http://www.actionhealthcare.com
Since 1987, Action Healthcare Management (AHM) has been an independent healthcare management company offering a full range of services that can be tailored to meet your organization's needs - from pre-certification and utilization review, management of high-risk pregnancy and workers' compensation cases, to cases involving serious illness, catastrophic injury and cases requiring transplants. AHM works within your budget to assure provision of quality, affordable healthcare, negotiation of provider agreements and cost containment in the structuring of quality utilization management plans. In today's complicated healthcare system, Action Healthcare Management is a partner to both your organization and your insured. We're by your side, every step of the way. "Your concerns are our priorities."
AMM has been a URAC-accredited company since 1997 with four accredited product lines: Utilization Management, Case Management, Medical Call Center and Independent Physician Review. We've been a 24 x 7 Utilization Management operation for 10 years. Nights, weekends, holidays, we're always there. We won't replace your URAC-accredited programs; we'll make them better. To find out how, Please visit us at Booth 203 on October 7-8, 2004 at URAC 5th Annual Quality Summit & Exhibit.
Doral provides high quality oral healthcare through expert government dental plan administration. Our single-minded focus on delivering government-sponsored plans has helped us to grow into one of the country's largest multi-state administrators. Government programs are most effective when they include great preventive care programs, superior access to high-quality oral healthcare, and cost efficiencies delivered through cutting-edge technology and accurate administration. Supported by a culture committed to problem solving, Doral provides excellent customer service and innovative resources to our clients. We specialize in administering complex initiatives and meeting the diverse information needs of state agencies, managed care organizations (MCOs), providers, and members. Doral focuses exclusively on government programs. Our unique experience and expertise delivers access to high-quality oral healthcare at the lowest cost. We make government dental programs work for you.
M Hayes is a leading managed care company providing nationwide services to insurance companies, self-insured and governmental entities. We are a company known for our innovativeness, for being meaningfully different and a company that delivers the best solutions to our clients. We have grown as a small business to where we are today because of our innovativeness and our commitment to quality. Much of the industry turned to exclusive arrangements with providers merely because those providers had national coverage. Simply having an office in every state doesn't make that provider the best choice for quality. Our design and our competitive difference, is delivering the best quality nationally through our staff and our "best in class" local affiliates. Our quality management design is unique and it works. Wherever we provide services, our technology enabled quality oversight ensures the best results. It is our mission and our core values that create a company culture dedicated to achieving best outcomes by our employees for our customers.
Medical Consultants Network, (MCN) was founded in 1985 in Seattle. Originally a regional company called Medical Consultants Northwest, MCN grew beyond the Northwest and currently performs work in all 50 states, as well as Canada and a number of other countries. Physical facilities and staff are located in Washington, Oregon, New York, Florida, Texas and Illinois. The company is a leading provider of Medical Judgment Services including Independent Medical Evaluations, Peer Review and Medical Bill-review services. Buoyed by consistent growth, the company will have completed a record number of services in 2006 and achieved record revenues and profit. Clients include workers' compensation carriers, casualty insurers, self-insured Employers, third-party administrators long and short-term disability carriers, group-health insurers and local, state and national governments. In addition, the company serves the legal community and all other entities that manage and adjudicate medical, injury and disability claims including FMLA, ERISA and Pension reviews. MCN proudly serves over 4,000 individual claims professionals clients from 800 client sites companies and will have performed over 60,000 unique services in 2006. The growing network of credentialed medical consultants includes over 20,000 physicians and related health-professionals from all medical specialties. MCN's consultants are recruited and credentialed directly by the company, specifically for the provision of medical judgment services. MCN does not lease or re-label existing treatment networks for evaluation services. The founder, Brian L. Grant, MD serves as Chair and Medical Director. Paul Mayer joined MCN in 1997 as Chief Operating Officer and in 2005 was promoted to President. An outside Advisory Board was created in 2005 to assist the company in its growth strategy. The company's strategic focus includes geographic growth in the United States along with expansion of its consultant network, along with continuous development and enhancement of information technology to assist clients in ordering, accessing and managing their services, and consultants in the provision, organization, and delivery of their evaluations. MCN is also actively reviewing opportunities for alliances with others serving our client base, as well as adding additional services that draw upon our skills and assets.
Lynch Ryan was founded to solve a problem. Massachusetts (and for the most part, the rest of the nation) suffered through a severe workers' compensation crisis from the early 1980s through the mid 1990s. During this period, workers' compensation premiums, which historically totaled approximately 1% of payroll, were running generally 3% to 4% and, sometimes, more. Insurers seemed incapable of reining in the high costs of claims, which were driven primarily by indemnity wage replacement, rather than medical, costs. Attorney involvement was disproportionately high, and mid-to-high five-figure settlements were common. Soft tissue injuries, sprains and strains, were the leading causes of losses, and, more often than not, after months of absence, employees who suffered such injuries never returned to the same employer, let alone the same job. In 1984, Thomas Lynch founded Lynch Ryan on the premise that employers were woefully uninformed about the subtle complexities, both human and economic, of workers' compensation. Lynch believed that educating employers and helping them install worksite-based, loss management systems to return injured employees to work as soon as possible through creative modified duty were the keys to reducing the high costs.
http://www.optionsunlimited.org
At Options Unlimited, we help people across the country better understand their medical choices, evaluate care options, and find solutions in tough situations that evolve suddenly or continue over a number of years. Our medically trained professionals work with you, your physician(s), employer, and insurer to make sure your treatment is appropriate and that it progresses as it should. You might talk to one of our nurses on the phone about a hospital admission or an anticipated birth. In complex cases such as cancer, cardiovascular disease, AIDS, a stroke, transplant, head or spinal cord injury, or high-risk pregnancy, one of our case managers will arrange to meet with you personally to help coordinate care for you or someone else covered by your health plan. You don't pay for our case management services; they are offered as part of your health care plan. Our services are voluntary. We help you get the best, most appropriate, and cost-effective care, but you do not have to use us. Most important, we keep all personal information about you and your health strictly confidential. As patient advocates, we focus on each individual case to explain your diagnosis and what it means for today and tomorrow. We take the lingo out of insurance plans and forms, arrange for home-care services, locate alternate treatment facilities or rehabilitation services,we even help sort out your medications (or the bills!). The one thing we don't do is provide hands-on care. We don't take the place of your physician, nurse, or physical therapist; we work as partners with these care providers, making sure you and your family members get the help you need when you need it.
In its early days, A&G served as an outlet for multiple location employers who did not have access to traditional managed care outlets. In the process of developing this service, A&G created relationships with local, regional and national networks from around the country. Having built such an infrastructure, A&G needed to diversify its product base to "feed" the network arrangements that had been completed. A&G clients had a common complaint, and that was the lack of a methodology to achieve "managed care" or PPO discounts when employees (insureds) were confined or sought services outside the geographic parameters of the "primary" healthcare network. Having experience in small volume multi-locationed services, A&G felt that filling this need was a natural extension of its services and developed its "out of area" product complete with patient identification and provider notification. Today, many years after entering into the managed care environment(since 1994) with only the thought to serve and save, A&G has grown from three employees into a nationally recognized cost containment leader with 65+ employees headquartered in Plano, Texas. A&G's services have evolved from the hit and miss world of multiple locationed claims to being a cost containment leader in out-of-area & network claims, negotiated discounts and bill review and audit services. All of these services are managed by a state-of-the-art processing system that is Internet enabled, fully HIPAA compliant and EDI ready.
CBSA has developed tools and procedures to provide employers with the capability to be compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Compliance teams were formed in 2002 to bring CBSA into compliance with the new HIPAA regulations for exchange of electronic transactions, privacy, security, and identification standards. The goal was and is to be compliant months ahead of the mandated compliance dates to ensure ongoing superior service to our clients. CBSA continues to develop internal practices and procedures for the regulations as they are implemented at CBSA, by our business partners and by the health care plans that we serve. Compliance Services is designed to help group health care plans become compliant with the new HIPAA regulations. CBSA Compliance Services has partnered with HIPAAnswers to include a subscription to the HIPAAnswers website. Templates are available for policies, forms, agreements, training materials, an assessment tool to understand the gap between you and compliance, scheduling and other tools to make the task of achieving compliance manageable. It also includes consulting services from CBSA with advice tailored to group health plans, assistance with forms, policies, agreements and procedures specific to your situation. You may subscribe to CBSA Compliance Services for HIPAA Privacy and receive continuing renewable support as new HIPAA regulations are published and enforced. Our goal is to provide our clients with what they need to become compliant and stay compliant at a modest cost and with an efficient investment of time.
http://www.progressive-medical.com
Progressive Medical's Home Health Care program enables injured parties to recover in the comfort of their own home. Home Health Care decreases recovery time for the injured party and we provide friendly, reliable care coordination on their behalf. Our program offers the following services to injured parties, unable to leave their homes: Certified home health aides Infusion certified nurses Infusion therapy Occupational therapy Physical therapy RN visits - skilled and high tech LPN visits - skilled Social workers Speech therapist Per diem rates include: Compounding of medications Hazardous waste disposal Most equipment and supplies Pharmacological consultations 24-hour availability of clinical services including weekends and holidays Click here to request details about our Home Health Care/IV Therapy services.
Concentra Operating Corporation is the leading provider of comprehensive, cost-containment services in the occupational, auto and group healthcare markets. Through its Health Services, Network Services and Case Management divisions, Concentra provides comprehensive, integrated strategies to reduce costs and improve outcomes. Active in all 50 states and three Canadian provinces, Concentra is headquartered in Dallas.
HealthLink, Inc. is one of the largest health care organizations in the central United States, serving approximately 1 million medical enrollees and 1.8 million Workers' Compensation enrollees of health plans that access a HealthLink network program. HealthLink contracts with more than 25,000 physicians and other health care professionals and more than 300 hospitals and facilities in its core service area of Missouri, Arkansas and (Southern) Illinois. Recently, HealthLink expanded its network service arrangements into (Northern) Illinois, Texas, Ohio and Kentucky. In addition, HealthLink maintains business arrangements with more than 200 payors. HealthLink offers network rental, administrative services and other non-underwritten health benefit programs to employers, unions, government subdivisions, school and insurance companies. The company was formed in October 1984 and incorporated in January 1985 by a consortium of Greater Metropolitan St. Louis hospitals. In August 1995 HealthLink was acquired by RightCHOICE Managed Care. In January 2002, HealthLink became part of the WellPoint Health Networks Inc. one of the nation's largest publicly traded health care companies, after the merger of RightCHOICE and WellPoint. As a result of the November 2004 merger of WellPoint Health Networks Inc. and Anthem, Inc. HealthLink is now part of WellPoint, Inc. HealthLink is headquartered in St. Louis, Missouri and employs approximately 325 associates.
http://www.gallagherbenefits.com
At Gallagher Bassett Services, we support the concept of total confidentiality. We also hold our business associates and our affiliates to similar confidentiality standards. All personal information or other confidential information must be used and disclosed in a manner consistent with applicable federal and state statutes and regulations, contractual obligations, and Gallagher Bassett policies and procedures. Confidential information includes but is not limited to, protected health information, non-public financial information, and trade secrets. Protected health information is individually identifiable health information that is transmitted or maintained by our clients and Gallagher Benefit Services in performance of our service agreement. This includes information in electronic, paper and oral form. If an individual's past, present, or future medical information can be discovered from the information, it is protected. Protected health information may be used and disclosed solely for Gallagher Benefit Services' business activities related to healthcare operations. Non-public financial information includes confidential information of a financial nature that is shared with Gallagher Benefit Services in the course of providing products and services to current, prospective or prior clients. This information is not otherwise available to the public and includes, but is not limited to, the following: credit history, financial benefits, business records, accounting, contracts, claims, policy information, and any other data that is financial in nature. Trade secrets include any proprietary information of our current, prospective or prior clients that is obtained through the course of business activities or through the provision of products and services. This information is not otherwise available to the public and includes, but is not limited to, the following: business records, contracts, claims, products, business methods, data processing procedures, marketing strategies, pending projects or proposals, mailing lists, and any other information related to an organization's activities, products or services.
Founded in 1970, MultiPlan is the nation's oldest and largest supplier of independent, network-based cost management solutions. With more than half a million healthcare providers under contract, an estimated 40 million consumers accessing our network products, and some 73 million claims processed through our networks each year, we're the right choice for healthcare payers and providers, who today face unprecedented cost and competitive pressures. We're large enough to offer solution breadth and depth, yet nimble enough to tailor our solutions to the evolving needs of payers and providers. And, we're also the only company that can offer access to the leading independent national primary PPO, as well as our complementary network and fee negotiation services through a single electronic claim submission. We have the right experience to offer the right solutions, the right systems and the right service for today's healthcare payers and providers.
For 17 years, Private Healthcare Systems has been meeting the network and medical management needs of customers across the country. Corporate headquarters are in Waltham, Massachusetts, with regional offices located throughout the United States. The largest proprietary PPO network in the country, the PHCS provider network includes nearly 374,000 providers and more than 3,500 facilities. PHCS is the only PPO that has earned multiple endorsements from both leading national healthcare quality organizations, NCQA and URAC.
Founded in 1999, ppoNEXT is one of the largest and fastest-growing preferred provider organizations (PPO) in the country, encompassing more than 450,000 physician providers and over 3,700 healthcare facilities. ppoNEXT simplifies the purchase of healthcare products by offering group health, workers' compensation and other insurance payors access to one nationwide provider network that is customized to meet specific geographic and service needs, and that is packaged with exceptional customer service, and wrapped in highly efficient technology. ppoNEXT simplifies administration through a state-of-the-art, Web-based claims-processing technology, which allows customers to reprice claims electronically without having to maintain a database on their own internal systems. By offering an adaptable, national provider network, innovative cost-saving services and a flexible and efficient administrative platform, ppoNEXT is designing and building the NEXT generation of PPO services.
Originally an automation consulting firm, Landacorp focused exclusively on medical management information software in 1984. Through extensive collaboration with Joyce Craddick, MD, Landacorp developed the Medical Management Analysis (MMA) Computer System, now known as Maxsys. This DOS-based software was first installed and field-tested in 1985 and is still being used by hospitals across the country today. In 1994, Landacorp released the Maxsys II Windows-based medical management product, which was developed to meet the needs of the emerging managed healthcare environment. As a result, it served and linked the payer/managed care organization and provider market. The initial implementation of Maxsys II began in October 1994 at Rush-Presbyterian-St. Luke's Medical Center in Chicago, Illinois. Our first managed care implementation began shortly thereafter, leading to the 1999 release of maxMC, Landacorp's medical management product for managed care organizations. In early 2006, we also released CareTraxDS, our stand alone web-based data stratification tool as well as our eM2 web portal to Maxsys II. These applications allow hospitals, providers and employers to interact over the web to realize more timely and cost-effective medical management. Landacorp successfully completed its initial public offering in 2000 and later that year acquired two leading population health management companies: ProMedix and PatientCentrix. In 2004, Landacorp merged with SHPS, Inc., a leading provider of health advocacy and health benefits solutions, headquartered in Louisville, KY and returned to a privately held corporation. In October 2007, Landacorp released the new CareRadius product suite - a single-source medical management operating system that simplifies complex medical management processes and positions health plans to create a member-centric delivery model. The CareRadius product suite is comprised of three integrated, Web-based software solutions including: CareRadius, CareAffiliate and CareFind. Landacorp's powerful software tools streamline operations and support clients in implementing strategies to improve health outcomes and reduce costs. Since 1985, Landacorp has installed over 350 client sites across all product lines. Today, Landacorp software is an integral part of the operations of some of the nation's largest health plans and multi-hospital chains.
GTESS, based in Dallas, Texas (in the Richardson technology corridor), is dedicated to meeting the claims processing needs of our clients. We apply proprietary medical claims processing technology to healthcare information practices to offer premier medical claims processing services to healthcare payers through long-term customer partnerships, a unique combination of state-of-the-art technology, healthcare best practices and a deep commitment to product, service and support quality. Our primary system developers work with healthcare-experienced professionals in customer service, operations and sales and marketing roles. Their common goal: to offer premier medical claims processing services to healthcare payers through long-term customer partnerships, a unique combination of state-of-the-art technology, healthcare best practices and a deep commitment to product, service and support quality. GTESS is well positioned to be the medical claims processing partner powering the healthcare payers of the future. Our Board of Directors has unparalleled experience in leading and growing technology companies and serve unique roles in evolving industries, and our management team possesses a can-do attitude and a deep reservoir of healthcare knowledge.
Healthtrac was founded in 1984 to provide health education, health promotion, self-management, and need-and-demand reduction programs. The Healthtrac programs have evolved from many years of advanced research on the long-term outcomes of lifestyle and health behaviors, and chronic disease.
Alere Medical Incorporated is a leader in specialized disease management services focusing on select high-cost diseases to maximize our clients' return on investment. Alere produces unequalled clinical and cost-saving results by precision-targeting patients who will benefit most from specialty interventions. With published outcomes that exceed those of any competitor, Alere Medical's disease management programs result in improved clinical outcomes for patients and guaranteed savings for clients. Alere's corporate office located in Reno, NV is currently searching for an experienced human resource professional in the areas of recruitment and employee relations to join our dynamic organization. The Senior Human Resource Representative will be responsible for providing superior support to all business units by identifying the needs, developing a strategy, and implementing the plan to source, recruit and hire top talent for Alere. You will also provide support and guidance to the organization in the area of employee relations to include employee communications, programs and projects.
Privacy Policy | Terms and Conditions | Do Not Sell My Personal Information | Websites Directory
Copyright © 2022 kwtbox.com. All Rights Reserved. US Business Directory