The Quest A HCN of OUR OWN

The Quest A HCN of OUR OWN

Once Upon a Time. I ► In a land called San Antonio ► There was an unhappy risk manager ► Everything she did to control WC costs and claims were for naught ► Enter the erstwhile Broker, Mikel Fitzgerald of Wortham

Mikel Fitzgerald ► Mikel Fitzgerald said to the distressed Risk Manager: ► You will never be happy unless you leave the current indemnity programs for your WC Carrier:

What we already had ►A complete clinic to provide: ► PT, x-rays and complete care for work related injuries ► Carriers who would not support the idea of taking good care of employees in-house

Why Not ► Contact our partner: SA Health Alliance ► See if they will help us develop our own HCN ► Enter BOB TAYLOR who says: § This may be a win-win situation for all of us

Bob and Melanie and Mikel ► Knew they were not in Kansas anymore ► Followed a year and half quest for an HCN ► One that allowed for higher payments to worthy doctors ► One that only had doctors who were qualified and interested in curing WC injuries

So… ► Bob says I’ll do that: ► He used the 2005 updated WC law and began the very long journey of becoming a certified HCN

The Quest Begins ► The unhappy risk manager and others with WC experience in the SA TX area § Began to review all the specialty doctors in the area § Knowing which ones who were naughty and nice § Knowing who would give quality care….

Bob Goes to Work ► Begins vetting and qualifying doctors WHILE SEARCHING FOR A PARTNER ► Using grad students from Trinity to contact doctors ►

The SAEHA ► Wanted the good docs back so they offered the selected docs a higher ► Compensation and marketed the program as it was: ► Hand-picked docs in the new HCN

Bob speaks ► About the attempt with one hospital system ► The final solution: partnering with the Memorial Herman System

Mikel Speaks ► The “Rose Model” ► The Beta program at LFC ► The new marketing ability it offered

Melanie Speaks ► The value of: § An in-house full clinic for injuries, wellness, employees and their families § An incredible partnership with NP § An incredible partnership with WC Attorney § An ijncredible Broker and HCN Sdministrator § BRINGS US TO THE END OF OUR QUEST

Excellent Care for OUR EMPLOYEES ► Best practices ► Best comp rates ► Best Care = ► Reduction from $650 K in 2002 to ► $47 K in 2008!!

BOB ► What SAHA Gets : § A new service for its members § A unique HCN unlike many others in TEXAS

Mikel ►A totally new product to sell clients ► A product that is a boon to new and old clients alike ► Increased sales for the broker ► Increased customer satisfaction

Melanie ►A happy ending for LFC ► Best care for employees ► Savings on malingering claims ► Reduced cost

The End ► The three pilgrims met their goals and their quest was a successful one!

The Quest Crew Succeeds! ►I Just Love Successful Quests!