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Concentra Inc., is a national
health care Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health pr ...
establishment founded in 1979 in
Amarillo Amarillo ( ; Spanish for " yellow") is a city in the U.S. state of Texas and the seat of Potter County. It is the 14th-most populous city in Texas and the largest city in the Texas Panhandle. A portion of the city extends into Randall Cou ...
,
Texas Texas (, ; Spanish: ''Texas'', ''Tejas'') is a state in the South Central region of the United States. At 268,596 square miles (695,662 km2), and with more than 29.1 million residents in 2020, it is the second-largest U.S. state by ...
. The headquarters of the corporation is in
Addison, Texas Addison is an incorporated town in Dallas County, Texas, in the United States. Addison is situated to the immediate north of the city of Dallas, with a 2020 census population of 16,661. Addison and Flower Mound were the only two Texas municipali ...
and runs approximately 520 urgent care locations across 44 states. The company is linked with over 1,000
physicians A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
and 1,285 physical therapists. Concentra also offers a variety of health improvement solutions to companies and manages over 140 employer-owned medical facilities. The key areas of concentration for the firm include occupational health,
physical therapy Physical therapy (PT), also known as physiotherapy, is one of the allied health professions. It is provided by physical therapists who promote, maintain, or restore health through physical examination, diagnosis, management, prognosis, pat ...
, health and wellness, and urgent care.


History

Concentra's forerunner was formed in
Amarillo, Texas Amarillo ( ; Spanish for " yellow") is a city in the U.S. state of Texas and the seat of Potter County. It is the 14th-most populous city in Texas and the largest city in the Texas Panhandle. A portion of the city extends into Randall Cou ...
, by three physicians who opened the first occupational health facility. The same occupational health strategy was used by same physicians in their second facility, which opened in
Garland, Texas Garland is a city in the U.S. state of Texas. It is located northeast of Dallas and is a part of the Dallas–Fort Worth metroplex. It is located within Dallas County except for small portions located in Collin and Rockwall Counties. At the ...
in 1985. OccuCenters, Inc. managed the network of medical centers between 1985 and 1997. The parent business of OccuCenters, Dallas-based OccuSystems, Inc., combined with Boston-based CRA Managed Care, Inc. in 1997 to establish Concentra Managed Care, Inc., a publicly listed firm. The company's shares were made private in 1999, and the name was changed to Concentra Incorporated in 2001. A period of expansion followed as Concentra grew to include health-related businesses such as network services, bill review, case management, independent medical examinations, and PPO networks. Following a series of sale deals in 2006 and 2007, Concentra restricted its focus on occupational health, medical center growth, and wellness and preventive care. The firm began its urgent care project in 2007 in response to the rising need for a cost-effective alternative to hospital emergency rooms for non-emergency ailments. It required a uniform platform to support its strategic expansion goal and unify more than 330 locations in 40 states that differed in design, operational needs, and brand mark as part of this endeavor. In December 2010,
Humana Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. In 2021, the company ranked 41 on the Fortune 500 list, which made it the highest ranked (by revenues) company based in Kentucky. It has been the thir ...
announced its acquisition of Concentra for approximately $790 million.
Welsh, Carson, Anderson & Stowe Welsh, Carson, Anderson & Stowe (WCAS), also referred to as Welsh Carson, is a private equity firm. WCAS was formed in 1979 and focuses on investing in two growth industries, technology and healthcare, primarily in the United States. WCAS has a ...
, a
New York City New York, often called New York City or NYC, is the List of United States cities by population, most populous city in the United States. With a 2020 population of 8,804,190 distributed over , New York City is also the L ...
-based private equity firm, had previously owned a majority of Concentra's equity since 1999. Humana Inc. (NYSE: HUM) announced in June 2015 the sale of Concentra Inc. (Concentra) shares to a joint venture between Select Medical Holdings Corporation (Select Medical) and Welsh, Carson, Anderson & Stowe, a private equity fund, for approximately $1.055 billion in cash. Select Medical's acquisition of Concentra advances the organization's goal of developing a highly profitable occupational-medicine business channel to complement its existing portfolio of long-term acute care hospitals, inpatient and outpatient rehabilitation clinics, and contract rehabilitation services. Concentra's income is generated by patient visits to its medical centers, with the remaining 20% generated by its Health Solutions companies. In February 2018, Concentra combined with
U.S. HealthWorks U.S. HealthWorks, Inc. was an American healthcare provider network with headquarters in Valencia, California. It offered: * Occupational health care, including preventive care. * Pre-employment and post-offer exams and screening return-to-work ...
in a transaction between Select Medical and
Dignity Health Dignity Health (formerly Catholic Healthcare West) was a California-based not-for-profit public-benefit corporation that operates hospitals and ancillary care facilities in three states. Dignity Health was the fifth-largest hospital system in th ...
. Every day, more than 30,000 patients visit Concentra's medical centers. According to the Bureau of Labor Statistics, Concentra treats one out of every seven occupational injuries in the United States.


Litigation

In 2005, a
class action A class action, also known as a class-action lawsuit, class suit, or representative action, is a type of lawsuit where one of the parties is a group of people who are represented collectively by a member or members of that group. The class actio ...
lawsuit was brought against Concentra and its subsidiaries, Concentra Managed Care and Focus Healthcare Management . It alleged that Concentra and its subsidiaries engaged in silent PPO activities and unfair repricing tactics. The lawsuit was initiated on behalf of First State Orthopaedics and all U.S. physicians with
workers' compensation Workers' compensation or workers' comp is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue his or her emp ...
or car accident bills that had been repriced by Concentra or its subsidiaries. The complaint was based on allegations of "breach of contract/duty of good faith and fair dealing, tortious interference with existing and prospective contractual relations and unjust enrichment". A $3.7 million settlement was reached, with Concentra agreeing to pay $2,000 to each plaintiff as well as legal expenses. However, the settlement terms were criticized by many of the doctors, supported by medical professional associations, such as the
American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's sta ...
(AMA) and the Connecticut State Medical Society (CSMS). The AMA filed an objection with the court, claiming that "the defendants' claimed modifications are illusory, impossible of verification, and in any event insufficient to rectify the aidlosses." The terms of the settlement, according to CSMS, "provide very little relief to aggrieved physicians" and would require them to "give up virtually all legal claims they may have" that are tangentially related to the claims in this suit. CSMS recommended that doctors who were substantially aggrieved consider opting out of the class action lawsuit to retain the option of pursuing an individual claim against the company in the future. In 2009, Concentra was part of a class action workers' compensation case, ''Josephine Gianzero et al. v. Wal-Mart Stores Inc. et al'', alongside Wal-Mart and its insurance adjuster Claims Management Inc. (CMI). The lawsuit was filed in Colorado federal court on behalf of 13,521 Wal-Mart employees who had received treatment for work-related injuries. According to ''Denver Business Journal'', the workers sued Wal-Mart, CMI, and Concentra for "interfer ngwith and limit ngthe independent judgment of certain medical providers who treated injured workers employed by al-Martin Colorado who sustained on-the-job injuries". After fighting the charges for three years, Judge Robert Blackburn approved a settlement of $8 million, requiring Concentra to pay $4 million, through its insurer, and Wal-Mart and CMI to pay the other half. Concentra was ordered to pay $520 to each Wal-Mart employee that had been treated at one of its offices and $50 to employees who were treated at other clinics.


References

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External links


Concentra Official website
Companies based in Addison, Texas Health care companies based in Texas Health care companies established in 1979 1979 establishments in Texas 2010 mergers and acquisitions 2015 mergers and acquisitions