Medical Review
It is a well established fact in the medical care community that inappropriate costly procedures, testing and extended hospital stays have burdened the health care financing system causing premium rates and risk factors to sky rocket. There are many reasons for this inappropriate type of care, some of which include the litigious society we live in as well as little understood new technology and drugs. Some 15 years ago, medical review companies came into existence to meet the needs of insurers (commercial and self insured) and ultimately to help the premium payers to regain control of an out of control system. Physicians Medical Review (PMR) is that type of company.
The Functions of PMR:
PMR’s goal is to assist the patient’s medical care providers with third party medical expertise and alternative potential solutions to assure that the patient will receive quality care available in the most appropriate cost efficient setting.
The Staff of PMR:
PMR employs registered nurses backed up by a panel of medical doctors in all specialties, most of whom are board certified and have the highest credentials available in the field.
Products and Services of PMR:
PMR can work within any type of medical plan or plan design. Results are followed with an extensive reporting program that will allow group health plan administrators to possess greatest amount of knowledge that can be used to manage the group health plan for cost efficiency.
Special Note: Our reinsurers have evaluated the comprehensive medical review practices employed by Physicians Medical Review and the cost savings that are developed when using it as an entry point to costly care. This reduction of cost has allowed our reinsurers to award significant discounts to the reinsurance rates and factors for group health plans using the services of PMR.
