sedgwick MCO, caring counts – we simplify the claims process and serve as your trusted advisor.

El camino a seguir

If you are an Ohio employer already working with Sedgwick MCO, you do not need to take any action during open enrollment. If you are not currently with Sedgwick MCO, don’t miss your opportunity to secure the best possible resources available. Learn more and enroll with us by May 23 at sedgwickmco.com.