Our goal at SCM is to develop effective, value-added strategies to manage the most catastrophic healthcare claims. In practice, we significantly reduce the overall costs of care for self-funded health plans. Widespread adoption of our cost management solutions throughout the continuum of risk services helps minimize costs, and thereby improves each client’s bottom line. Since 2002, our visionary insight continues to guide development of our industry-leading products and services. We are proud of the success our programs have achieved over the years, and are dedicated to evolving and delivering innovative cost saving products to the self- funded market.
Providing Innovative Products & Services to Manage High-Cost, High-Risk Healthcare Claims, Including Renal Dialysis Cost Containment, Oncology Case Management, and Organ Transplant Management.See How We Can Help You
What Our Clients Are Saying:
I have worked with Mike Madden from SCM for the past year and found him to be very professional, competent, reliable, knowledgeable, and a very flexible colleague to work with. His extensive knowledge of medical underwriting and medicine is very evident in his concise and clear medical review reports plus all reports are returned within […]
Prodigy like most stop loss carriers has been plagued with runaway costs associated with dialysis treatment for our ESRD patients. Like many of our colleagues, we struggled to understand the cost variations among our patient population even when treatment regimens and settings were the same. In an effort to control the dialysis exposure, we searched […]
We have worked with Specialty Care Management for many years on behalf of our clients. They have saved our clients hundreds of thousands of dollars. Their high level of expertise and consultative services have provided us and our clients with a turnkey approach in the management of services including dialysis and cancer management. We recommend […]
In addition we know the client will get the quick response, education and service needed and most importantly the savings. I can recall one instance where we acquired an account not because our rates were the lowest, but because the group was impressed by our introduction of SCM ,learning of their savings ability and service.I […]
SCM helped me with “the obscene cost of dialysis…” and has “reduced the cost for our clients and has minimized the lasers at renewal.” SCM is “easy to work with” and there was “no real push-back from the providers once we show them the document wording.” Clients “will appreciate the results and experience.
We have been working with SCM services since 2011. We have found SCM Services to be an added value to our stop loss product. Our needs, in particular, are to control the ESRD claimant with high cost hemodialysis. When a client is presented with a $500,000-$600,000 separate specific deductible on a hemodialysis claimant there is […]
Specialty Care Management has been a real partner. Using Specialty Care Management services the reinsurance carrier reduced the lasers on those employees to an affordable rate. SCM was able to re-price the claims to an amount that would allow the County to keep their employee health plan. The re-priced amount kept the employees with the […]
Our third party administration firm serves a diverse population with a portion of that population predisposed to certain disease states which lead to renal failure and subsequent dialysis services. Due to the very high cost associated with dialysis our company was seeking a solution for those rapidly rising costs. In 2011 we performed a due […]
We had a client that was a small County Government and they had two employees diagnosed with End Stage Renal Disease. This diagnosis would require the employees to seek renal dialysis as a treatment. When the reinsurance carrier for the County’s health plan saw that diagnosis and treatment plan they were going to impose two […]
5860 Lower York Road
Building 3, Suite G