Managed health care business management consulting, finance, development and health care financing administration services |
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Jim Worthington - Health Care ConsultantPresident - of Worthington Associates, actuarial and utilization analysis firm providing underwriting to insurance carriers, HMOs and provider networks with current customers including:
Vice President of Medical Economics - for Cigna-Ross Loos, designed, developed and implemented the "Consolidation of Risk" concept for Cigna-Ross Loos that is marketed today as the "Flex-Care", resulting in enrollment growth and a premium increase of $10,000,000.00 during the first none months in the market place. Developed new products, rates and reserve settings for over 200,000 members with annual premiums in excess of $200,000,000.00. Senior Managing Underwriter - for Blue Cross-of California. Within 3 years, converted Blue Cross of California from a two-year deficit of ($15,000,000.00) to a profit of $60,000,000.00. Developed extensive EPO programs for a Los Angeles based hospital. In the first year of operations, the hospital saved over $700,000.00 in costs. Senior Vice President - of George Washington Underwriters, Inc., responsible for underwriting, actuarial development, administration of life, health and dental policies and claims, budgeting and forecasting, legal compliance, benefit program development, utilization tracking and statistics. For more information on how our health care business management and consulting services can improve your bottom line, contact Allied Management Group today. |