U.S. NeuroSurgical Holdings, Inc., through its subsidiaries, holds stereotactic interests in radiological treatment facilities.
The company is developing a business to provide Medicare Advantage plans, concentrating initially in Nevada and California. The company’s wholly-owned subsidiary is U.S. NeuroSurgical, Inc. (USN). The wholly-owned subsidiaries of USN are U.S. NeuroSurgical Physics, Inc., USN Corona, Inc., Elite Health Plan, Inc. and Elite Health Plan of Nevada, Inc.
The company’s prin...
U.S. NeuroSurgical Holdings, Inc., through its subsidiaries, holds stereotactic interests in radiological treatment facilities.
The company is developing a business to provide Medicare Advantage plans, concentrating initially in Nevada and California. The company’s wholly-owned subsidiary is U.S. NeuroSurgical, Inc. (USN). The wholly-owned subsidiaries of USN are U.S. NeuroSurgical Physics, Inc., USN Corona, Inc., Elite Health Plan, Inc. and Elite Health Plan of Nevada, Inc.
The company’s principal focus is on the launch and development of Medicare Advantage plans for seniors by its subsidiaries, Elite Health Plan and Elite Health Plan of Nevada, Inc. (Elite Health Nevada) (Elite Health Plan, together with Elite Health Nevada are collectively referred to as Elite Health).
Elite Health
Elite Health Plan was formed with the purpose of establishing a managed care organization that will develop and operate Medicare Advantage plans for seniors in California and in 2023 Elite Health Nevada was formed to develop and operate Medicare Advantage plans for seniors in Nevada. Medicare Advantage plans are offered by private companies and are regulated by the federal government and licensed by the state in which those companies operate. It is expected that Elite Health initially will operate in Clark County, Nevada and then in the California counties of San Bernadino, Riverside, and Los Angeles, with the objective of addressing the growing number of Medicare eligible seniors in those markets.
Medicare; Medicare Advantage. Medicare is the federal health insurance program for people ages 65 and over, which was expanded to cover people under 65 with certain disabilities and people with end-stage renal disease requiring dialysis or kidney transplant. Medicare consists of four parts, labeled A through D. Part A provides hospitalization benefits financed largely through Social Security taxes and requires beneficiaries to pay out-of-pocket deductibles and coinsurance. Part B provides benefits for medically necessary services and supplies, including outpatient care, physician services and home health care. Parts A and B are referred to as Original Medicare.
Under Medicare Advantage, managed care organizations contract with the Center for Medicare & Medicaid Services (CMS) to provide services directly to Medicare beneficiaries, as well as through employer and union groups. Managed care organizations typically receive a fixed monthly premium per member from CMS that varies based upon the county in which the member resides, demographic factors of the member, such as age, gender and institutionalized status and the health status of the member.
Developments in Nevada and California: The company formed Elite Health of Nevada to apply for a license to operate a Medicare Advantage plan in Nevada and Elite Health Plan is taking steps to submit documentation for a Knox- Keene license to offer managed health care plans in California. Elite Health’s initial focus on Nevada is driven, by the quick access to network and collection of service providers in local communities, as well as the belief that the application process in Nevada is less burdensome than the state licensing process in California.
Approach to Healthcare Delivery: In both Nevada and California, Elite Health has taken preliminary steps toward identifying a network of providers who are well-versed in Medicare Advantage plans and addressing the healthcare needs of seniors in the communities in which they practice.
The company plans to contract with health care providers, hospitals and facilities, for health care services for its Medicare Advantage plan enrollees. The company will seek to rely on local preferred providers and other entities located within the areas in which the majority of the enrollees reside, providing a localized focus and leveraging the established reputation and wide range of services of the healthcare system. The company will endeavor to offer beneficiaries greater choice of providers than a standard health maintenance organization (HMO).
Radiological Treatment Centers
The Southern California Regional Gamma Knife Center: During 2007, the company, through a noncontrolling interest in joint ventures, managed the formation of the Southern California Regional Gamma Knife Center at San Antonio Regional Hospital in Upland, California (SARH). Corona Gamma Knife, LLC (CGK) was party to a 14-year agreement with SARH to renovate space in the hospital and install and operate a Leksell PERFEXION gamma knife. CGK leased the gamma knife from NeuroPartners LLC, which holds the gamma knife equipment. The center ceased operations on May 31,2023 and the company completed the removal of the equipment in February of 2024. USNC is a 20% owner of NeuroPartners LLC and owns 39% of CGK.
Boca Oncology Partners: During 2011, the company, through the formation of a joint venture, in which it had a noncontrolling interest, participated in the formation of Boca Oncology Partners, LLC (BOP), for the purpose of owning and operating a cancer center in Boca Raton, Florida. In June 2011, Boca Oncology Partners RE, LLC (BOPRE), an affiliated entity, purchased a 20% interest in Boca West IMP, LLC, (Boca West IMP), owner of a medical office building in West Boca, Florida in which BOP operates. In February 2014, the company and other members sold their interests in BOP.
In 2012, BOPRE purchased an additional 3.75% of Boca West IMP from another investor bringing its total interest to 23.75%. The company holds a 23.1% ownership interest in BOPRE, which it accounts for under the equity method. USNC was a 10% guarantor of 50% of the outstanding balance of Boca West IMP’s ten-year mortgage.
Medical Oncology Partners: MOP was formed in partnership with local physicians and other investors. Medical Oncology Partners (MOP) was established to acquire a 100% equity interest in UOMA.
CB Oncology Partners: CB Oncology Partners (CBOP) was organized to acquire the rights of the new center from Florida Oncology Partners, LLC (FOP). USNC originally had a 24% equity interest in CBOP. USNC owned a 24% interest in FOP. FOP is no longer operational and is fully dissolved.
History
U.S. NeuroSurgical Holdings, Inc. was founded in 1993. The company was incorporated in 2015.