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Health Plan Management

Health Plan Management Services

At CCM, we provide a data-driven and member-centric approach to care management.

Health Utilization Management

CCM performs medical necessity reviews using evidence based clinical criteria.

  • Prospective Reviews
  • Concurrent Reviews
  • Retrospective Reviews
  • Appeals

Case Management & Care Coordination

CCM nurses reach out to members having high cost or complex medical conditions to help them coordinate care and act as member advocates, guiding patients and families through the complex healthcare system.

Medical Plan Reviews

We meet regularly with our clients to help them understand their cost drivers and how best to design and implement effective programs for their members.

Get in touch with CCM today!

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.

 

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.

 

My experience with Corporate Care was wonderful! I could not be more pleased.

 

My CCM nurse has been awesome in the help and concerns for my son and his healthcare and issues we have had.  I can’t thank her enough for the prompt responses.

 

[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.

 

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.

 

[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!

 

This is a good program. It’s nice that the nurse calls to see how I am doing. She answered some good questions for me. I am now retired and I was a welder. Having my insurance and being able to speak with a nurse is a good benefit for retirees.

 

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.

 

[CCM] really helped me learn it was okay to ask questions and be my own advocate.