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!

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

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.

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).

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!

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

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 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.

I handle all of the authorizations for a large practice and I will say that I work with many different authorization vendors, and there are none more professional than all of your associates who work at Corporate Care Management that I’ve had the pleasure of speaking with.

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.

My CCM nurse has gone above and beyond the call of duty, took her time to go over all issues with me and resolved all problems.