Medical Bill Review Program: Finding Savings Beyond Fee Schedules


Medical costs now comprise approximately 60 percent of workers' compensation claims costs. Managed care is the primary way for reducing those costs, and a key component of any managed care program is an insurance carrier/third-party administrator's (TPA's) medical bill review program. In our fifth issue in the series of PMA Executive Briefings, we discuss what to expect from a quality medical bill review program.

John Santulli, President & Chief Operating Officer

As President and Chief Operating Officer, John Santulli is responsible for leading the operations of PMA Companies' Insurance and Third Party Administrator (TPA) business segments. John most recently served as Executive Vice President of Risk Services and Sales in which capacity he led PMA's significant customer and other service functions. He was instrumental in the establishment of the Large Account and Risk Management Insurance operating units many years ago, and led the launch of PMA Management Corp. as PMA Companies entered the TPA business.