
National Managed Care Firm Implements Program Designed to Aid Ailing Health Plans
Quote:
> Responding to the recent publicity in the national press surrounding
> takeovers, liquidations, and financial troubles of health plans, Barry
> Scheur, President of Scheur Management Group (SMG) announced the
> implementation of the firm's MCORE (Managed Care Operations and Revenue
> Enhancement) Medical Management program. Scheur noted the recent seizure of
> MedPartners Provider Network by the state of California as a symptom of a
> national epidemic affecting physicians' provider networks, hospital-based
> health plans, and HMOs. Scheur states, "rising costs, lower reimbur{*filter*}t
> rates, aggressive expansion and, in some cases, mismanagement, are issues
> leading to the demise of health plans leaving consumers without promised
> quality healthcare delivery. Using the combined expertise of our senior
> consultants who specialize in medical management, we have created a dynamic
> program to assist networks and health plans in attaining and maintaining
> quality standards of care, operational stability, and revenue enhancement."
> <snip>
In short, another layer of middle managers (aka consultants) who aren't working
for free.
--
Andrew Chung
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