B
Behavioral Healthcare
Options Inc.
2801 S. Valleyview Blvd., Suite 10,
Las Vegas, Nev. 89102; 702-364-1484; fax: 702-364-0843
Utilization Review/Case Management
1996 revenues
Total gross revenue$5,617,649
UR/case mgmt. direct to employers11%
Svcs. to managed care/insurance providers89%
Staff
Total UR/case management employees17
Professionals12
UR/case mgmt. employees on retainer5
Clients
Total9
Corporate/institutional employer clients5
Covered lives/reviewed admissions
Employee benefit plan lives served319,000
Acute care inpatient admissions reviewed766
Diverted for outpatient treatment26%
UR/case mgmt. services since: 1991.
Parent: Sierra Health Services Inc.
URAC certified.
Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, telephone case management, free prescreening, retrospective review, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports.
Occasional services: Discharge planning, onsite case management, review of lab work, patient education, hospital bill audits.
Medical services reviewed/managed: Group health, rehabilitation, psychiatric/substance abuse.
Branch offices: San Juan, Puerto Rico.
Compensation: $1 to $1.50 per employee per month.
Officers: Michael R. Adams, president/COO; J. Alexander McCosh, director-clinical services; Kathy Boehning, manager-utilization management.
Contact: Daniel J. Slichko, manager-business development.
Benefit Administrators
of America Inc.
207 Crocker St., Des Moines, Iowa 50309; 515-243-3210; fax: 515-282-0719
Utilization Review/Case Management
1996 revenues
Total gross revenue*$10,800,000
UR/case mgmt. direct to employers15%
Svcs. to managed care/insurance providers2%
Other services83%
Staff
Total UR/case management employees67
UR/case mgmt. employees on retainer121
Clients
Total88
Covered lives/reviewed admissions
Employee benefit plan lives served114,000
UR/case mgmt. services since: 1982.
Parent: IASD Health Services Corp.
URAC certified.
Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, telephone case management, second surgical opinion, hospital bill audits, outpatient service predetermination, referrals to alternative settings.
Occasional services: Onsite case management, retrospective review, outpatient psychiatric and substance abuse services, written reports, prenatal screening.
Medical services reviewed/managed: Group health, chiropractic, rehabilitation, psychiatric/substance abuse, pediatric.
Branch offices: Sioux City, Iowa.
Compensation: Per employee per month; per case; per hour.
Officers: George P. Wilson, chief marketing officer; Paula Ryan, director-marketing; Sally Wood, vp-government/private administration; Carla Bates, financial services.
Contact: Sandra McNeal, 515-246-4874.
**Estimate.
Bradman/Unipsych Cos.
7777 Davie Road Extension, Suite 302, Hollywood, Fla. 33024; 954-704-8686; fax: 954-704-8677
Utilization Review/Case Management
1996 revenues
UR/case mgmt. revenue$600,000
UR/case mgmt. direct to employers30%
Svcs. to managed care/insurance providers20%
Other services50%
Staff
Total UR/case management employees10
UR/case mgmt. employees on retainer192
Clients
Total50
Covered lives/reviewed admissions
Employee benefit plan lives served250,000
UR/case mgmt. services since: 1986.
Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, onsite and telephone case management, patient education, retrospective review, hospital bill audits, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports.
Medical services reviewed/managed: Psychiatric/substance abuse, workers comp/disability.
Branch offices: Florida, Georgia.
Compensation: Per employee per month; per hour.
Officers: Leo Bradman, chairman/CEO; Ernest Cohen, psychiatric director; Denise Scott, director-administration.
Contact: Leo Bradman.