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.
