Envision Healthcare Holdings (Envision) has agreed to acquire US-based Questcare Medical Services (Questcare) and QRx Medical Management (QRx) for $135m.

Questcare, which is expected to generate annual net revenues of $160m, has more than 800 clinical staff at over 50 facilities in Texas, Oklahoma and Colorado, US.

QRx is a management services organisation that provides financial and administrative services to support Questcare’s clinical operations.

Clinicians at Questcare manage patient care across multiple hospital-based clinical specialties, including emergency department, critical care unit, as well as paediatric and obstetric care services.

In addition, Questcare provides post-acute, primary and urgent care, as well as telemedicine services.

Questcare president John Myers said: "We have been committed to providing quality, effective care solutions to our patients and healthcare clients for the past 20 years.

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"We have been committed to providing quality, effective care solutions to our patients and healthcare clients for the past 20 years."

"Partnering with Envision Healthcare gives us an advanced platform and robust infrastructure to continue to build our integrated, multispecialty population health model and creates a framework for future growth opportunities.

"Our relationship with Envision will allow us to provide innovative solutions to meet healthcare reform challenges by improving the overall value of the care delivered for the patients, communities and populations we serve."

By advancing its care co-ordination strategies and expanding its geographic presence by attracting large provider groups, Envision continues to grow its clinical services offering.

Envision president William Sanger said: "There’s a heightened awareness of the central role that physicians and advanced practice providers play in advancing integrated care co-ordination strategies on behalf of patients.

"Through our American Medical Response, EmCare and Evolution health business units, we are contracting with health plans, health systems and communities throughout the country to effectively co-ordinate care across a comprehensive care continuum that includes telehealth, medical transportation and inpatient and outpatient services.

"The addition of Questcare’s clinical providers and expertise enhances our market-centric strategy for growth and broadens our population health value proposition overall."

Pending certain closing conditions, the transaction is expected to be completed in the fourth quarter of this year.