607-648-3400

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!

This program is valuable and the nurse was helpful. I can understand the importance of following up with my diabetes.

 

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.

 

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.

 

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).

 

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.

 

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.

 

[My CCM Nurse] understands that I want to work, but I cannot work while in pain. She has done a great job getting me the needed treatments so I can continue to work!

 

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.

 

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.

 

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.