PORTLAND,
June 2, 2004–Qmedtrix was mentioned
in the award-winning AZ@Work magazine, published
by the State Compensation Fund of Arizona.
Reprinted with permission from SCF of Arizona, following
is the entire text of the "Looking Back - 2003"
editorial by Donald A. Smith Jr., president and CEO, SCF of
Arizona, appearing in the May 2004 edition of AZ@Work.
LOOKING BACK – 2003 IN REVIEW
By Donald A. Smith Jr.
President & CEO, SCF of Arizona
Another year has passed. It’s hard for
me to believe that I’ve been part of SCF of Arizona
for nearly four years. We’ve had many accomplishments,
but is it possible to meet or exceed 2003 in terms of performance,
challenges and excitement?
During 2003, we implemented our Metro-Phoenix service delivery
teams, which operate from our home office in Phoenix. This
change was prompted by the recognition that 70 percent of
our business flows out of Maricopa County. So we now pair
our account services teams with customers based not on geography
as much as inherent business characteristics.
Once this change took place in Phoenix, we followed it up
by expanding the concept to our other large customer base
managed out of Tucson. In response to another business phenomenon,
we created a team dedicated to the ever-growing professional
employment organization business model.
These changes were accomplished in the face of an ever-shrinking
competitive workers’ compensation market, which has
brought about an increasing demand on our financial and human
resources.
During 2003, SCF also moved to new levels of sophistication
in our cost containment efforts. The claims division introduced
Qmedtrix as a means for reviewing and, when appropriate, challenging
the “usual and customary” charges of medical providers
that are not subject to the Industrial Commission of Arizona
fee schedules.
We also placed all our PCN provider contracts in the upgraded
Ingenix system, a new bill payment method that allows for
greater processing controls and reporting to assure more accurate
and proper reimbursement payment results.
SCF continued its migration to a new information technology
platform. This change, when completed, will bring unprecedented,
exciting changes to the many services we offer our policyholders
and their injured workers. It will provide us with the potential
for more and improved future services.
Happily, we can report that SCF’s investment portfolio
rebounded in 2003. Following the technology bubble burst,
our stock investments took a beating in 2002, but much of
that loss was recovered last year. Our next challenge will
be to navigate turbulent and uncertain interest rate movements.
After all, how long can rates remain at these record lows?
Of course no reflection of 2003 would be complete without
recalling Arizona’s budget crunch. In a repeat of events
from the middle 1990’s, SCF found itself at the center
of much political attention. In spite of our desire to focus
on our important mission as Arizona’s sole guarantors
of available and affordable workers’ compensation insurance,
we were forced to confront a determined number of state officials
bent on making SCF one of the solutions to the state’s
budget woes.
To say this attention was a distraction would be an understatement,
as we found defending your interests and those of Arizona’s
workers, a full-time job in and of itself. What a learning
experience for a guy whose only desire was to come to Arizona
and run a successful insurance company.
We won the initial battle in this fight, thanks to the tremendous
support of our policyholders and various business and trade
associations throughout Arizona. I’ve said this before
and I repeat it here, no one would care whether SCF were sold
or transformed out of existence unless there was a real cost
to be paid for it. Without a doubt, the key stakeholders in
our workers’ compensation system can’t see Arizona
without SCF.
We closed 2003 with an outstanding financial performance
– a trend that I am proud to say has become more expected
than not. Our investment performance, premium growth, operating
results and expense controls all contributed to another fine
year.
Our challenge in 2004 is to repeat this result and to improve
upon it as best we can. No doubt the accomplishments will
be different, but I am sure the positive results will be the
same.
Copyright 2004 SCF of Arizona. Reprinted
with Permission.
About Qmedtrix
Qmedtrix is one of the nation's leading decision software
firms specializing in health care cost-containment solutions.
Qmedtrix offers a complete spectrum of systems and services
to support the efforts of its clients. The company’s
rules engine and proprietary database set the industry standard.
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