Health Plan Management

Health Plan Management Services

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

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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!

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.

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.

I work frequently (nearly every day of the week) with the representatives of CCM and it is always a great, easy, and quick call. They are always friendly and help with anything I request, even when it is multiple patients. Job well done, they are fantastic!

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!!

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

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.

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.

I enjoy being able to speak with your Registered Nurse about my progress with Diabetes and my frustrations.

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

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.