IAIABC Member Spotlight
Each month, the IAIABC highlights one of its member organizations, asking about what the organization does; what challenges it sees workers' compensation facing; and why they're involved with the IAIABC. Find past member spotlights here.
IAIABC: Please provide a description of your organization.
E. Ann Shelnutt, Product Manager, U.S.Able MCO: USAble MCO is a wholly owned subsidiary of USAble Mutual Insurance d/b/a Arkansas Blue Cross and Blue Shield. We are the first managed care organization to be certified by the Arkansas Workers’ Compensation Commission (AWCC). While our mother company currently has 3,370 employees, USAble MCO is managed by two employees at Arkansas Blue Cross and Blue Shield. We work in tandem with an Arkansas company called Systemedic, which provides many services to our customers. Systemedic has twenty-eight employees, including certified professional coders and nurse case managers. Our mother company’s mission is to improve the health, financial security, and peace of mind of the members and communities we serve. At USAble MCO, we bring those same values to the realm of workers’ compensation.
IAIABC: How does your organization serve the workers’ compensation industry?
AS: To be a certified MCO in the state of Arkansas, certain requirements must be met. These requirements include providing medical case management, preauthorization for certain procedures and hospital stays, access to a PPO with discounted rates, and other services. Through Arkansas Blue Cross and Blue Shield, we can offer the largest, most comprehensive PPO in the state of Arkansas with excellent savings below the AWCC fee schedule.
IAIABC: What do you see as some of the major challenges the industry is facing, and how can we as a community address them?
AS: The Covid-19 pandemic left the entire medical community with new challenges, including a rise in the number of addicts in our country. This includes addictions to prescription medications, “street” drugs, or alcohol. A lingering effect of the physical health pandemic is a continuing mental health pandemic, and the use of addictive substances is often the means for those suffering to emotionally escape their stresses. As a community, we need to stop ostracizing mental health and addiction and make more effort to identify and reach out to those in need.
IAIABC: Are there any projects/programs/initatives going on at your organization that you are particularly excited or enthusiastic about?
AS: In 2023, Arkansas Blue Cross and Blue Shield added their first peer counselor for addiction. A peer counselor is someone with lived experience who has successfully recovered from addiction and/or mental illness. The peer support specialists at Arkansas Blue Cross and Blue Shield are non-clinical credentialed and trained with the state of Arkansas and will provide support, education, and resources for members with mental health or substance use needs within our communities.
According to a study published by the NIH’s National Library of Medicine in 2016, “peer support groups included in addiction treatment show much promise in potentially reducing substance use, improving engagement, reducing HIV/HCV risk behaviors, and improving substance-related outcomes”. This is something that could be effective if incorporated into workers’ compensation programs.
IAIABC: Why is your organization a member of the IAIABC?
What would you tell others about the benefits of membership?
AS: USAble MCO has been a member of the IAIABC since 2008. We joined because we were looking for opportunities to expand our knowledge about the workers’ compensation system outside of the state of Arkansas. We remain members because of the comradery we enjoy with others in our industry and the knowledge that we gain through committee membership and live events. In recent years, we have been able to create an interest in this organization for members of our state and local governments by suggesting that they broaden their workers’
compensation knowledge and share their specialized knowledge with other IAIABC members.
Previous Member Spotlights
MDGuidelines - April 2023
Workers' Compensation Research Institute - March 2023
Commonwealth of Massachusetts Department of Industrial Accidents - February 2023
Linea Solutions - January 2023
Idaho Industrial Commission - December 2022
Sedgwick - November 2022
Ebix - September 2022
Sikich - August 2022
Saskatchewan Workers' Compensation Board - July 2022
Colorado Division of Workers' Compensation - June 2022
FAIR Health - May 2022
Aerie EDI Group - January 2022
- Paradigm - December 2021
- Oklahoma Workers' Compensation Commission - November 2021
- ODG by MCG - September 2021
- Care Bridge International - June 2021
- Missouri Division of Workers' Compensation - May 2021
- California Workers' Compensation Institute - April 2021
- Iowa Division of Workers' Compensation - March 2021
- Nebraska Workers' Compensation Court - February 2021
- Verisk/ISO - January 2021
- Ohio Bureau of Workers' Compensation - December 2020
- The Workplace Safety and Insurance Board (WSIB) - November 2020
- VPay - October 2020
- National Council on Compensation Insurance (NCCI) - September 2020
- Optum - August 2020
- Utah Labor Commission: Division of Industrial Accidents - June 2020
- Healthesystems - March 2020
- Safety National - February 2020
- CompAlliance - January 2020
- California Self Insurers Security Fund - December 2019
- Wisconsin Worker's Compensation Division - November 2019
- The Black Car Fund - August 2019
- Pennsylvania Bureau of Workers' Compensation - July 2019
- NIOSH Center for Workers' Compensation Studies - June 2019
- Tennessee Bureau of Workers' Compensation - May 2019
- Florida Workers' Compensation Division - April 2019
- Concentra - February 2019
- Oregon Workers' Compensation Division - January 2019
- SFM - December 2018
- Montana Department of Labor and Industry Employment Relations Division - November 2018
- MyMatrixx, an Express Scripts Company - October 2018
- Virginia Workers' Compensation Commission - September 2018
- WorkComp Strategies - August 2018
- Michigan Workers' Disability Compensation Agency - July 2018