G

GatesMcDonald Healthcare Management Services Plus

3455 Mill Run Drive, Hilliard, Ohio 43026; 800-642-7587; fax: 614-777-3493

1996 revenues

Total$9,100,000

% rehab services direct to employers95%

Rehab services direct to employers$8,600,000

Staff

Total65

Professionals65

Designations: 5 CRCs, 8 CDMSs, 25 CRRNs, 25 CCMs

Customers

Total350

Corporate/institutional clients344

Claims administrators/TPAs2

Insurance companies4

Cases

Closed in 1996796

Rehab services since: 1990.

Parent: Nationwide Insurance Co.

Services: Frequent services include prescreening of cases for rehabilitation intervention, telephone case management, onsite medical case management, return-to-work modification and coordination.

Occasional services include job analysis, IMEs, vocational assessment and testing, vocational counseling and plan development, labor market survey, testimony and expert opinion.

Other services: Preadmissions certification, concurrent hospital treatment review, length of stay determination, discharge planning, outpatient utilization review, patient advocacy programs, retrospective review, second surgical opinion, hospital bill audits, provider bill audits, PPO access.

Coverage: Workers compensation, auto liability, general liability, auto no-fault, short-term disability, long-term disability.

Service area: Nationwide.

Compensation: Per case, $95 to $135; per hour, $65 to $85.

Officers: David Hollingsworth, president/COO; Peter Barr, vp-Healthcare Management Services Plus; David Brown, vp-business development; Kelly Hamilton, vp-finance; Gerry Sheldon, vp-risk management services operations.

Contact: Joyce Doele, Eastern regional manager, 313-668-6121 or Anita Weir, Western regional manager, 510-603-5566.

GENEX Services Inc.

440 E. Swedesford Road, Suite 3050, Wayne, Pa. 19087; 610-964-5100; fax: 610-964-1919

1996 revenues

Total$90,000,000

% rehab services direct to employers35%

Rehab services direct to employers$31,500,000

Staff

Total1,300

Professionals800

Including: 480 RNs, 300 vocational counselors, 20 physicians

Customers

Total1,200

Cases

Closed in 199636,018

IME cases8,880

Expert opinion cases2,000

Rehab services since: 1979.

Parent: Provident Cos.

Services: Frequent services include prescreening of cases for rehabilitation intervention, telephone case management, onsite medical case management, medical assessment, job analysis, return-to-work modification and coordination, IMEs, vocational assessment and testing, vocational counseling and plan development, labor market survey, job-seeking skill training, job placement, testimony and expert opinion, Social Security disability insurance review.

Other services: Preadmissions certification, concurrent hospital treatment review, length of stay determination, discharge planning, outpatient utilization review, patient advocacy programs, retrospective review, second surgical opinion, hospital bill audits, provider bill audits, PPO access.

Coverage: Workers compensation, auto liability, general liability, auto no-fault, short-term disability, long-term disability, accident/health.

Service area: Nationwide.

Compensation: Per employee, per case, per hour; charges vary by service/volume/location.

Officers: Peter C. Madeja, president/CEO; Edward J. McBurnie, senior vp-sales/marketing; Delphia B. Frisch, senior vp-operations; Richard A. Baron, vp/CFO; Paul Merritt, vp-national accounts.

Contact: Nancy H. Strain, marketing coordinator.