Medical Case Management

Healthcare can be complicated and overwhelming, in particular when facing a challenging and daunting diagnosis. In that moment, it is invaluable to have a fierce advocate in one’s corner. ICM’s Case Managers are fully focused on supporting the member and their caregivers; this allows our highly experienced nurses to consistently alleviate the stress of this challenging chapter by providing people with the care and resources they need. To find out more about how ICM can help you, contact our team today.

Get Started

Case Management

Case management through ICM is structured to prioritize assisting those suffering from extreme medical conditions. Whether it’s a high-risk pregnancy, cancer, transplants, trauma, or any other life-changing situation, we aim to provide support and education to ease the challenge of this time. Having a nurse work directly with patients, caregivers, and providers to assist through these health complications is an invaluable source of support. A case manager is there to lend a supportive and kind ear, ready to help explain medical procedures and offer personalized advice throughout treatment, living with chronic conditions, and long-term medical management.

Claims for treatment and management of severe medical conditions are responsible for the majority of healthcare costs – claims for just 3-5% of members are responsible for up to 60% of the healthcare dollar. By focusing case management on this population, members can receive the best clinical care while benefiting from lower overall healthcare costs. We’re dedicated to ensuring patients and clients see solid returns on their investments - for every dollar spent on case management, health plans save an average of $4.54.

The Benefits of ICM’s Case Management

For Patients

Opportunity to talk to compassionate and supportive nurses as needed.
Access to educational materials.
Help with understanding your medical condition and staying healthy throughout your treatment
Assistance with understanding and navigating insurance.
Support and guidance with claims issues.

For Clients

Assurance that services are medically necessary and required for payment under your healthcare plan.
Unbiased review of medical necessity.
Other vendors providing medical management services may have conflicts of interest with the healthcare system they are being asked to monitor, but ICM is an independent third-party providing advice without bias.
Assistance with direction to preferred or contracted providers, providing better payment terms.
Early identification of high cost/complex patients, rather than discovering months later when the claim is submitted.
Referral to other ICM programs for more specialized care and assistance.
Timely reporting of activity to other healthcare plan vendors, which directly impacts healthcare costs.
Close working relationships with stop-loss carriers for the management of high-cost cases.

Why Choose Innovative Care Management?

At ICM, we do healthcare differently. Our top priority has always been to give our patients and clients the best quality care at an affordable price because we believe every single member we work with deserves nothing less. Our compassionate care and non-adversarial approach are why we retain more than 97% of our client base every year.

Individuals shouldn’t have to navigate the healthcare system alone. ICM’s caring case managers can provide support, education, and resources to members as they face challenging medical situations.

If you’re looking for medical management services for your health plan, you want to know you can trust your provider. ICM has been a reliable and independent organization for over 30 years now, doing our best to sincerely help each and every client. To find out how we can be of service to you, reach out today to speak with an ICM team member.