COMPANY OVERVIEW

Texans have become systematically disenchanted with our Workers’ Compensation system over the past several years due to issues of high costs and poor quality, especially since so many good physicians have been forced to limit their participation, due to ever-increasing hassles and inadequate reimbursement.  We now have the opportunity to improve this system because of the new HB7 Network reforms.

In response to these new reforms, PCT was created as a Physician Sponsored Network, focused on the improvement of clinical outcomes to Texas injured workers.  Our Mission is to provide personable, comprehensive, superior health care, customer service and Managed Care services developed by the cooperative efforts and input from Patients, Preferred Providers, Employers, Payers and Community Leaders.

We are currently in the process to gain Network Certification with the Texas Department of Insurance.  The delivery of high-quality services is a primary driving force resulting in the success of PCT towards being a leading Physician Sponsored Network in Texas.  We have a culture of respect for our Providers, members and customer.  We view our role as assisting and cooperating with our Providers and customers to perform clinical processes better.  We value our Providers as important resources for developing and accomplishing our goals.  We use clinical data often and appropriately both to manage clinical improvement and to demonstrate it to our customers and the community.

PCT is governed by the Executive Board of Managers and our Regional Provider Committees from the four traditional Work Comp regions, which also serves as our Physician Advisory Panel and Peer Review.  The Regional Provider Committees each have their own character, and are supported by the formation of Regional Advisory Committees consisting of business, insurance, and patient representatives.  Our future target service area is all of Texas, with an initial primary focus on the major markets of Austin, San Antonio, Houston, DFW, Corpus Christi and El Paso.

PCT makes every attempt to select Providers of the highest caliber in multi-specialties.  Initial requirements of full board certification, participation in Medicare, at least one major group health plan, and full hospital privileges will ensure that our Providers maintain appropriate comprehensive public-serving medical practices and verified credentials based on Industry Standards; PCT is credentialing every Provider.  PCT reserves the right to exclude any provider believed to be involved in over-utilization or other non-compliant PCT Network requirements.  The higher quality of our Providers and Management structure will be an advantage to our customers.  PCT creates an excellent opportunity for high quality Providers to re-enter the Work Comp market under improved contract terms and to resume good, appropriate healthcare to Texas’ injured workers.

In brief, the factors that contribute to high clinical performance transcend specific improvement activities or programs.  Delivering high-quality care is a primary driving force for PCT.  We have a culture of respect for our Providers and customers.  We view our role as assisting Providers to perform clinical processes better, and use Providers as important resources for accomplishing quality improvement.  Factors That Contribute to High Clinical Performance from the Physician Sponsored Network are:

Ø      A strong working relationship with our Providers,

Ø      Quality-focused leadership, culture, and values,

Ø      An emphasis on the use of data and analysis in clinical improvement activities.

 

COMPANY LEADERSHIP

Executive Board

Stephen Norwood, M.D. – Executive Board Member, Chief Medical Officer

Mark Quigley, MBA, CMPE, CASC - Executive Board member, COO/CFO

Creg Parks - Executive Board Chairman, Chief Executive Officer

Bruce Begia, M.D. - Executive Board member, Quality Improvement

Norman Chenven, M.D. - Executive Board member

 

Executive Advisory Committee

The PCT Executive Advisory Committee is a collection of individuals who bring unique knowledge and skills which complement the knowledge and skills of the PCT Executive Board and Executive team, in order to more effectively govern the organization.

 Casey Cochran, M.D. – Occupational Medical Director

Karen McNamee, R.N. – Executive Director, Providence MCO 

Joan Robnett – Vice President, Mediview

Wendy Smith – Managed Care Director, Good Shephard Hospital System

Shirley Sankey – Information Technology and E-Commerce

 

Regional Provider Committee

The PCT Regional Provider Committee is a collection of PCT Providers who bring unique knowledge and skills which complement the knowledge and skills of the PCT Executive Board of Directors and Executive team, in order to more effectively govern the organization.  Their duties include PCT provider selection and de-selection, policy and strategy development, dispute resolution, client and member relations and policies, and other issues or special projects relevant to the success of PCT in that region.

Charles Mitchell, M.D. – Dallas

Brannon Smoot, M.D. – Austin

Jack Jensen, M.D. – Houston

Clay Heighten, MD – DFW

Bill DeFoyd, D.C. – Austin

John Smolik, MD –- Austin

 

STRATEGIC ALLIANCES

The PCT strategy is to build Strategic Alliances with leading provider owned organizations that have reputable, successful expertise which bring value to the PCT organization and share our values and goals.  Our current Alliances are:

 Ø      Mediview Third Party Administrators – Austin Texas

PCT has contracted with the Provider-Owned MediView, a division of Covenant Management Systems, LP, a TDI licensed third party administrator and utilization review agent located in Austin, Texas.  For more information about Mediview; please visit www.mediview.net

Ø      Providence Managed Care Organization – Portland Oregon-Advisory Board

Providence Health System is a non-profit corporation that owns and operates one of the ten largest health care delivery systems in the United States.  Providence Health Plans has been recognized as one of the top ten managed health plans in the nation by US News and World Report.

 Ø      Memorial Hermann Health Plan Network – Houston Texas-Advisory Board (in negotiations)

Memorial Hermann is a leading Health System and Provider owned Health Plan and Network that brings a century of experience through WorkLink, an occupational benefits management program designed to help corporations manage employee accidents and injury.