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Results & Case Studies

Results. CCM brings results to the table.

Whether analyzing results for our Self-Funded Health Plans, Disability Plans or Workers’ Compensation clients, CCM’s impact is measurable. Our results tally in millions of dollars. Each dollar we report in savings is accounted for at a member or employee level.

Savings is not the whole story. We help members and employees when they need it most, expediting treatment and improving health outcomes.

 

Results over 10 years

High Cost Member Services

High cost members drive the spend for self-funded plans. CCM has decades of experience focused on high-cost members.

  • Total Savings: $167,897,934
  • Total Number of Cases Managed: 6,675
  • Cancer Cases Managed: 2,468
  • Transplant Cases Managed: 105
  • Medical Necessity Reviews Conducted: 122,122

Total Savings

<1%

Opt Out Rate

Population Health

CCM focuses many of its campaigns on low cost members to prevent them from becoming high cost members of the future. We encourage members to get timely cancer screenings, engage with their primary care provider, and teach members about their chronic conditions. Our unique opt-out model keeps members engaged in their healthcare.

  • Cancer Screening Savings: $36,924,355
  • ER and Hospitalization Deflection Savings: $235,744
  • Cancer/Pre-Cancer Cases Identified: 4,553
  • Percent Cancer/Pre-Cancer Cases Treated for <$8000: 91.6%
  • Total Educational* Messages Shared with Members: 567,620
  • Opt Out Rate : <1%

Twelve Month Case Study: Encouraging Comprehensive Primary Care Provider Visits

Studies demonstrate consistent use of Primary Care Provider (PCP) services correlates with better health outcomes and a decrease in utilization of more expensive health services such as hospitalizations and emergency department visits.

  • 1,374 Members Missing a PCP Visit During the 12 Month Case Study
  • 52% of these Members Saw their PCP After CCM Intervention
  • 51% of Individuals Who Saw their PCP Required Multiple Visits
  • 65 Emergency Department Visits Avoided
  • 8 Hospitalizations Avoided
  • Total Savings: $235,743

Emergency Department Visits Avoided

Hospitalizations Avoided

Twelve Month Case Study: Closing Gaps in Care for Chronic Conditions

Number of Gaps Targeted

Number of Gaps Closed After CCM Intervention

Certain tests and treatments are considered standards of care for members with chronic conditions. Members are considered to have gap(s) in care when they have not received these medically necessary tests or treatments.

  • Number of Gaps Targeted: 986
  • Number of Gaps Closed After CCM Intervention: 402

Get in touch with CCM today!

I enjoy being able to speak with your Registered Nurse about my progress with Diabetes and my frustrations.

 

My CCM nurse was amazing helping me. She responded in a professional and timely fashion.  Every time I spoke with her she was very pleasant and helpful with every question.

 

My nurse was always very concerned with my well being and health and stayed in touch on a regular basis to see if I needed anything extra.

 

The wellness nurse has been in touch with me regarding various recommendations for my health over the past few years and guided me through the maze of assisting me in finding doctors that were covered by my insurance to take care of my health. I appreciate her efforts.

 

I work frequently (nearly every day of the week) with the representatives of CCM and it is always a great, easy, and quick call. They are always friendly and help with anything I request, even when it is multiple patients. Job well done, they are fantastic!

 

This was my first experience with a Workers’ Comp situation.  The coordination and communication on your part was excellent.  [My CCM Nurse] was an excellent source of information and very helpful while I was out of work and after returning to work.  I was able to rely on her for any follow up needed.  She also offered to forward emails as I was not able to logon to my computer (went ABOVE and beyond expectations).

 

This is the best thing for people who do not understand insurance. I love this program. -Health Plan Family Member

 

[The Nurse Case Manager] has been a very excellent person to work with.  She answers my questions.  If she doesn’t have an answer she’ll get the answer for me.  She helped me get some equipment approved that I needed.  She helped me apply for Social Security Disability, and I have been approved. A 10/10 for sure.

 

“This was a last minute situation for a patient. The intake coordinator handled it very, very well.  I couldn’t have been more pleased.  She made sure to get it done before the end of the year so they could get the supplies under their policy because they reached the deductible.”

 

From a Provider: [My CCM Nurse] was absolutely wonderful, kind, professional and efficient. I would work with her at any point during my career. Thank you.