Care Management Services
A Comprehensive Service Designed to Meet Your Health Care Needs
Health Management Works to contain cost by preventing expensive complications of chronic diseases
Case Management Patients who have been identified with a potentially large claim diagnosis are assigned to a Certified Case Management nurse who monitors their treatment and progress.
Utilization ReviewUtilization Review is a program designed to ensure that all Covered Persons receive necessary and appropriate health care while avoiding unnecessary expenses.
Eighty plus percent of healthcare dollars are used by less than 20% of the population. CG Care Management Services has designed our management program to target these cases that are impacted the most. The Case Managers utilize, 24 plus years of clinical knowledge to determine the appropriate level of intervention needed to manage a case effectively.
CG Care balances quality and cost
savings
by:
•
Identification of Potential High Cost Cases
• Early
Intervention of Treatment
• Negotiating
Discounts with
Providers
• Utilizing
In-Network Facilities
•
Accessing Community Resources
