S

Sentinel Management

Services Inc.

1871 Santa Barbara Drive,

P.O. Box 8377, Lancaster, Pa. 17601; 800-432-8877; fax: 717-581-8841

Utilization Review/Case Management

1996 revenues

Total gross revenue$400,000

UR revenue$275,000

Case mgmt. revenue$60,000

UR/case mgmt. direct to employers21%

Svcs. to managed care/insurance providers63%

Other services16%

Staff

Total UR/case management employees6

Professionals6

UR/case mgmt. employees on retainer2

Clients

Total130

Corporate/institutional employer clients125

Covered lives/reviewed admissions

Employee benefit plan lives served12,000

Acute care inpatient admissions reviewed1,258

Diverted for outpatient treatment10%

UR/case mgmt. services since: 1988.

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, hospital bill audits, outpatient service predetermination, referrals to alternative settings, written reports.

Occasional services: Onsite case management, review of lab work, outpatient psychiatric and substance abuse services.

Medical services reviewed/managed: Group health; chiropractic; rehabilitation; psychiatric/substance abuse; workers comp/disability; pediatric; mental, drug & alcohol programs.

Compensation: $1.75 to $2 per employee per month; $60 to $125 per hour; $150 to $600 per case (peer reviews).

Officers: Susan C. Rossi, president; Ann Reinsmith, treasurer; Sara Amman, secretary.

Contact: Shawn M. Barron, account representative, 717-581-1245.

Southwest Medical Management Associates

5815 Callaghan, San Antonio, Texas 78228; 210-681-6055; fax: 210-522-9287

Utilization Review/Case Management

1996 revenues

Total gross revenue$650,000

UR revenue$350,000

Case mgmt. revenue$200,000

UR/case mgmt. direct to employers60%

Svcs. to managed care/insurance providers25%

Other services15%

Staff

Total UR/case management employees5

Professionals5

Clients

Total45

Corporate/institutional employer clients40

Covered lives/reviewed admissions

Employee benefit plan lives served70,150

Workers compensation lives served70,150

Acute care inpatient admissions reviewed250

Diverted for outpatient treatment85%

UR/case mgmt. services since: 1992.

Parent: Barron Risk Management Associates Inc.

Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, telephone case management, retrospective review, second surgical opinion, hospital bill audits, outpatient service predetermination, referrals to alternative settings, written reports.

Occasional services: Discharge planning, onsite case management, review of lab work, outpatient psychiatric and substance abuse services.

Medical services reviewed/managed: Group health, dental, chiropractic, rehabilitation, psychiatric/substance abuse, workers comp/disability, pediatric.

Compensation: $1 to $2.50 per employee per month; $50 to $70 per hour.

Officers: Buddy Barron, president; Marsh Gentry, Sally Lopez, vps.

Spectrum Review Services Inc.

3845 FM 1960 W., Suite 110, Houston, Texas 77068; 800-258-5055 or 281-444-2194; fax: 281-444-2482

Utilization Review/Case Management

1996 revenues

Total gross revenue$716,000

UR/case mgmt. direct to employers5%

Svcs. to managed care/insurance providers50%

Other services45%

Staff

Total UR/case management employees10

UR/case mgmt. employees on retainer175

Clients

Total85

Covered lives/reviewed admissions

Employee benefit plan lives served564,000

Acute care inpatient admissions reviewed6,500

Diverted for outpatient treatment10%

UR/case mgmt. services since: 1991.

URAC certified.

Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, telephone case management, free prescreening, second surgical opinion, outpatient service predetermination.

Occasional services: Onsite case management, retrospective review, hospital bill audits, outpatient psychiatric and substance abuse services, referrals to alternative settings.

Medical services reviewed/managed: Group health, chiropractic, rehabilitation, psychiatric/substance abuse, workers comp/disability.

Compensation: $1.25 per employee per month; $50 to $90 per hour.

Officers: Frank J. Berrier Jr., president/CEO; Ernest C. Munshower, COO/CFO; Dr. Clifford M. Kitten, medical director.

Contact: Frank Berrier.