Company Category: Managed Care

Paradigm

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex and catastrophic injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business, including its risk-based clinical solutions, case management services, high-value specialty networks, home health, and payment integrity programs. Paradigm is headquartered in Walnut Creek, California, with offices across the U.S. For more information, please visit www.paradigmcorp.com. | Paradigm makes the world’s most advanced satcom, made simple. Our range of secure, rapid deploy, low-SWaP terminals are field-proven by military, special forces, government, intelligence agencies and NGOs. With all terminals powered by the PIM®, the world’s easiest-to-use satcom controller, everything needed for effective satellite communication is managed through a simple user interface. Embedded PIM technology provides network diversity, edge computing, and Artificial Intelligence, to transform agile, secure comms. Certified for use on all major satellite networks, the PIM can operate as part of Paradigm’s own VSAT range or be integrated to offer common operation across existing terminals and antennas. | Paradigm delivers unparalleled production and asset integrity solutions to the energy industry. From precise pipeline diagnostics on the location of a stuck PIG, removing flow assurance deposits from a geometrically complex riser-flowline system, or improving oil recovery from subsea wells – we have the technology and the expertise that delivers.

Read More

Opus Medical

Opus Medical delivers a high-touch, collaborative concierge approach to medical case management. Our tailored solutions ensure that every injured worker receives the care they need, while employers and payors benefit from cost-effective and efficient processes. Opus Medical is the only physician-led case management company in the nation. Opus Medical delivers personalized case management services that match the level of clinical oversight to the specific needs and severity of each injury. Through compassionate advocacy, evidence-based practices, and collaborative coordination, we strive to support injured individuals, empower stakeholders, and drive better outcomes. Our unique integration of clinical expertise and advanced technology provides measurable results, making us the trusted partner for organizations seeking to control costs and improve worker recovery. Faster Recovery: Early diagnosis and efficient treatment paths. Better Outcomes: Less downtime and cost by cutting unnecessary medical spend. Higher Worker Satisfaction: Trust through transparency and empathy. Evidence-Based Efficiency: Every decision backed by data.

Read More

Nexus Enterprises, LLC

Nexus is a national leader in clinical review and utilization management, trusted by workers’ compensation carriers, TPAs, and employers to deliver accurate, defensible, and efficient medical determinations. Our mission is simple: help carriers contain medical costs without compromising care, enabling injured workers to recover and return to work faster. With a network of more than 1,000 board-certified physicians across over 100 specialties, Nexus ensures every case is reviewed by an actively practicing expert. From utilization review to pharmacy and diagnostic assessments, our services cover the full continuum of care, giving carriers the clarity they need to manage even the most complex claims. Our technology-driven platform streamlines the process—reducing administrative burden for physicians and providing clients with real-time access to case status and determinations. Backed by URAC accreditation in Workers’ Compensation Utilization Management and HITRUST CSF certification, Nexus delivers the highest standards of quality, compliance, and data security. Additionally, our subsidiary ProPeer Resources holds accreditation as a comprehensive Independent Review Organization. For carriers, this means faster, evidence-based decisions, optimized claim outcomes, and the confidence of partnering with a proven leader in clinical review.

Read More

MedRisk

Founded in 1994 and headquartered in King of Prussia, Pennsylvania, MedRisk was established with a mission to revolutionize physical rehabilitation for workers’ compensation patients. Over the last 30 years, the company has evolved into the nation’s leading managed care organization dedicated to physical rehabilitation and medical bill review for the casualty claims industry. For more information, please visit www.medrisknet.com or call 800-225-9675.

Read More

MedImpact

For 35 years, MedImpact has been lowering drug spend, improving care, and delivering better pharmacy benefit solutions for our clients. Today, we’re the largest independent PBM in the nation and are focused on providing clients innovation, flexible solutions, savings, and concierge customer support — not the demands of Wall Street. We serve many large employers, hospitals and health plans, and more than 55 million consumers in the U.S. and around the world. Learn more at medimpact.com.

Read More