Managed Care Services  

November 1, 2006

PRIME HEALTH SERVICES SETS STRATEGIC ALLIANCE WITH

MEDRISK’S EXPERT PHYSICAL MEDICINE PROVIDER NETWORK

Goal is reduced medical costs with high quality of care

Nashville, TN. (Nov. 1, 2006) – Prime Health Services (Prime Health), a National Preferred Provider Organization (PPO), has announced a strategic alliance with MedRisk, Inc.  The agreement enables Prime Health’s customers to access MedRisk’s Expert Provider Organization (EPO) of workers’ compensation physical medicine specialists.

“At Prime Health, we are committed to providing our clients with the best services and savings in the industry,” said Brian Sharp, CEO of Prime Health.  “Since physical medicine represents 20 to 30 percent of the workers’ compensation medical dollar, MedRisk’s specialty service for managing this segment will bring significant value to our clients.”

 

The arrangement allows Prime Health’s customers access to more than 15,000 physical and occupational therapists as well as more than 12,000 chiropractors in MedRisk’s EPO. 

“We’re delighted to be working with Prime Health,” said Shelley Boyce, CEO of MedRisk, Inc. “Through our unique diagnostic reimbursement program and our evidence-based medical management program, Prime Health’s clients will enjoy lower physical medicine costs and better outcomes.” 

About Prime Health:

Founded in 1996 and based in Brentwood, TN., Prime Health Services is a Preferred Provider Organization that offers a full spectrum of services including customizable network solutions, an international PPO and re-pricing offerings.  Its PPOs encompasses workers’ compensation, group health, general and auto liability networks.  With providers and facilities available in all 50 states and the District of Columbia, Prime Health offers its services to third-party administrators, insurance carriers, and self-insured markets. More Information is available at www.primehealthservices.com or by calling Jennifer Pitoscia at 615-329-9048.

About MedRisk:

Founded in 1994 and based in King of Prussia, Pa., MedRisk, Inc. provides specialty managed care services along with claims workflow management tools to the workers’ compensation industry.  With a demonstrated core competency in physical medicine management, MedRisk has leveraged its technological expertise and evidence-based research to provide a growing list of products and services to its client community including document management, best-practice claim-workflow automation, specialty network services, network integration and data analytics. MedRisk’s programs deliver savings and operational efficiencies that are significantly greater than traditional programs. Customers include insurance carriers, self-insured employers, third-party administrators and general managed care workers’ compensation companies.  More information is available at www.medrisknet.com or by calling 1-800-225-9675. 

 

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  Come See Ewa Laurance, the "Striking Viking" at Prime Health Services' exhibit booth in Las Vegas, Nevada November 14th, 2006 (National Workers' Compensation and Disability Conference & Expo). 

Ewa will be helping us introduce QueBall, the revolutionary provider nomination management system.  To learn more about QueBall, visit www.primehealthservices.com/queball.

Ewa, a professional billiard player and frequently seen on ESPN, will perform a dazzling display of trick and fancy shots as well as challenge matches throughout the day.  She will also be available for pictures.  We look forward to seeing you at the conference.  Please visit PHS and Ewa at booths # 356 and #357.

 

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Why Prime Health PPO?

 

Prime Health – We’re coming along way – in PA!

 

By

Bryan Hunziker, VP of Business Development

bhunziker@prime-health.net

 

Prime Health remains busy in our relentless network development across the country. In a recent analysis completed by a major national managed care company in our workers’ compensation industry we’ve gained some astonishing results.

In an analysis of over 5,400 bills with an excess of $1.1 million dollars in medical bill charges Prime Health achieved a 85% provider penetration and over 14% in medical bill charge savings related to those providers in the Prime Health PA Network.

And this isn’t even the end of the story in PA……Prime Health has recently secured the rights to workers’ compensation contract assets that a major group health organization had available. These assets will be put in place over the next several weeks in PA and several others states nationwide!

Prime Health continues its quest to become the premier privately held network and network development organization nationally for the workers’ compensation and auto liability industry.

We’d love to hear from you! Prime Health and the Prime Health Sales Team may be contacted at (866) 377-8247 or through our website at www.primehealthservices.com

 

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WWW.PRIMEHEALTHSERVICES.COM

 

In This Issue

1. PHS announces new strategic partnership with MedRisk.


2. Ewa Lawrence, professional Billiards player, appears with PHS at the National Workers' Compensation and Disability Conference & Expo.


3. Why Prime Health? Recent Network Gains in PA.


4. The CEO Corner

5.  PHS Introduces QueBall

 

 

The CEO Corner

Hello everyone!

I am pleased to inform you that Prime Health Services has rolled out our new corporate website at www.primehealthservices.com.

Please take a few moments and explore the new site. The look and feel of the new PHS website is very different from the old, and is much more user friendly.

Our research tells us that the most important section of our corporate site is the "Provider Search" function.  Thus, I want to share with you some changes to this area.  First, anyone searching for providers will need to register with us for the first time.  Only current clients will be granted access to perform a search.  Also, we have included a vastly improved provider directory on demand function, which will result in a smoother experience while visiting our corporate presence on the Internet.

We have also made it much easier for medical providers to join our PPO network online.  This area will continue to be enhanced with valuable tools for our medical providers.

Again, we look forward to your visit to our new website and feel free to contact us with any suggestions on how we might make your experience more productive and useful at www.primehealthservices.com

As always, we appreciate our Payor clients and Providers.  Our goal is to provide you with excellent customer service and a quality PPO network.  If I can be of assistance to you in any way please feel free to contact me at bsharp@prime-health.net or via telephone at 866.348.3887.

 

PHS Introduces QueBall

Bethany Cook, PHS Director of Business Development

As PHS Director of Business Development, I am often asked what makes us different from our competitors.  Although, there are many reasons, today's focus is on our new propriatary system called QueBall.

 

QueBall was born out of a need for a tool to help PHS develop custom EPO (exclusive provider organization) networks for our clients.  As we listen to our clients, they continue to tell us they need custom networks and they need them fast.  QueBall helps make this happen. 

 

PHS now has the ability to quickly and effeciently, via QueBall Provider Nomination Management System, to meet the needs of our clients as described above.

 

Briefly, QueBall is a total integrated system that allows PHS to contact and direct contract with thousands of medical providers in a very short perod of time.  This allows PHS to uniquely meet the needs of payor clients all over the country.  To learn more about QueBall, visit www.primehealthservices.com/queball

 

or contact me at (866) 348-3887 or bcook@prime-health.net

Please visit us at the National Workers' Compensation and Disability Conference & Expo November 14th and 15th, 2006 in Las Vegas Nevada (Booth #356 and #357).  The conference is being held at the Mandalay Bay Resort. 

 

Prime Health Services (PHS) is a national PPO company providing a variety of managed care services to the TPA, Insurance Carrier, and Self-Insured markets including a workers' compensation, group health and liability PPO network.

Please Contact us at info@prime-health.net if you would like to be removed from this e-mail list.

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Prime Health Services
7110 Crossroads Blvd, Suite 100
Brentwood, TN 37027
Phone: 615.329.4098 Fax: 615.329.4751