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!

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.

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.

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 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.

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.

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 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 was a last minute situation for a patient. The intake coordinator handled it very, very well. I couldn’t have been more pleased. She made sure to get it done before the end of the year so they could get the supplies under their policy because they reached the deductible.”

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.