I was dismayed that MODERN HEALTHCARE's cover story on emergency department contract management (Jan. 31, p. 29) didn't even mention NES, the third-largest provider of emergency contract services.
Tiburon, Calif.-based NES was founded by Allan H. Rappaport, M.D., in 1975 and currently has nearly 350 clinical contracts in the United States, Europe and Central America. Our privately held company works with nearly 3,000 independent contractor physicians and employs a corporate staff of 250.
We believe our continued growth is a result of the value we offer to clients. Our management fees are in the 15% range, a far cry from the 50% figure cited in the article. Out of this fee, we pay the very significant cost of physician malpractice insurance as well as our overhead for physician recruitment and staffing.
We are firmly opposed to the unethical practices described by several of your sources, believing that a straightforward approach to contract acquisition is the only way to thrive in this competitive industry.
THOMAS M. BOTTS
Virginia Beach, Va.