Q
QMC 3 Inc.
10 Lakeside Lane, Denver, Colo. 80212; 303-433-6898; fax: 303-433-7696
Utilization Review/Case Management
1996 revenues
Total gross revenue$180,000,000
UR revenue$54,000,000
Case mgmt. revenue$90,000,000
UR/case mgmt. direct to employers30%
Svcs. to managed care/insurance providers50%
Other services20%
Staff
Total UR/case management employees1,600
UR/case mgmt. employees on retainer20
Clients
Total1,258
Corporate/institutional employer clients920
Covered lives/reviewed admissions
Employee benefit plan lives served3,000,000
Workers compensation lives served10,000,000
Acute care inpatient admissions reviewed130,000
Diverted for outpatient treatment30%
UR/case mgmt. services since: 1987.
Parent: CRA Managed Care Inc.
URAC certified.
Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, telephone case management, patient education, retrospective review, second surgical opinion, outpatient service predetermination, outpatient psychiatric and substance abuse services, written reports.
Occasional services: Onsite case management, review of lab work, free prescreening, hospital bill audits, referrals to alternative settings.
Medical services reviewed/managed: Group health, chiropractic, rehabilitation, psychiatric/substance abuse, workers comp/disability, pediatric.
Compensation: $0.25 to $1.75 per employee per month; $0.75 to $2 per case; $0.40 to $0.70 per hour.
Officers: Kimberly Sutphin, president; Dorothy Anderson, COO; Don Larson, president-CRA; John McCarthy, vp-CRA.
Contact: Kim Sutphin.
Quality Managed Care Inc.
7245 W. 95th St., Suite 200, Overland Park, Kan. 66212; 913-642-7997;
fax: 913-642-4201
Utilization Review/Case Management
1996 revenues
Total gross revenue$2,000,000
UR revenue$800,000
Case mgmt. revenue$1,200,000
UR/case mgmt. direct to employers18%
Svcs. to managed care/insurance providers82%
Staff
Total UR/case management employees29
Professionals29
UR/case mgmt. employees on retainer20
Clients
Total125
Corporate/institutional employer clients16
Covered lives/reviewed admissions
Employee benefit plan lives served305,218
Workers compensation lives served11,025
Acute care inpatient admissions reviewed2,205
Diverted for outpatient treatment22%
UR/case mgmt. services since: 1989.
Parent: The Olsten Corp.
Frequent services: Preadmission certification, concurrent hospital treatment review, discharge planning, telephone case management, patient education, free prescreening, retrospective review, second surgical opinion, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports.
Occasional services: Length of stay determination, onsite case management, hospital bill audits.
Medical services reviewed/managed: Group health, rehabilitation, psychiatric/substance abuse, workers comp/disability, pediatric, OB/Gyn, skilled care, home health.
Branch offices: Denver; West Palm Beach, Fla.; Chicago; Wichita, Kan.; Philadelphia.
Compensation: Per employee per month; per case; per hour.
Officers: Noreen E. Whalen, vp/general manager.
Contact: Margaret Cutkosky, regional marketing representative, 630-443-9256.