Competitive Landscape - Medical Management

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Additional Company Data

Genex services' differentiation strategy involves a medical case management approach that works best to improve claims outcomes in the process of compensating clients. Row 4, Row 6, Row 7, Columns B-D of the attached spreadsheet has further details on Grand Rounds, Quantum Health and Genex services' vendor relationships, differentiation strategies and technology integrations.

GRAND ROUND

Strategy

  • Grand Rounds differentiates itself through a combination of clinical expertise, (award-winning) top-rated medical facilities with data and technology that help the company deliver optimum care (efficient, intelligent, and personalized) for its members.

Vendor Relationships

  • Grand Rounds' vendors are consultants whose services are obtained through the Consulting Medical Associates, Inc., (the “Medical Group”) formed by the company to provide, among other services, expert opinions and general medical information.
  • Practitioners and physicians must be duly licensed and qualified to practice medicine.

Tech-Integrations

  • Grand Rounds partnered with Uber to integrate the Uber platform into the Grand Rounds app to enable patients to seamlessly book rides to and from their medical appointments.

QUANTUM HEALTH

Strategy

  • Quantum Health uses a research-based approach (MyQHealth) that is tech-enabled and provider connected.
  • This approach enables personalized human connections to offer guided experience through the healthcare journey for its members.

Vendor Relationships

Tech-Integrations

GENEX SERVICES

Strategy

  • Genex Services leverages a medical case management approach to differentiate its services from that of competitors.
  • The strategy has worked best for the company in improving claim outcomes in the process of compensating clients.

Vendor Relationships

  • As an IME company, Genex strives to ensure quality IME by engaging third-party IME vendors who are experts qualified to evaluate the cases.
  • The company's IME vendors have no bias in the process of determining claims outcomes. They provide independent and impartial opinion.

Tech Integrations


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