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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!

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 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.

 

The nurse I had is an asset to the Corporate Care Management team. She is an efficient communicator, expert in resolving and identifying management of our daughter’s illness and a skilled listener.

 

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

 

I’d like to say my CCM nurse was very helpful in getting a STAT MRI approved for me, and this was the fastest approval I have ever gotten.

 

Everyone has always been extremely helpful and friendly. I speak with Insurance Company representatives all day long and CCM is absolutely one of the best to work with.

 

My representative was wonderful. I didn’t even know this service existed. It’s nice to know when you’re recovering from surgery and unable to make all of the calls needed, someone can be your advocate. The nurse took all of the worry from my shoulders.

 

I handle all of the authorizations for a large practice and I will say that I work with many different authorization vendors, and there are none more professional than all of your associates who work at Corporate Care Management that I’ve had the pleasure of speaking with.

 

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 nurse was wonderful. She contacted me several times during my absence and was very helpful. She really raised my spirits through a difficult time for me. You are very lucky to have her on your team! Thank you all.