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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!

An [Intake Coordinator] assisted today in getting a surgery authorized for us for a patient who is scheduled for surgery next Tuesday.  She was very helpful and very professional.

 

The help we received was exceptional.  We were both very grateful to have someone to reach out to in our time of need and our CCM nurse was the best. Thank you!!

 

My CCM nurse has gone above and beyond the call of duty, took her time to go over all issues with me and resolved all problems.

 

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.

 

I have had the “sugar” for 10 years, my Dad had it and my son has it. I like having a nurse available to me so that I am able to call her if I have questions regarding my health. Her name and number is taped to my refrigerator. It’s a good benefit to have.

 

The CCM Intake Coordinator was a great pleasure to work with.  She was quick and efficient and held a decent conversation with me as we worked through getting prior authorization.  She is a great individual to work with.

 

I called for some authorization information and spoke with a CCM representative. When I hung up the phone, I said to my co-workers, that person was seriously the nicest lady ever to work with. Why can’t everyone be like her! Thank you for being so helpful and friendly.

 

The nurse that has been calling us is the most wonderful, encouraging person that I think I have ever met in my 70 years. She has been a friend to our family. Not just advising but a friend. I count her as one of my dearest friends and I can’t thank you enough for sending her our way. She is amazing. Thank you so much.

 

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.

 

[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.