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EmCare works well under pressure. EmCare company is the largest provider of contracted emergency department staffing and management to more than 400 hospitals in 40 states. EmCare manages emergency services for hospitals, including recruiting and hiring medical directors, doctors, and nurses and monitoring their performance. The company is expanding its hospitalist services -- staffing hospitals with acute-care specialists. Emcare also provides anesthesiology services to surgery centers and teleradiology services to smaller regional hospitals. Other services include such administrative functions as billing, record keeping, and staff scheduling. EmCare is a subsidiary of Emergency Medical Services.

Emergency Medical Services Corporation company is the parent of AMR Inc., the largest private ambulance service in the US, and EmCare Holdings, a leading medical staffing firm that specializes in filling emergency rooms with doctors and nurses. AMR has approximately 3,300 contracts with clients (cities, government agencies, health care providers, and insurance companies) in more than 35 states for emergency and non-emergency transport services. EmCare provides staffing services to more than 450 hospitals and physician groups in 40 states. Private investment firm Onex controls the company.

Fi-Med Management, Inc. offers services that help doctors cure swollen medical claims, feverish financials, and colicky collections. Serving independent physicians and small practices, Fi-Med provides insurance claims and denial processing, invoice billing, medical coding, cash-flow management, and other services. Fi-Med Management company uses proprietary software technology and customizes its technologies and services to its clients. Fi-Med is based in Wisconsin and, following a 2008 merger with Mediplete, also has regional offices in Utah and California. With roots dating back to 1993, Fi-Med was founded by president Adrian Velasquez and Christine Krause.

GENEX isn't a bunch of disaffected slackers.GENEX company provides health care cost-containment and disability management services, mostly in the worker's compensation market, to more than 1,200 employer groups, insurance and managed care providers, and benefit administrators. Services include workplace injury management, vocational rehabilitation, catastrophic case management, medical bill auditing, and Social Security disability claim representation. GENEX also offers information management services to help pre-identify high-risk claimants. GENEX is controlled by Stone Point Capital.

Harvard Vanguard Medical Associates wants to be in the forefront of health care in Boston and surrounding regions. The 625-physician medical group operates from more than 20 offices located throughout eastern Massachusetts, providing primary and specialty medical care to some 480,000 adult and pediatric patients. For acute health care services, Harvard Vanguard patients have access to more than a dozen area hospitals, including Beth Israel-Deaconess Hospital and Brigham and Women's Hospital. Harvard Vanguard is a teaching affiliate of Harvard Medical School. It is also a member of Atrius Health, a not-for-profit association of Massachusetts medical groups.

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