Paradigm Management doesn't want complex worker's compensation cases to get out of hand. Paradigm Management company maintains a network of medical specialists, nurse case managers, and physicians that oversees cases of catastrophic injuries and complex medical conditions, such as amputations, burns, brain injuries, multiple trauma, chronic pain, and spinal cord injuries. Paradigm's database of more than 8,000 cases highlights best practices in hopes of reducing costs and improving results for its clients. It claims to return workers to the job in 41% of cases, compared to the 8% national average. Customers include state worker's comp funds, private insurers, and self-funded companies.Paradigm Management company was founded in 1991.

Precyse Solutions pays attention to the details, so health care organizations can focus on helping patients get well. Precyse Solutions company provides a wide range of health information management and medical transcription services to hospitals, health networks, and physician practices throughout the US. Precyse offers interim management and consulting, outsourcing, medical coding, oncology data management, customized projects, and compliance and regulatory services. Founded in 1999 as Capital MT, the firm has since grown through acquisitions, and operates from locations in Pennsylvania and Georgia. Private equity firms Altaris Capital Partners and NewSpring Capital own Precyse.

Preferred Network Access provides health care cost containment services throughout Illinois, Indiana, Iowa, and Wisconsin. The preferred provider organization (PPO) offers its services in areas including its own PPO network (encompassing in-network hospitals, providers, and outpatient facilities), the negotiation of non-network hospital and provider claims, a renal care program, disability and workers compensation management programs, and occupational health programs. The company's own network consists of more than 100 hospitals, roughly 34,000 physicians, and about 250 ancillary providers. Preferred Network Access was established in 1995.

Prime Therapeutics company, a pharmacy benefits manager (PBM), is owned by and provides services to about a dozen Blue Cross Blue Shield organizations and their members. Prime also services other health care plans used by unions, employers, and third-party administrators, ultimately serving about 17 million members. The company's clients benefit from services that include pharmacy network management, benefit administration, claims processing, marketing support, report building, and formulary design, a process through which drugs are approved for use in a network.

Pronger Smith Medical Care helps heal prickly conditions in the Chicago areas. The health care provider is a multi-physicians practice group of nearly 50 physicians who operate from the company's medical clinic locations. Pronger Smith provides primary care services such as family and internal medicine and pediatrics. Its specialty health care offerings include cardiology, dermatology, general surgery, neurology, and rheumatology. Pronger Smith Medical Care company specializes in providing health care services to patients in Chicago's southern and southwestern suburbs. Pronger Smith Medical Care was established in 1947.

Pyramid Healthcare Solutions aims to be the peak provider of a variety of contract administrative and management consulting services to hospitals, clinics, and physicians' offices throughout the US. Among its services are health information management, accounts receivable, patient financial services, and coding.Pyramid Healthcare Solutions company also offers interim staffing and recruiting, training, and outsourcing services. Pyramid Healthcare Solutions offers comprehensive cancer/tumor registry services that include data cleanup and submission, backlog assistance, and training and education. India-based Avantha Group acquired Pyramid Healthcare Solutions in 2010.

Queens-Long Island Medical Group (QLIMG) cures medical ailments in the Queens-Long Island area. A physician-owned practice group boasting some 350 primary and specialty care doctors, QLIMG was established in 1991. The group operates more than 20 medical clinics, as well as urgent care centers, serving residents in New York's Queens, Nassau, and Suffolk counties. It is also affiliated with the North Shore-Long Island Jewish Health System network of acute care and specialty hospitals. QLIMG's physician's specialties include pediatrics, women's health, immunology, cardiology, radiology, rehabilitation, and neurology; the group also has disease management programs for chronically ill patients.

RealMed just can't drive 55 when it comes to health care claims processing. RealMed company operates a business-to-business (B2B) services network that supercharges claims processing by linking bill payers to health care providers over the Internet. The network gives customers access to services including patient eligibility verification, transaction tracking, remittance feeds, and revenue cycle management. RealMed provides services to payers (insurance firms) and providers (hospital networks); it has formed partnerships with the likes of CareFirst and Johns Hopkins Medicine. It also has alliances with software and technology companies. RealMed company was acquired by electronic medical records firm Availity in 2010.

ScripNet doesn't want workers' comp providers up on the high wire of health care expense without support. The pharmacy benefit manager (PBM) provides a variety of services to workers' compensation companies. ScripNet provides pharmacy cards to help injured workers get their medications. It also provides a point-of-sale system that allows pharmacies to submit bills electronically, cutting down on administrative costs and supplies payors with reports that help manage workers' compensation costs. Its formulary service determines the most effective drugs available at the lowest prices. ScripNet private company was founded in 1997 by CEO Dennis Sponer.

Sheridan Healthcare is a physician practice management company. Sheridan Healthcare company manages the offices of anesthesiologists, neonatologists, pediatricians, radiologists, emergency room, and other general and specialty care physicians. The firm also provides such services as recruitment, billing, and administration. Sheridan Healthcare's major customers consist of hospitals and ambulatory surgical facilities. In addition, Sheridan manages group practices providing health care services for women, including obstetrics, gynecology, and midwifery, as well as pain management. Sheridan Healthcare company provides services to some 100 facilities in about 20 states. Sheridan Healthcare is controlled by private equity firm Hellman & Friedman.

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