We’re for People. Not for Profit.
Our Medical Management Services
When it comes to healthcare, it is critical to understand what services are medically necessary and covered under the health plan terms. ICM’s Preauthorization services determine medical necessity before procedures, therapies, or services are provided so that our members can feel confident in their health plan coverage before incurring expenses.
Healthcare doesn’t end when a patient leaves the hospital. ICM is dedicated to patients receiving the utmost care during their discharge and afterward, whether that be in a different facility or at home. Care Coordination pieces together the disjointed health system by providing a team to ensure you receive the care and equipment you need to assist your recovery.
At ICM, it is important to us that we help people facing difficult medical conditions receive all the support and advice they need. Our case management service provides patients with experienced nurses to accompany and guide them through treatment, long-term adjustment due to chronic conditions, or simply lend a trusted ear throughout a difficult period.
ICM’s Healthy Mother Baby program works to support expectant parents through their pregnancies. Whether a pregnancy is healthy or requires medical management, the Healthy Mother Baby program works to serve the needs of any new parent by providing personal advice, educational materials, and emotional support.
Helping people with chronic conditions such as heart disease, lung disease, and diabetes, is the mission of this program. Our team of nurses has the experience and passion to support people throughout their medical journey. We provide education and support to help people manage their chronic conditions and stay as healthy as possible.
As an adjunct to all of our services, ICM’s Chief Medical Officer or physicians from ICM-contracted URAC accredited Independent Review Organizations (IROs) may provide objective medical necessity determinations to ensure the care patients receive is appropriate and clinically substantiated. This thorough review ensures that care is clinically appropriate and covered by the plan.
At ICM, we understand concerns related to the overuse of controlled substances. We acted by creating the Controlled Substance Monitoring Program (CSMP). For participating health plans, ICM’s nurse care manager conducts a review of pharmacy claims, taking everyone’s unique clinical scenario into consideration to identify inappropriate overutilization. Once identified and following special plan language, the patient may be enrolled in our Mandatory Case Management (MCM) Plan for additional oversight.
Learn More About Innovative Care Management
ICM is passionate about people and is dedicated to promoting, identifying, and encouraging cost-effective and quality healthcare. We remain a fiercely independent organization and put people over profits, making our approach compassionate and unique. For further information or to utilize ICM’s services, please contact our welcoming and helpful team.