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Care to Care Licensed to Manage High-cost Radiology in Virginia
Date:1/25/2010

NEW YORK, Jan. 25 /PRNewswire/ -- Care to Care, a radiology benefits management company, has been granted a license by the Virginia Department of Health to manage outpatient diagnostic imaging services in the State of Virginia as a Private Review Agent (PRA). This license authorizes the company to provide utilization management of radiology procedures for commercial, Medicare, and Medicaid products offered by health plans, self-insured and self-funded groups, locals, and unions.

The exponential growth in utilization of diagnostic imaging along with its high cost has affected payers and consumers.  In 2008, the Governmental Accountability Office (GAO) released a report documenting a 200 percent increase in imaging spending between 2000 and 2006; a large portion of this increase was attributed to physician self referral.  A study by the McKinsey Global Institute found that CT and MR procedures alone contribute $26.5 billion in unnecessary spending annually.  Further, a recent study by the Archives of Internal Medicine warns that the 70 million CT scans performed in 2007 will cause 29,000 cancers over the next 20 to 30 years leading to 15,000 deaths.   

Care to Care's work focuses on helping payers appropriately manage the utilization of high-tech outpatient diagnostic imaging -- MR, CT, PET, and Nuclear Medicine -- through programs that include medical necessity review, network management, quality assurance, and provider privileging. Claims editing and adjudication services are also available. Care to Care's medical necessity review uses evidence-based clinical criteria established to ensure diagnostic imaging procedures requested are medically indicated and appropriate.  "We are pleased to receive Virginia licensure. 
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SOURCE Care to Care, LLC
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