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Nevada insurance coordinator in contract dispute with HCA

The Las Vegas Review-Journal reports that Las Vegas-based Health Services Coalition is in a contract dispute with Nashville, Tenn.-based Hospital Corp. of America.

Health Services Coalition coordinates health-insurance plans for about 20 employers and labor groups in Nevada. HCA, for its part, operates three Las Vegas-based hospitals — Sunrise Hospital and Medical Center, Southern Hills Hospital and Medical Center and MountainView Hospital — and four surgical clinics in Nevada.

Stacie Sasso, HSC co-chairwoman, said HCA wants to raise rates for medical facility access. “Historically, we’ve had trouble with the increases they’re requesting,” Ms. Sasso  told   the paper.

HSC asserted recently that HCA had been “siphoning” funds paid by Nevada families out of the state.

But Rob Dyer , a HCA spokesman, told the paper: “In recent years we have had no issue contracting with the coalition for their members. Quite frankly, we were disappointed in the misinformation provided in their press release.”

 


H. Tom O’Connor joins Cambridge Management

 

H. Tom O’Connor has joined Cambridge Management Group (cmg625.com) as a senior adviser.

He brings  decades of experience as a healthcare-sector executive and entrepreneur. As hospitals, physician groups, clinics, insurers and other organizations in the sector reorganize themselves to deal with new reimbursement, regulatory, demographic and technological challenges, Mr. O’Connor’s experience in creating as well as managing enterprises is invaluable as clients seek new sources of revenue.

Mr. O’Connor is managing member of Lenus, LLC, which advises emerging healthcare companies on the strategy and tactics needed to develop their business for long-term growth, by, among other strategies, attracting institutional investors. At Lenus, he serves when needed as part of enterprises’ executive teams.

His work has included being a founder of Medical Excellence, which provides high-end concierge healthcare services to wealthy residents in emerging growth nations in partnership with Massachusetts General Hospital, New York Hospital, Johns Hopkins Hospital, Stanford Heath Care and UCLA Medical Center. Its first rollout was in Russia.

He has also advised and managed a medical-textile business; acquired a medical-finance business and served as its CEO, and led an acquisition company established to acquire a new and safer alternative to artificial spinal-disc implants.

Tom O’Connor was a co-founder of Atlantic Medical Capital, LP, a private-equity fund focused on sub-acute-care, medical-informatics and insurance verticals and vice president at GE Capital in the Medical Markets Group of the Corporate Finance Division. There he managed new direct equity and debt investments for a $1 billion healthcare investment portfolio.

He began his career as an investment banker at Prudential Securities, where he was a co-founder and first vice president in the Healthcare Group. His main client was Hospital Corp. of America, for which he worked on every major financing, acquisition and divestiture for a decade.

Mr. O’Connor has an MBA in finance and accounting from Columbia University and a BA from Union College, where he majored in economics and political science.


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