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FPM Behavioral Health Inc.
1276 Minnesota Ave., Winter Park, Fla. 32789; 407-647-6153; fax: 407-647-0668
Utilization Review/Case Management
1996 revenues
Total gross revenue$21,600,000
UR/case mgmt. revenue$17,000,000
UR/case mgmt. direct to employers45%
Svcs. to managed care/insurance providers35%
Other services20%
Staff
Total UR/case management employees8.5
Professionals8.5
Clients
Total33
Corporate/institutional employer clients18
Covered lives/reviewed admissions
Employee benefit plan lives served181,100
Acute care inpatient admissions reviewed2,865
Diverted for outpatient treatment20%
UR/case mgmt. services since: 1987.
Parent: Ramsay Managed Care Inc.
Frequent services: Concurrent hospital treatment review, length of stay determination, discharge planning, telephone case management, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings.
Occasional services: Preadmission certification, onsite case management, review of lab work, patient education, retrospective review.
Medical services reviewed/managed: Psychiatric/substance abuse.
Branch offices: Phoenix; Miami; Honolulu; Charlotte, N.C.; San Antonio, Texas; Morgantown, W.Va.
Compensation: Per employee per month; per case.
Officers: Dr. Martin Lazoritz, president/CEO; I. Paul Mandelkern, senior vp; Gordon Steinhauer, senior vp-operations; Dr. Robert W. Pollack, medical director; Philip Symon, vp-finance.
Contact: I. Paul Mandelkern.
FARA Healthcare Management
2360 Fifth Ave., Mandeville, La. 70471; 504-624-8383; fax: 504-624-8489
Utilization Review/Case Management
1996 revenues
Total gross revenue$12,000,000
UR revenue$600,000
Case mgmt. revenue$1,000,000
UR/case mgmt. direct to employers5%
Svcs. to managed care/insurance providers8%
Other services87%
Staff
Total UR/case management employees12
Professionals12
UR/case mgmt. employees on retainer1
Clients
Total245
Corporate/institutional employer clients45
Covered lives/reviewed admissions
Employee benefit plan lives served4,000
Workers compensation lives served90,000
Acute care inpatient admissions reviewed125
Diverted for outpatient treatment1%
UR/case mgmt. services since: 1992.
Parent: F.A. Richard & Associates Inc.
Frequent services: Preadmission certification, length of stay determination, onsite and telephone case management, second surgical opinion, outpatient service predetermination.
Occasional services: Concurrent hospital treatment review, discharge planning, review of lab work, retrospective review, hospital bill audits, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports.
Medical services reviewed/managed: Group health, dental, chiropractic, rehabilitation, psychiatric/substance abuse, workers comp/disability.
Branch offices: Boca Raton, Fla.; Atlanta; Baton Rouge, Lafayette, Metairie, Monroe, New Orleans and Shreveport, La.; Beaumont, Corpus Christi, Dallas and Houston, Texas; Norfolk, Va.
Compensation: $1.50 to $3 per employee per month; $98 to $105 per case; $69 to $85 per hour.
Officers: Francis A. Richard, CEO; Todd Richard, president; Reed A. Bell, senior vp.
Contact: Reed A. Bell.
First Health Review
6975 Union Park Center, Suite 600, Salt Lake City, Utah 84047; 801-568-5500; fax: 801-568-5652
Utilization Review/Case Management
1996 revenues
Total gross revenue$215,000,000
UR revenue$20,000,000
Case mgmt. revenue$2,900,000
UR/case mgmt. direct to employers11%
Other services89%
Staff
Total UR/case management employees270
Professionals158
UR/case mgmt. employees on retainer170
Clients
Total1,160
Corporate/institutional employer clients1,160
Covered lives/reviewed admissions
Employee benefit plan lives served1,700,000
Acute care inpatient admissions reviewed52,217
Diverted for outpatient treatment19%
UR/case mgmt. services since: 1987.
Parent: First Health Strategies.
URAC certified.
Frequent services: Preadmission certification, concurrent hospital treatment review, length of stay determination, discharge planning, telephone case management, review of lab work, patient education, hospital bill audits, outpatient service predetermination, outpatient psychiatric and substance abuse services, referrals to alternative settings, written reports, skilled nursing facility management, home health care management, home hospice management, high-risk maternity management.
Occasional services: Retrospective review, second surgical opinion.
Medical services reviewed/managed: Group health, dental, chiropractic, rehabilitation, psychiatric/substance abuse, pediatric, podiatric, maternity.
Branch offices: Atlanta; Pittsburgh; Houston; Milwaukee.
Compensation: Per employee per month.
Officers: Don Dahlin, president/CEO; George Dreisbach, COO; David Money, chief legal officer; Tim Foley, general manager.
Contact: Matthew Young, director-corporate marketing/communications.
Future Diagnostics Inc.
6380 Wilshire Blvd., Suite 900, Los Angeles, Calif. 90048; 800-659-0200;
fax: 213-655-2147
Utilization Review
1996 revenues
Total gross revenue$9,000,000
UR/case mgmt. direct to employers5%
Svcs. to managed care/insurance providers15%
Other services80%
Staff
Total UR/case management employees6
Professionals6
UR/case mgmt. employees on retainer3
Covered lives/reviewed admissions
Employee benefit plan lives served1,000,000
UR services since: 1993.
Frequent services: Outpatient radiology; precertification for diagnostic imaging and other radiological procedures; data management reports, including physician profiling, category of illness and utilization as exam.
Medical services reviewed/managed: Group health, chiropractic, rehabilitation, workers comp/disability, pediatric.
Compensation: Fee for service, capitated.
Officers: Jaana Cohan, president; Gerald Graber, vp; Bronwyn Hand, director-operations; Joan Lang, vp-contracts; Helen White, director-UR; Dr. Michael Krane, medical director.
Contact: Joan Lang, 800-659-0200 ext. 103.