Created in 1984, USA Managed Care Organization (USA MCO) is the largest privately held self-developed PPO in the US. USA MCO has over 535,000 contracted group health PPO provider sites, 250,000 provider locations in our workers' compensation PPO, and 285,000 provider offices participating in our motorist medical injury PPO. USA MCO also has Centers of Excellence Network with 30 contracted facilities. In addition, USA MCO owns a TPA for health claims. USA MCO is the first and only PPO to be awarded network accreditation by JCAHO, and we did it 3 times! In 1992, USA MCO launched a unique hospital network, USA Senior Care Network (USA SCN), for insurance carriers that sell standardized Med Supplement policies. The USA SCN network is now accessed by 95 carriers representing 9 million individuals who enjoy decreased cost of Medicare Supplement insurance.