BOSTON, Nov. 4 /PRNewswire/ -- MCMC LLC (MCMC) announced today the completion of the acquisitions of CareSys, Solutions4 and Calculare Technologies (Calculare), national providers of customized managed care, medical bill review and technology solutions for the workers’ compensation, auto and disability insurance markets.
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“MCMC was primarily playing in the referral-based service arena related to Independent Medical Reviews (IMR) and Independent Medical Examinations (IME). In order to become a fully-integrated services organization, we needed expand our product and service offerings -- complementing the national IMR and IME referral services we currently provide,” said Michael A. Lindberg, President and Chief Executive Officer of MCMC.
“Strategically, these acquisitions will diversify MCMC’s product portfolio, further expanding our ability to service regional and national insurance carriers, third party administrators and self-insured entities, in all aspects of claims management and managed care services. As an added bonus to the service offerings, we’re gaining fully-functional operating technology for bill processing and case management with experienced leadership in specific referral and integrated service areas,” Lindberg continued.
Rich Pappa, Chief Information Officer of Calculare agrees. “Calculare brings a strong knowledge base of medical bill review in both workflow design and software solutions. We look forward to contributing to a technology solution that offers customers a stable and secure platform for their managed care needs.”
“We are excited to be part of MCMC. This move will allow us to enhance our business development and product offering and expand our services to additional regions. Our clients will benefit from us being part of a larger organization with full service managed care capabilities,” said B.J. Dougherty, President of Solutions4.
MCMC’s primary driving vision is to be a flexible provider of customized services and technology solutions by providing superior quality medical bill review, PPO network management, IMRs, IMEs and managed care services to the claims industry.
“This is a very positive development for our customers, business partners and staff. CareSys will provide a significant expansion to MCMC’s services and software solutions. In addition, we will benefit from being a member of the larger MCMC family,” said Peter M. Hotz, President and Chief Executive Officer of CareSys.
CareSys, Solutions4 & Calculare will maintain their current operations in Wilton, Connecticut and Canonsburg, Pennsylvania, under the same leadership, using their current trade names.
About MCMC
MCMC and its predecessor organizations have had only one goal for more than 20 years -- to review, examine, coordinate, process and manage all aspects of group health, workers’ compensation, disability, auto and general liability claims. At MCMC, we have built our business around referral-based services, including Independent Medical Reviews and Independent Medical Examinations -- providing these services to many of the nation’s largest group health, workers’ compensation, disability, auto and general liability insurers, as well as TPAs, PBMs, self-insured employers, labor unions, law firms and state funds.
Our flexibility and ease of use ensures that we fulfill our commitment to our industry by being a partner who provides fast turnaround time, the highest service levels, and competitively priced services, whether to a large national organization or a small regional client. By continually providing superior services, we have become an industry leader. http://www.mcmcllc.com/
About CareSys
CareSys provides customized managed care services and technology solutions for workers’ compensation and disability management, resulting in reduced costs and increased administrative efficiency. Workers’ compensation and disability management services include: 24 x 7 injury reporting services, telephonic and field case management, physician peer reviews, utilization and medical bill review, provider and pharmacy networks and independent medical examinations (IMEs). Technology solutions include: web-based first report of injury submission, case management software system, expansive internet browser access, customized data collection and reporting and electronic data interface with third-party systems. http://www.caresys.net/
About Solutions4
Solutions4 provides state-of-the-art bill review services for both fee schedule and non-fee schedule states throughout the country, maximizing savings by having a team of RN reviewers systematically examine these complicated bills -- focusing on middle market carrier, third party administrators and dedicated employer national accounts. Features include: sophisticated rules engine, guaranteed turn around time, fee schedule review, usual and customary review, inpatient line item review, EDI capabilities, multiple PPO arrangements, user-friendly EORs, detailed reporting capabilities and check issuance. http://www.solutions-4.com/
About Calculare
Calculare Technologies deploys ScheduleLink+(TM) a powerful technology solution for the many stakeholders in the property and casualty insurance market. ScheduleLink+(TM) was designed to provide an environment for the rapid development of state-specific bill review, network application and managed care integration capabilities. Features include a Java-based application using a SQL back-end allowing standardized processing and customized delivery capabilities. Calculare Technologies works to meet the unique needs of each customer, including medical bill review companies whose customers are ready to migrate to a web-enabled environment. For insurance companies, employers, and third-party administrators who conduct medical fee schedule review as an internal process, ScheduleLink+(TM) provides the benefits of a leased software solution without the maintenance headaches. http://www.calculare.net/
CONTACT: Jenifer E. Bernstein of MCMC LLC, +1-617-375-7746, or Fax: +1-617-927-7746
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CONTACT: Jenifer E. Bernstein of MCMC LLC, +1-617-375-7746, or Fax:+1-617-927-7746