Atlanta, December 19, 2011 — Healthcare Solutions, the parent company of Procura Management, announced today Procura has been awarded Case Management Accreditation from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry. URAC’s Case Management Accreditation standards require companies to establish a process to assess, plan and implement case management interventions.
“The URAC accreditation reflects the organization’s commitment to quality services,” said David A. George, CEO of Healthcare Solutions. “The certification demonstrates the organization’s focus on our customers and health care providers by acknowledging the importance of national quality standards for case management services and adhering to them through the URAC process.”
URAC’s Case Management Accreditation standards address approaches to ensuring appropriate patient protections have been established, such as policies for confidentiality of patient information, informed consent, dispute resolution and other issues. The standards cover staff structure and qualifications, quality improvement, information management, oversight of delegated functions, ethics, complaints and the case management process.
“We applaud Procura on achieving the case management accreditation,” said Alan P. Spielman, URAC president and CEO. “In today’s health care market, URAC accreditation provides a mark of distinction for organizations to demonstrate their commitment to quality health care.”
In addition to the URAC case management certification, Healthcare Solutions” affiliate company, Cypress Care, holds a URAC pharmacy certification for compliance with the workers’ compensation and property and casualty pharmacy benefit management accreditation program. Procura and Cypress Care also comply with the Health Insurance Portability and Accountability Act (HIPAA) requirements for health care data privacy and protection.
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers’ compensation and auto liability/PIP.
The company’s customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About URAC
URAC, an independent, nonprofit organization, is a leader in
promoting health care quality through accreditation and
certification programs. URAC’s standards keep pace with the
rapid changes in the health care system, and provide a mark of
distinction for health care organizations to demonstrate their
commitment to quality and accountability. Through its broad-based
governance structure and an inclusive standards development
process, URAC ensures that all stakeholders are represented in
setting meaningful standards for the health care industry. For more
information, visit
www.urac.org.
Atlanta — August 18, 2011 — Healthcare Solutions today announced the appointment of Joe Boures to the position of chief operating officer (COO). Boures joins the Atlanta-based company with extensive experience in executive management positions within the workers’ compensation market. In his new role as COO, Boures will provide direction and oversight for the company’s current and emerging product offerings, as well as information technology, legal and human resources functions.
“Healthcare Solutions has a strong reputation for assisting workers’ compensation payers in achieving medical management goals, inclusive of patient care and cost reduction objectives,” said Boures. “I’m excited to join the company in a leadership role so that I can continue the tradition of successfully delivering results to the company’s valued customers.”
Prior to joining Healthcare Solutions, Boures served as president for Specialty Risk Services, Inc. (SRS), a subsidiary of The Hartford Financial Services Group, which was recently sold to Sedgwick Claims Management Services. As president, he oversaw all facets of the SRS operations, including business development, account management and field operations.
Prior to this appointment, Boures served in deputy controller and strategic business development positions for The Hartford. Before joining the Hartford, Joe served as vice president and controller with GAB Robins North America and as assistant vice president of internal audit at Continental Insurance Company.
“I am pleased to welcome Joe to Healthcare Solutions’ leadership team, where the company will benefit immensely from his experience and proven record of success,” said David A. George, CEO of Healthcare Solutions. “More than ever, growth opportunities for Healthcare Solutions abound as a result of the company’s focus on product innovation and a commitment to developing meaningful technology-based solutions that assist customers in reducing overall medical spending.” Boures received his bachelor’s degree in accounting from Lycoming College in Williamsport, Pennsylvania, a certified public accounting (CPA) designation in 1986 and a chartered financial analyst designation in 2001.
For more information or a head shot of Mr. Boures, please contact Brian Remsberg at IMRE – BrianR@IMRE.com or 864-232-6380.
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers’ compensation and auto liability/PIP.
The company’s customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Comprehensive Analysis Details Elements Impacting Workers’ Compensation Pharmacy Costs
Atlanta – July 11, 2011 – Cypress Care, a subsidiary of Healthcare Solutions and leading provider of pharmacy and specialty healthcare services, today announced the release of its 2011 Pharmacy Drug Trends Report. The report is based on analysis of millions of paid pharmacy claims prospectively managed through Cypress Care and provides a review of financial and clinical elements that impacted overall workers’ compensation pharmacy program costs in 2010. Due to the company’s broad customer base, the report provides an analysis of drug trends in relation to claim age up to 15 years.
“Cypress Care is pleased to present our inaugural pharmacy drug trends report to customers and the industry at large,” said Jim Andrews, R.Ph., senior vice president of pharmacy services for Cypress Care. “We hope this report serves as a valuable resource to workers’ compensation executives seeking to gain insight into pharmacy trends, especially as it relates to influences claim age has on prescription utilization and spend.”
Key observations in the report include:
- Injured worker cost per day decreased 0.5%
- Generic dispensing increased to 69.4% and generic substitution rates increased to 95.4%
- The percentage of workers utilizing narcotics decreased 1.4%;
- There was an increase of 4.3% of injured workers taking drugs used to treat diabetes, hypertension and cholesterol, which are not commonly used in the treatment of workers’ compensation injuries, but are often necessary when returning patients to work
- There was an 82.4% growth in physician dispensing; 73.7% of physician-dispensed medications are repackaged
“The trend report illustrates that many factors drive pharmacy spend,” said Andrews. “Cypress Care continues to develop market leading programs aimed at increasing in-network usage, managing appropriate drug utilization and reducing overall costs for customers.”
To obtain a copy of the 2011 Pharmacy Drug Trends Report, please send a request through the Cypress Care website: http://www.cypresscare.com/contact.html/.
ABOUT HEALTHCARE SOLUTIONS
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers’ compensation and auto liability/PIP.
The company’s customers include insurance carriers, third
party administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Position paper released on the 100th anniversary of workers’ compensation forecasts emerging industry issues
Vancouver, BC. May 3, 2011 – The property and casualty industry today recognizes the 100th anniversary of workers’ compensation in the United States. Since the initial legislation was signed in Wisconsin on May 3, 1911, workers’ compensation laws have adapted to changes in industry, and regulations have grown considerably more complex.
Healthcare Solutions, a leading technology company and provider of integrated medical cost management solutions, is looking beyond current trends to identify emerging issues that the company expects will impact the workers’ compensation market over the next decade.
“Workers’ compensation today focuses on assuring that injured workers receive appropriate medical treatment while attempting to manage quality, cost and liabilities,” said David A. George, CEO of Healthcare Solutions. “It is important for companies like Healthcare Solutions to identify and be prepared for the trends that are only beginning to emerge now, and to understand the impact they will have on the industry as they grow.”
Future trends identified in the Healthcare Solutions’ position paper released at this year’s Risk and Insurance Management Society Annual Conference & Exhibition in Vancouver, BC include:
- Greater use of surgical implants
- Changing demographics of workforces
- Increased regulatory oversight of pharmaceutical practices
- Increased treatment with personalized medicine
- Improved treatment for traumatic brain injury
- Greater use of e-prescribing and digitization of records
- Proliferation of compound and repackaged drugs
- Growth in use of medical foods to treat conditions
- More injuries related to distracted driving
- Advances in bionic implants to restore functions lost to disease or injury
Understanding emerging trends, and taking the appropriate steps to adapt to the changing workers’ compensation environment, will help claims professionals enable injured workers to receive appropriate medical care at the lowest possible cost.
ABOUT HEALTHCARE SOLUTIONS
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers’ compensation and auto liability/PIP.
The company’s customers include insurance carriers, third
party administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Download Workers'
Compensation Future Trends and Potential Impacts // May 2011
“We are pleased to have the additional opportunity to provide specialty healthcare services to Alpha Review and we appreciate their utilization of our PPO network,” said David A. George, CEO of Healthcare Solutions. “We look forward to expanding our network services which are capable of returning the highest levels of penetration and savings.”
Healthcare Solutions’ comprehensive DME program includes both prospective and retrospective management of bills and has demonstrated the ability to produce additional savings after claims have gone through the traditional bill review process. Through implementation of this Healthcare Solutions program, Alpha Review will return additional value to its customers.
“We chose to partner with Healthcare Solutions because the company’s network management strategy produces maximum savings, ensures quality data and provides continuous process improvement,” said Michael E. Drevalas, President of Alpha Review. “We believe that Healthcare Solutions’ services consistently provide the best value to our customers and enable us to further assist our customers in containing rising medical costs.” For more information, please contact Brian Remsberg at IMRE – BrianR@IMRE.com or 864-232-6380
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers’ compensation and auto liability/PIP. The company’s customers include insurance carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit www.healthcaresolutions.com.
About Alpha Review Corporation
Alpha Review Corporation (ARC) was formed in 1995 as a medical bill review company. ARC customizes its bill review services to meet the client's individual needs by setting specific and unique customer notification parameters, providing customized management reports, or meeting any number of perhaps seemingly minor, but critical needs. This ensures the bill review process will work smoothly and efficiently for our customer. By focusing on medical bill review, ARC is able to leverage its experience and expertise to provide the best possible savings. We are the focal point of the client's need for bill review expertise in any state. We are a single resource, processing all bills at one location. For more information, please visit www.alphareview.com
Health Ticket, an on-demand claim communication and PPO compliance tool powered by VIIAD, is accessed through an easy to use web-based application by injured workers and treating medical providers in order to locate participating PPO providers and other information relevant to a workers’ compensation claims transaction.
“Customers who have deployed the VIIAD Health Ticket have seen a significant jump in PPO penetration – and in some cases, as high as 10 points,” said Tom Shivers, executive vice president of Healthcare Solutions.
Healthcare Solutions began offering VIIAD’s Health Ticket to customers in 2009. Implementation of the add-on program requires no IT resources by Healthcare Solutions or its customers.
“We are excited that Healthcare Solutions and its customers are benefiting from the use of Health Ticket, and we look forward to working with future customers who are looking for innovative ways to enhance communication while reducing claims costs,” said April Stiles, chief operating officer of VIIAD.
About VIIAD Systems
Founded in 2006, VIIAD’s objective is to advance our clients competitive position by providing innovative solutions that reduce claim costs and maintain compliance. VIIAD’s Health Ticket is a simple, elegant claim communication tool that was awarded “2008 Risk Innovator of the Year” by Risk and Insurance Magazine. For additional information, please visit www.viiad.com .
About Healthcare Solutions
Healthcare Soultions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers’ compensation and auto liability/PIP. The company’s customers include insurer carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit www.healthcaresolutions.com.
“Broadspire chose Healthcare Solutions as a participant in the BOLD network after conducting a thorough analysis of the market,” said Danielle Lisenbey, chief operating officer, medical management services for the third party administrator. “Broadspire’s preferred provider organization (PPO) strategy includes a multi-tiered selection of medical networks on a state-by-state basis to produce superior outcomes for clients. Based on our analysis, Healthcare Solutions’ network will help produce the highest penetration and savings results for our customers in the markets where it’s utilized.”
Healthcare Solutions provides seamless access to the country’s strongest providers. This results in greater network penetration at preferred rates and improved outcomes for the company’s customers.
“The market has long been in need of alternative network solutions,” said David A. George, chief executive officer of Healthcare Solutions, “ and we are pleased to expand our relationship with Broadspire to provide PPO network services that will further reduce workers’ compensation medical costs for Broadspire’s customers.”
The new contract to provide PPO network services builds upon an existing partnership between the two companies. Earlier in the year, Healthcare Solutions and Broadspire announced a technology-enabled durable medical equipment (DME) formulary that helps significantly reduce workers’ compensation costs. The formulary, which was developed using clinical protocols, ensures appropriate utilization and helps to mitigate the rising costs of medical equipment and supplies. The program also includes a retrospective program that screens vendor bills to help ensure that out-of-network bills are captured and properly reduced to the applicable in-network contracted rates and prospectively re-directs the claims with recurring specialty healthcare needs to participating providers. This program yields far greater savings than traditional bill review programs and provides enhanced visibility into claimant utilization.
For more information, please contact Jay Moore at IMRE – JayM@IMRE.com or 410-821-8220.
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers’ compensation and auto liability/PIP. The company’s customers include insurance carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit www.healthcaresolutions.com.
About Broadspire
Broadspire, a leading international third party administrator for large self-insured organizations, offers a broad array of customized claim and medical management services designed to increase employee productivity and contain costs. Broadspire’s U.S. offering of workers compensation, auto and general liability claims administration, medical management and absence and care management, is available bundled or individually. In addition, Crawford provides liability, motor and property claims management services in Europe under the Broadspire brand. Broadspire is based in Atlanta, Ga., with a network of 85 locations throughout the United States, www.choosebroadspire.com, and Europe, www.Broadspire.eu, including the United Kingdom, www.broadspiretpa.co.uk.
About Crawford
Based in Atlanta, Ga., Crawford & Company, www.crawfordandcompany.com, is the world’s largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims Solutions SM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration. The Company’s shares are traded on the NYSE under the symbols CRDA and CRDB.
“Healthcare Solutions is one of the fastest growing companies in the workers’ compensation market,” said Dare. “I’m excited to join a company that has strong customer relationships and a solid reputation for successfully delivering results.”
Most recently Dare worked for CUNA Mutual Group, a leading provider of financial and insurance products and services, where he served as vice president and associate general counsel. He also spent three years with Broadspire, where he held the position of senior vice president and general counsel. Previously, Dare was general counsel for Kemper National Services, a leading managed care organization in the workers’ compensation industry and predecessor company to Broadspire.
“With vast knowledge of the workers’ compensation regulatory environment, and a successful track record serving in general counsel positions at well-known predecessor companies, Tom will further strengthen the company’s leadership team and add tremendous value to the organization,” said David A. George, CEO, Healthcare Solutions.
Dare is a graduate of the University of Iowa College of Law where he received a Juris Doctor and earlier received a Bachelor of Arts in Psychology from Grinnell College. Dare sat on the board of directors for URAC from 2000-2006 and served as an adjunct professor for Nova Southeastern University Sheppard Broad Law Center from 2002- 2006.
For more information or a head shot of Mr. Dare, please contact Brian Remsberg at IMRE – BrianR@IMRE.com or 864-232-6380.
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers’ compensation and auto liability/PIP. The company’s customers include insurance carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit www.healthcaresolutions.com.
“We are excited to add these two high caliber pharmacists to our team,” said Jim Andrews, R.Ph, senior vice president of pharmacy services for Healthcare Solutions. “Healthcare Solutions continues to heavily invest in clinical resources responsible for developing innovative cost management solutions that support appropriate medical care for patients.”
Phillips and Castaldo will be added to the company’s P&T committee, which serves as an advisory board to the company on the selection and use of medications to treat injured workers and auto claimants. Healthcare Solutions’ P&T committee reviews identified safety issues, proper drug utilization trends, drug recalls, new generic introductions, changes in FDA drug indications that have occurred in the recent quarter. The committee also focuses on emerging issues, including legislative updates and best practice pain treatment protocols prevalent in the workers’ compensation and auto markets.
Castaldo has over 15 years of experience in the pharmacy management industry, including serving as a district pharmacy manager at Publix Super Markets, Inc. in Atlanta Georgia. Castaldo graduated from the University of Florida with a Masters degree in Pharmacy Policy and Regulation. He also earned a Bachelor of Science in Pharmacy from University of Rhode Island. Castaldo currently serves as preceptor for the University of Georgia School of Pharmacy.
Phillips has worked in the pharmacy industry for nearly a decade and previously worked at CVS Pharmacy, Pharmaceutical Product Development, Inc., and Diosynth Biotechnology. He earned his Doctor of Pharmacy, Master in Business Administration, and Master of Science from Campbell University.
Healthcare Solutions P&T committee is chaired by Chip Robison, Pharm.D, director of clinical pharmacy services for Healthcare Solutions. Dr. Robison is a member of the Work Loss Data Institute (WLDI) Official Disability Guidelines Editorial Advisory Board and actively participates in providing pharmacy guidance to the committee. Under Dr. Robison’s leadership, the P&T committee recently developed customized formulary approaches to antibiotic utilization as well as formulary enhancements to assist non-subscriber workers’ compensation customers. The P&T committee continues to monitor the impact of the Food and Drug Administration’s risk evaluation and mitigation strategies (REMS), as well as the state-specific adoption of the Official Disability Guidelines.
For more information, please contact Jay Moore at IMRE – JayM@IMRE.com or 410-821-8220.
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers’ compensation and auto liability/PIP. The company’s customers include insurance carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit www.healthcaresolutions.com.
Companies recognized for the award had to demonstrate three years of sustained revenue and employment growth. The CPA firm Cherry Bekaert & Holland, LLC (CB&H) rated the top companies based on a weighted growth rate; 75 percent toward revenue growth and 25 percent toward employee growth. Healthcare Solutions was recognized in the large middle-market company category, which included companies with revenues between $60 million to $500 million.
“Payers in the workers’ compensation and auto insurance markets use Healthcare Solutions because the company’s innovative technology-based programs reduce medical costs and associated administrative burden,” said David A. George, CEO, Healthcare Solutions. “In addition to significant new customer commitments, the company enjoys a customer retention rate of 99%.”
Over the past five years, Healthcare Solutions has increased revenues over 30% each year. In 2005, company revenues were $76 million compared to revenues of $232 million in 2009. To keep pace with business growth and customer commitments, the company plans to add up to 300 jobs over the next few years.
“Healthcare Solutions will continue to increase market share because of its commitment to developing market-leading technology solutions that assist customers in gaining management control over healthcare expenditures,” said George. “The market has been in need of innovative ideas and applied technology and Healthcare Solutions will continue to deliver both to positively impact customer results.”
For more information, please contact Jay Moore at IMRE – JayM@IMRE.com or 410-821-8220.
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers’ compensation and auto liability/PIP. The company’s customers include insurer carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit www.healthcaresolutions.com.
About Georgia Trend
Georgia Trend, the only statewide business publication in the market, is published once a month with two extra issues (Business Georgia and Small Business Guide) each year, delivered to more than 55,000 subscribers. With columns by Neely Young and Tom Crawford revealing the inside track on state politics, and with 3.3 readers per copy, Georgia Trend has become indispensible to the state's movers and shakers, a tradition that has been carried on for more than 20 years. Recent investments in GeorgiaTrend.com have created an equally valuable resource, incorporating not only the full contents of each new issue, but an archive of issues going back to September 2003. Georgia Trend has won numerous national and regional awards for journalistic excellence, including the prestigious Green Eyeshade Award, received in 2007 for the Energy In Georgia series written by Senior Writer Jerry Grillo.
Atlanta – June 10, 2010 — Healthcare Solutions today announced that Jim Andrews, R.Ph. has been elected to serve on the National Council for Prescription Drug Programs (NCPDP) Board of Trustees. Andrews was added to the panel at the NCPDP Annual Technology and Business Conference in Scottsdale, Arizona last month.
"I am honored by the election to serve on the Board of Trustees for NCPDP," said Jim Andrews, senior vice president of pharmacy services for Healthcare Solutions. "Through the dedication and hard work of the organization's members, pharmacy standards have been developed to address the industry’s diverse stakeholder interests. I am proud to work with the membership to make sure that NCPDP remains an industry think tank and an integral part of industry discussions."
Andrews has been an active member of NCPDP for over 10 years and is currently the co-chair of the Property and Casualty/Workers' Compensation work group. He joins a select number of executives on the board, which also includes individuals from First DataBank; Gateway Pharmacy Consulting; RxResults, LLC; CVS/Caremark; StoneRiver; Frank McKinney Group, LLC; Kaiser Permanente; Takeda Pharmaceuticals America, Inc.; Granada Health, LLC.; Surescripts; Medco Health Services, Inc.; CatalystRx.; Wal-Mart Stores, Inc.; and Walgreen Co.
"Mr. Andrews brings a wealth of industry knowledge to the NCPDP Board of Trustees and we're happy that he has joined our board," said Lee Ann Stember, NCPDP president.
NCPDP is a standards development organization with over 1,500 members representing virtually every sector of the pharmacy services industry. The board is responsible for providing direction for the organization and helping to determine priorities and policies.
For more information about NCPDP, visit http://ncpdp.org.
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers’ compensation and auto liability/PIP.
The company’s customers include insurance carriers, third
party administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About NCPDP
Founded in 1977, NCPDP is a not-for-profit, ANSI-accredited,
Standards Development Organization with over 1500 members
representing virtually every sector of the pharmacy services
industry. Our diverse membership provides leadership and healthcare
business solutions through education and standards, created using
the consensus building process. NCPDP has been named in federal
legislation, including HIPAA and the MMA. NCPDP members have
created standards such as the Telecommunication Standard and Batch
Standard, the SCRIPT Standard for e-Prescribing, the Manufacturers
Rebate Standard and more to improve communication within the
pharmacy industry. Our data services include the NCPDP Provider
Identification Number, a unique identifier of over 75,000
pharmacies, and HCIdea, "The Prescriber Identity Solution." For
more information about NCPDP Standards, Data Services, Educational
Programs and Work Group meetings, go online at
www.ncpdp.org or call (480)
477-1000.
Atlanta – June 7, 2010 — Healthcare Solutions, the parent of Cypress Care, today announced that Jim Andrews, R.Ph., senior vice president of pharmacy services for Healthcare Solutions, and Dave Theron Smith, divisional vice president of risk management for Family Dollar, Inc. will present at the 2010 Case Management Society of America (CMSA) annual conference in Orlando. The presentation, “Beyond Unit Cost: The Next Generation of Pharmacy Benefit Management” will take place on Friday, June 11th, at 2:15 p.m. at Disney’s Coronado Springs Resort.
Atlanta – June 7, 2010 — Healthcare Solutions, the parent of Cypress Care, today announced that Jim Andrews, R.Ph., senior vice president of pharmacy services for Healthcare Solutions, and Dave Theron Smith, divisional vice president of risk management for Family Dollar, Inc. will present at the 2010 Case Management Society of America (CMSA) annual conference in Orlando. The presentation, “Beyond Unit Cost: The Next Generation of Pharmacy Benefit Management” will take place on Friday, June 11th, at 2:15 p.m. at Disney’s Coronado Springs Resort.
For years, prescription drug costs have been cited as a leading contributor to the increase in overall health spending. Andrews and Smith will discuss the factors behind rising pharmaceutical expenditures and how Healthcare Solutions and Family Dollar partnered to apply a unique, comprehensive approach for managing these expenditures by focusing on clinical and utilization controls supported by data analytics.
“By applying a data-driven, clinical approach, Family Dollar’s pharmacy costs dropped by eight percent as a share of total medical losses while industry reports indicate that workers’ compensation pharmacy costs are increasing,” said Smith. “During the same time period, Family Dollar’s total medical losses decreased by seven percentage points.”
Andrews and Smith will also discuss how pharmacy data can be used as a leading indicator of future medical and indemnity losses. The presentation will specifically address how data can be mined to identify irregular utilization and prescribing patterns and used to trigger strategies to improve clinical and return-to-work outcomes.
“The success of our pharmacy program is based on a strong business partnership with Family Dollar that includes working together to identify new approaches for clinical management that address evolving pharmacy trends,” said Andrews. “As part of the program, Healthcare Solutions provides timely information to Family Dollar that enables immediate action to be taken to improve clinical outcomes while also reducing costs.”
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurance carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About Family Dollar
Beginning with one store in 1959 in Charlotte, North
Carolina, the Company currently operates more than 6,600 stores in
44 states. Family Dollar Stores, Inc., a Fortune 500 company, is
based in Matthews, North Carolina, just outside of Charlotte and is
a publicly held company with common stock traded on the New York
Stock Exchange under the symbol FDO. For more information, please
visit
www.familydollar.com.
Breakthrough Technology Helps Reduce Cost of Durable Medical Equipment and Supplies by 30 Percent
Boston – April 27, 2010 — Healthcare Solutions and Broadspire today announced a technology-enabled durable medical equipment (DME) formulary that significantly reduces workers' compensation costs. The formulary, which was developed using clinical protocols, can ensure appropriate utilization and helps to mitigate the rising costs of medical equipment and supplies. During the first month of implementation, Broadspire clients realized an average savings of 30 percent per DME transaction.
Breakthrough Technology Helps Reduce Cost of Durable Medical Equipment and Supplies by 30 Percent
Boston – April 27, 2010 — Healthcare Solutions and Broadspire today announced a technology-enabled durable medical equipment (DME) formulary that significantly reduces workers' compensation costs. The formulary, which was developed using clinical protocols, can ensure appropriate utilization and helps to mitigate the rising costs of medical equipment and supplies. During the first month of implementation, Broadspire clients realized an average savings of 30 percent per DME transaction.
The DME formulary improves the process of administrating durable medical equipment and supplies through inclusion of proprietary clinical protocols during the order process. The program provides injured workers necessary medical equipment at the lowest price to support them in getting back to work quickly and safely while saving money for employers.
"DME and supplies account for approximately 10 percent of workers' compensation annual medical spending," said Eileen Ramallo, executive vice president for Healthcare Solutions. "Our DME formulary applies the same principles of a pharmacy formulary, which uses clinically-based guidelines and utilization management controls to reduce costs while ensuring appropriate care for injured workers. As an added benefit, the technology reduces the workload of claims adjusters by streamlining the DME process and automating decisions based on customer-specific protocols."
During the DME order process, the formulary automatically compares the injured worker’s injury to the request and instantly reviews customer-specific clinical protocols and cost appropriateness.
The formulary also flags high-cost products and automatically notifies the customers' claims adjuster and clinical review team, providing multiple product options that are supported by evidence-based medicine to consider in completing the order.
"The new DME formulary can result in a significant reduction in total claim costs, more consistency in order processing and assurance that injured workers are receiving the right care," said Danielle Lisenbey, chief operating officer, Medical Services for Broadspire. "We are pleased to further demonstrate our commitment to customers in developing this unique program that leverages our expertise in medical management. It goes beyond simply managing claims to returning meaningful results to our customers."
The program's systemic approach, which is enabled by technology, is currently the fastest and easiest way for DME orders to be approved and completed.
To see a video highlighting the new DME formulary, visit the Healthcare Solutions YouTube Page.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurance carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About Broadspire
Broadspire, a leading international third party administrator
for large self-insured organizations, offers a broad array of
customized claim and medical management services designed to
increase employee productivity and contain costs. Broadspire's U.S.
offering of workers compensation, auto and general liability claims
administration, medical management and absence and care management,
is available bundled or individually. In addition, Crawford &
Company, Broadspire's parent, provides liability, motor and
property claims management services in Europe under the Broadspire
brand. Broadspire is based in Atlanta, Ga., with a network of 85
locations throughout the United States (
www.choosebroadspire.com) and Europe (
www.Broadspire.eu), including the United
Kingdom (
www.BroadspireTPA.co.uk).
Atlanta – March 30, 2010 — Healthcare Solutions, the parent company of pharmacy benefit manager Cypress Care, today announced that it has added pharmacy experts Mindi Miller, PharmD. and Corrie Crews, PharmD. to its pharmacy and therapeutics (P&T) committee. The addition of Miller and Crews further strengthens the company's P&T committee, which serves as an advisory board to provide recommendations on the selection and use of medications to treat injured workers and auto claimants.
Atlanta – March 30, 2010 — Healthcare Solutions, the parent company of pharmacy benefit manager Cypress Care, today announced that it has added pharmacy experts Mindi Miller, PharmD. and Corrie Crews, PharmD. to its pharmacy and therapeutics (P&T) committee. The addition of Miller and Crews further strengthens the company's P&T committee, which serves as an advisory board to provide recommendations on the selection and use of medications to treat injured workers and auto claimants.
Healthcare Solutions' P&T committee reviews identified safety issues, proper drug utilization trends, drug recalls, new generic introductions, changes in FDA drug indications and drug misadventures that have occurred in the most recent quarter. The committee also focuses on emerging issues, including legislative updates and best practice pain treatment protocols prevalent in the workers’ compensation and auto markets.
Miller has worked in the pharmacy industry for more than 20 years and currently serves as the University of Georgia's regional coordinator and clinical associate professor. Miller has also worked at Emory University Hospital, University of Kentucky Hospital and University Hospital at Augusta, Ga. She earned her Doctor of Pharmacy from the University of Kentucky. She currently practices in a multi-discipline program at Crawford Long Hospital in Atlanta.
Crews, a practicing pharmacist for more than a decade, currently works with KAISER PERMANENTE as clinical pharmacy specialist. She has also been employed with CVS Pharmacy, UCB Medical Affairs, TAP Pharmaceuticals Medical Affairs and UNC Hospitals. She earned her Doctor of Pharmacy at the University of North Carolina at Chapel Hill.
"We are pleased to add two additional pharmacy experts to our P&T committee to support the company in developing appropriate clinical pharmacy solutions for customers based on unbiased expert recommendations," said Jim Andrews, R.Ph, senior vice president of pharmacy services for Healthcare Solutions. "Healthcare Solutions is committed to remaining at the forefront of issues affecting the workers' compensation and auto insurance market and developing innovative solutions that support appropriate medical care for patients."
Healthcare Solutions P&T committee is chaired by Chip Robison, Pharm.D, director of clinical pharmacy services for Healthcare Solutions. Dr. Robison is a member of the Work Loss Data Institute (WLDI) Official Disability Guidelines Editorial Advisory Board and actively participates in providing pharmacy guidance to the committee. Under Dr. Robison's leadership, the P&T Committee recently developed a new component of the company’s formulary that pertains to antibiotics, and the committee also recommended full implementation of the FDA's Risk Evaluation and Mitigation Strategies (REMS), and the adoption of the Official Disability Guidelines.
For more information, please contact Jay Moore at IMRE – JayM@IMRE.com or 410-821-8220.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurance carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Atlanta – March 25, 2010 — Healthcare Solutions, the leading provider of technology-based healthcare cost management solutions for the workers' compensation and auto insurance markets, today announced that the company has been selected as one of the Top 10 Most Innovative Technology companies in Georgia by the Technology Association of Georgia (TAG), the state's leading technology organization.
Atlanta – March 25, 2010 — Healthcare Solutions, the leading provider of technology-based healthcare cost management solutions for the workers' compensation and auto insurance markets, today announced that the company has been selected as one of the Top 10 Most Innovative Technology companies in Georgia by the Technology Association of Georgia (TAG), the state's leading technology organization.
Healthcare Solutions' technology-driven solutions enable customers to reduce medical expenditures while simplifying the service delivery process. The company uses a proprietary coding system to manage durable medical equipment (DME) and related medical supplies to ensure that the most clinically appropriate and lowest cost product is always provided to injured claimants. The company's technology streamlines the way that DME & supplies are ordered, enabling customers to manage these expenditures on a total program basis, and providing significant savings of time and money.
"Payers in the workers' compensation and auto insurance markets use Healthcare Solutions’ innovative technology-based program to provide medically requested DME and supply items to claimants in order to reduce medical costs, reduce administrative burden and gain management control over expenditures," said David A. George, CEO, Healthcare Solutions. "We are pleased to be recognized by the Technology Association of Georgia, a highly regarded industry association, for the company's innovation and market-leading technology."
The TAG Top 10 companies were selected based on a number of criteria, including: degree of innovation, scope and financial impact of innovation, likelihood of success and promotion of Georgia’s innovative efforts nationally. Companies selected in the Top 10 were showcased at the Georgia Technology Summit, attended by over 1,000 of the state's technology leaders on March 24. In addition to inclusion in the top 10, Healthcare Solutions also received two people's choice awards, for the "Company Most Likely to Create Jobs," and for the "Company Most Likely to Succeed."
For more information, please contact Jay Moore at IMRE – JayM@IMRE.com or 410-821-8220.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About TAG
The Technology Association of Georgia (TAG) is a non-profit
organization whose mission is to support its members by generating
opportunities for personal, professional and business growth. By
forging strategic alliances, TAG serves as a primary catalyst to
foster a rich environment for economic development in
Georgia’s technology community.
Founded in 1999 through the merger of the Business & Technology Alliance (B&TA), the Southeastern Software Association (SSA) and Women in Technology (WIT), TAG is one of the largest state technology associations in the nation. TAG is made up of 9,000 members representing technology leaders from over 1500 Georgia-based companies, affiliated technology and business organizations. For more information on the Summit visit www.tagonline.org, email membership@tagonline.org or call 404-817-3333.
Atlanta – March 9, 2010 — Healthcare Solutions today announced the appointment of Thomas E. Oram to the position of chief financial officer. Oram joins the Atlanta-based company with more than 20 years of experience working in financial and treasury positions within both public and privately held companies. Oram will oversee Healthcare Solutions' financial strategies and business processes. He will also participate as a member of the company's executive team in providing strategic direction and oversight for the company.
Atlanta – March 9, 2010 — Healthcare Solutions today announced the appointment of Thomas E. Oram to the position of chief financial officer. Oram joins the Atlanta-based company with more than 20 years of experience working in financial and treasury positions within both public and privately held companies. Oram will oversee Healthcare Solutions' financial strategies and business processes. He will also participate as a member of the company's executive team in providing strategic direction and oversight for the company.
"I am excited to work for one of the fastest growing companies in the healthcare sector," said Tom Oram. "Healthcare Solutions has a solid reputation for delivering successful medical cost management products and services to the workers' compensation and auto markets and the company is well positioned to outpace the industry in revenue and earnings growth."
Over the past decade, Oram has held chief financial officer positions with high growth organizations within the healthcare industry. Most recently, Oram served as chief financial officer at LogistiCare, Inc., a managed care organization that provides non-emergency transportation services to program beneficiaries, and was part of an executive team that grew company revenues over 30% annually over a three year period. Prior to this term, Oram was chief financial officer at Value Options, Inc., the second largest managed behavioral health organization in the United States. In addition to extensive experience in financial management, including reporting, forecasting and budgeting, Oram played a key role in the strategic planning functions at these companies, contributing to accelerated company growth. Oram also worked for Newport News Shipbuilding, Inc., Ernst & Young, LLP, Twenty-First Securities Corporation and State Street Bank & Trust. "Throughout his career, Tom has consistently demonstrated high energy and an exceptional business acumen," said David A. George, CEO, Healthcare Solutions. "He has a successful track record and his broad expertise will provide a key contribution to the company's continued growth and stability." Oram is a graduate of the State University of New York at Buffalo and possesses an MBA from Northeastern University in Boston. He currently resides in Marietta, Ga.
For more information, please contact Brian Remsberg at IMRE – BrianR@IMRE.com or 864-232-6380.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Atlanta – February 8, 2010 — Healthcare Solutions today announced the appointment of Tom Shivers to the position of executive vice president. As an accomplished industry veteran, Shivers joins the company with over twenty years experience delivering cost management solutions to payers in the workers' compensation market.
Atlanta – February 8, 2010 — Healthcare Solutions today announced the appointment of Tom Shivers to the position of executive vice president. As an accomplished industry veteran, Shivers joins the company with over twenty years experience delivering cost management solutions to payers in the workers' compensation market.
Shivers' principle responsibilities include direct management of the company's network PPO and bill review services. He will also participate as a member of the Atlanta-based company's executive team in providing strategic direction and oversight for the company.
"This is a tremendous opportunity to work for one of the fastest growing companies in the healthcare sector," said Shivers. "I'm proud to join a company with a strong reputation for applying technology-based solutions to the management of medical losses to reduce costs and improve outcomes for payers."
Shivers joins the company with extensive experience in the development, management and sales of workers' compensation product lines, with particular emphasis on network PPO and bill review services. Most recently, Shivers served as senior vice president at Coventry, where he oversaw national and regional sales. Prior to this term, Shivers oversaw the development and sales of Aetna's workers' compensation business, directly developing and managing the network PPO product.
"With widespread workers' compensation business development experience, Tom has a proven track record in PPO network development and operational success," said David George, CEO, Healthcare Solutions. "Tom will play a key role in strengthening the company's PPO and bill review services and his leadership and industry knowledge will enhance these service areas and contribute to further growth."
Shivers is a graduate of Ursinus College and currently resides in Glen Mills, Pa.
For more information or a head shot of Mr. Shivers please contact Brian Remsberg at IMRE – BrianR@IMRE.com or 864-232-6380.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Atlanta – December 3, 2009 — Cypress Care, a Healthcare Solutions company, today announced a first place finish for research submitted at the 20th annual Academy of Managed Care Pharmacy's (AMCP) educational conference. The first place prize was awarded to Cypress Care’s pharmacy intern, Scott Phillips, for research on drug therapies within the workers' compensation industry.
Atlanta – December 3, 2009 — Cypress Care, a Healthcare Solutions company, today announced a first place finish for research submitted at the 20th annual Academy of Managed Care Pharmacy's (AMCP) educational conference. The first place prize was awarded to Cypress Care’s pharmacy intern, Scott Phillips, for research on drug therapies within the workers' compensation industry.
Cypress Care is one of 12 locations chosen to host a student pharmacy intern from the AMCP/Pfizer national internship program. As a host site for the program since 2003, the company is allowed to choose a research topic for each of their pharmacy interns. Phillips worked under the tutelage of Chip Robison, Pharm.D., AMCP academic preceptor and director of clinical pharmacy services for Cypress Care. The study, "A Retrospective Analysis of the Effects of Anticonvulsant Use on Opiate Utilization and Total Prescription Cost in a Workers' Compensation Population" was submitted in the descriptive research reports category.
"The use of opiates in the treatment of workers' compensation patients is certainly a concern to all pharmacy and managed care professionals," said Jim Andrews, R.Ph., senior vice president of pharmacy services. "We closely monitor opiate use because of our concern for each patient's quality of care and the individual's ability to return to work."
The observational study evaluated the effects of anticonvulsant use on opiate utilization and total prescription costs. The research confirmed that the introduction of anticonvulsants results in a decrease in opiate utilization while increasing total prescription costs after 90 days of therapy. The study found that total prescription costs increased slightly because anticonvulsants were added as a secondary medication.
"This a great award for Cypress Care and for Scott," said Robison. "As a result of his efforts and our participation in the national internship program, our customers are able to reap the benefits of Scott's research and Cypress Care has been nationally recognized."
As a core pharmacy service offering, Cypress Care stays abreast of drug utilization, cost trends and safety issues so that the latest information can be provided to customers. As a leader in the workers’ compensation and auto casualty markets, and a URAC accredited workers' compensation pharmacy benefit manager, Cypress Care utilizes continuing research to educate customers and provide expert consultation on ways to improve clinical outcomes.
For more information, contact Nancy Hamlet, vice president of marketing, at 678-730-2467 or Chip Robison, director of clinical pharmacy services, at 678-730-2464.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Atlanta, November 25, 2009 — Healthcare Solutions, the parent company of Cypress Care, announced today that it has received a certificate of full accreditation from URAC for compliance with the workers' compensation and property and casualty pharmacy benefit management accreditation program. The accreditation is effective December 1, 2009 through December of 2012.
Atlanta, November 25, 2009 — Healthcare Solutions, the parent company of Cypress Care, announced today that it has received a certificate of full accreditation from URAC for compliance with the workers' compensation and property and casualty pharmacy benefit management accreditation program. The accreditation is effective December 1, 2009 through December of 2012.
URAC is an independent, nonprofit healthcare accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation. The organization offers the largest array of accreditation programs in the United States assessing health plan operations, including but not limited to, network operations, health care practitioner credentialing systems and medical management functions.
"The URAC accreditation reflects the organization's commitment to quality services," said David A. George, CEO of Healthcare Solutions. "The certification demonstrates the organization's focus on our customers and health care providers by acknowledging the importance of national quality standards for workers' compensation pharmacy benefit managers and adhering to them through the URAC process."
The workers' compensation pharmacy accreditation is a new URAC program that supports high-quality organizations specializing in the workers' compensation arena, providing an opportunity for companies to demonstrate a commitment to industry-recognized standards.
"We applaud Cypress Care on achieving the workers' compensation pharmacy accreditation," said Alan P. Spielman, URAC president and CEO. "In today's health care market, URAC accreditation provides a mark of distinction for organizations to demonstrate their commitment to quality."
In addition to the URAC pharmacy accreditation, Cypress Care also holds a SAS 70 Type II certification and complies with the Health Insurance Portability and Accountability Act (HIPAA) requirements for healthcare data privacy and protection.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About URAC
URAC, an independent nonprofit organization, is well-known as
a leader in promoting health care quality through its accreditation
and certification programs. URAC offers a wide range of quality
benchmarking programs and services that keep pace with the rapid
changes in the health care system, and provide a symbol of
excellence for organizations to validate their commitment to
quality and accountability. Through its broad-based governance
structure and an inclusive standards development process, URAC
strives to ensure that all stakeholders are represented in
establishing meaningful quality measures for the entire health care
industry. For more information, visit
www.urac.org.
Atlanta, November 17, 2009 – Healthcare Solutions, the parent company of Procura Management and Cypress Care, announced today that it has contracted with VIIAD Systems to enable the company to offer VIIAD's Health Ticket as a service offering to its customers.
Atlanta, November 17, 2009 – Healthcare Solutions, the parent company of Procura Management and Cypress Care, announced today that it has contracted with VIIAD Systems to enable the company to offer VIIAD's Health Ticket as a service offering to its customers.
The VIIAD Health Ticket is an on demand, web-based claims communication platform that provides medical information relevant in a workers' compensation claims transaction to the injured worker. The Health Ticket is used to control costs and assist payers in compliance with PPO legislation. In addition to providing PPO network information, the Health Ticket includes information on Healthcare Solutions' pharmacy and specialty healthcare services.
"The Health Ticket is designed as an easy to use tool to reduce claims cost, enhance cost containment strategies, control utilization and comply with the ever-changing regulatory landscape," said April Stiles, Chief Operating Officer of VIIAD. "We are excited about the opportunity to work with a high-growth company like Healthcare Solutions."
VIIAD Health Ticket was designed to benefits all parties, including injured workers, medical providers and payers. The web-based functionality provides injured workers immediate access to important medical information pertaining to their injury and reduces administrative burden on payers and providers.
"As payers work to manage rising medical costs, the VIIAD Health Ticket provides a unique solution for addressing cost pressures," said Tamara Webb, vice president, PPO network services. "As an added value, the Health Ticket will also reduce provider disputes regarding network practices while increasing provider awareness of network participation."
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About VIIAD Systems, LLC
Founded in 2006, VIIAD's objective is to advance our clients
competitive position by providing innovative solutions that reduce
costs and maintain compliance. VIIAD's Health Ticket is a simple,
elegant technology solution that was awarded "2008 Risk Innovator
of the Year" by Risk and Insurance Magazine. For additional
information, please visit
www.viiad.com.
Atlanta, September 10, 2009 — Healthcare Solutions today announced the appointment of Steve Clark to the position of senior vice president of specialty services. The position resides in the company's Atlanta-based operating company, Cypress Care, which provides pharmacy benefit management and specialty healthcare services to workers' compensation and auto insurance carriers, through third party administrators, managed care organizations, government agencies and self-insured employers.
Atlanta, September 10, 2009 — Healthcare Solutions today announced the appointment of Steve Clark to the position of senior vice president of specialty services. The position resides in the company's Atlanta-based operating company, Cypress Care, which provides pharmacy benefit management and specialty healthcare services to workers' compensation and auto insurance carriers, through third party administrators, managed care organizations, government agencies and self-insured employers.
As a leader in the specialty services market, Clark will be responsible for strategic oversight and direction of the company's specialty services that includes durable medical equipment and supplies, home healthcare, diagnostic imaging, physical medicine and transportation and language services. Clark brings over 25 years of healthcare experience in specialty healthcare services. As a former regional vice president for Praxair Healthcare Services, Clark was responsible for sales, operations and compliance for similar product lines in the broader healthcare industry.
"Steve has proven experience in the specialty services arena with a track record for operational excellence and business growth," said David A. George, chief executive officer of Healthcare Solutions. "Our specialty services division is one of the fastest growing segments for the company and Steve will be instrumental in leading our operations and network development teams in this important area of our business."
In addition to his role at Praxair, Clark also held senior management positions at Apria Healthcare and Invacare Corporation. He began his career in financial analysis roles with NCR Corporation and Travelers Insurance Corporation. Clark received a Bachelor of Science degree in Accounting from the University of Central Florida.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
Atlanta — April 13, 2009 — Healthcare Solutions and Mitchell International announced today a new specialty network solution for the auto casualty market. Through a strategic partnership, Healthcare Solutions and Mitchell International have developed a new approach to medical cost management that includes enhanced capabilities for managing pharmacy, diagnostic imaging and other ancillary healthcare costs for auto injury claims.
Atlanta — April 13, 2009 — Healthcare Solutions and Mitchell International announced today a new specialty network solution for the auto casualty market. Through a strategic partnership, Healthcare Solutions and Mitchell International have developed a new approach to medical cost management that includes enhanced capabilities for managing pharmacy, diagnostic imaging and other ancillary healthcare costs for auto injury claims.
"Total medical expenses are rising faster than the rate of medical care inflation, fueled by increases in the number of pharmacy claims, the fastest growing component of healthcare costs, and diagnostic imaging services with increasing utilization and soaring treatment costs," said Dave Torrence, senior vice president of Mitchell International. "Integration of Healthcare Solutions' specialty networks into Mitchell International's bill review process provides carriers discounts ranging between 25-35% over traditional re-pricing methods, and 75% better program use, due to seamless automation within Decision Point."
In addition to substantial discounts, the program also provides improved operational efficiency and enhanced policyholder value and satisfaction. Policyholder value is increased through ease of access at over 50,000 retail pharmacy locations nationwide, the elimination of out of pocket expenses and maximized policy limits.
The program reduces the volume of reimbursement checks written due to prospective management of bills and payment to a single vendor through Decision Point. It also reduces the number of paper bills manually entered into the system, eliminating keying errors and payment mistakes.
The integrated solution includes a prospective pharmacy program that yields discounts approximating 30% through a combination of improved management of drug utilization and compliance, the application of industry-standard treatment protocols and network discounts substantially deeper than traditional re-pricing methods that utilize Medi-Span® or Red Book® to only review bills after the expense has been incurred by the policyholder.
Additional ancillary healthcare services included in the program consist of diagnostic imaging, home healthcare and durable medical equipment and supplies. Inclusion of specialty networks into Decision Point increases the number of bills managed through in-network providers and provides discounts averaging 25% below typical charges without disrupting the bill review process. Preliminary analyses indicate that inclusion of specialty network services within Decision Point adds 75 – 80% in additional program usage.
"The comprehensive specialty network solution provides for significant improvement in loss costs related to pharmacy and other ancillary healthcare services, reduces claims administrative burden for carriers and enhances policyholder satisfaction," said David A. George, chief executive officer of Healthcare Solutions. "Integration of specialty networks within Decision Point provides a best in class solution for customers."
For more information about specialty network services offered by Mitchell and Healthcare Solutions, contact Kevin Gitre, Sr. Vice President of Sales for Mitchell Medical at 858-368-8030, or Kim Plotkin, Vice President of Sales for Healthcare Solutions at 303-916-6685.
# # #
About Healthcare Solutions
Healthcare Solutions, Inc. is the parent company of Cypress
Care and Procura Management. Through its affiliated companies,
Healthcare Solutions serves as a health service company delivering
integrated solutions to the property and casualty markets,
specializing in workers' compensation and auto liability/PIP. The
company's customers include insurer carriers, third party
administrators (TPAs), managed care organizations (MCOs),
government agencies and self-insured employers. Utilizing
market-leading technology, Healthcare Solutions delivers
demonstrated benefits and savings complemented by deep industry
expertise. For more information, please visit
www.healthcaresolutions.com.
About Mitchell International
Mitchell International, Inc. (
www.mitchell.com) provides the Insurance
P&C market with a variety of technology, database and service
solutions with one goal in mind –enable our clients to
process their automotive medical claims in a timely, accurate and
fair manner. Mitchell International has a 20 year track record of
delivering high-quality products and services to auto insurance
carriers, service providers and TPAs, allowing them to audit and
evaluate first and third-party provider and hospital bills.
Mitchell International currently serves many of the top automobile
and workers compensation P&C companies and is a leading
provider of information, workflow, and performance management
solutions to the automotive insurance claims industry, also serving
carriers, collision repair facilities, and other commercial
participants in the physical damage and automobile and workers
compensation related medical claims markets.
Atlanta — February 10, 2009 — Cypress Care, a Healthcare Solutions company, announced today that it successfully completed an American Institute of Certified Public Accountants (AICPA) SAS 70 Type II examination. The report completed at the conclusion of the audit noted no exceptions. In completing the examination through an independent auditor, Cypress Care established its adherence to one of the most stringent, industry-accepted auditing standards for service companies.
Atlanta — February 10, 2009 — Cypress Care, a Healthcare Solutions company, announced today that it successfully completed an American Institute of Certified Public Accountants (AICPA) SAS 70 Type II examination. The report completed at the conclusion of the audit noted no exceptions. In completing the examination through an independent auditor, Cypress Care established its adherence to one of the most stringent, industry-accepted auditing standards for service companies.
"Cypress Care's decision to undergo the SAS 70 Type II examination provides our customers with an assessment of our environment by an independent auditor in order to validate the company's industry leading technology and operational practices," said Chuck Cavaness, chief information officer for Cypress Care. "The examination included design assessments and operating effectiveness tests of the system's infrastructure, physical network security, maintenance procedures, infrastructure change management, problem management, reporting control procedures and environmental safeguards."
SAS 70 certification validates that a service organization has completed an objective, in-depth audit of its information control activities, which include controls over information technology processes. A Type I report describes the service organization's description of its controls at a specific point in time. A Type II report not only includes a description of the controls, but also includes a detailed testing of those controls.
The Type II certification achieved by Cypress Care provides assurance to customers that adequate logical, physical and environmental controls are operating effectively. The examination can be used by clients during audits of their own financial statements.
"The SAS 70 certification reflects the organization's unwavering commitment to provide only the highest standards of service to our customers," said David A. George, CEO of Cypress Care. "SAS 70 is the emerging industry standard and we are proud to have completed the Type II certification process with no exceptions, a very impressive accomplishment."
In addition to SAS 70 examinations, Cypress Care also complies with the Health Insurance Portability and Accountability Act (HIPAA) requirements for healthcare data privacy and protection.
# # #
About Healthcare Solutions Healthcare Solutions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers' compensation and auto liability/PIP. The company's customers include insurer carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit www.cypresscare.com or www.procura-inc.com.