A week ago, Joe Paduda on his blog examined the current state of bill review and several of the major players in the market. See an excerpt from a recent post of his:

“King hired former Medata exec Don Theis to head up sales and marketing; Theis’ task, and it is a formidable one, is to bring a market- and customer-orientation to the company. With no ownership of networks, Medata is looking to be neutral and customer-driven regarding network access, building links to the major network vendors and assessing customers a transaction fee for access. Word from Medata is the transaction fees will be transparent and modest.Medata’s new leadership could not have come along at a better time, and the tight focus on WC and ‘Switzerland’ approach to networks may help King and Theis reverse the company’s course.”

Regarding all the various bill review organizations that Joe examined, I think he nailed it just right in discussing the need for bill review companies to be “Switzerland”. It seems to me that in the long run it will be hard for them to be successful, if they don’t take a netural approach regarding PPOs, TPA functions, etc… Over the years, the partnership between independent bill review company and PPO has served the industry well.

This entry was posted on Monday, December 17th, 2007 at 10:43 am and is filed under ppo networks, Workers' Compensation. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.