About Us
We make it simple for our clients to save.
Who We Are
We aren’t the right solution for everyone—and that’s a good thing.
We only want to work with those that are the best fit, the ones we can deliver the biggest bang for their buck with our new approach to high-cost claims. Specialty Care Management (SCM) provides an innovative risk solution that normalizes claim costs and brings them back under control. Specializing in program designs for renal claims, cancer management, transplants, clinical underwriting consulting and negotiation services, SCM helps clients reclaim their claim spend and experience maximized savings every time.
Who We Are
Whether you’re a TPA, MGU, broker, or carrier, we know your specific pain points
We’ve designed a program to help you address them. With an innovative approach to renal dialysis and other high-cost claims, SCM provides a complete risk solution that makes sense for you while maximizing savings.
How we work
Uncover How We’re Working To Help You.
Simplicity
Easy integration with your current processes
Cost
No startup fee and no cost until utilization for a solution that completely pays for itself
Competitive Edge
Industry-exclusive case rate puts you ahead of other TPAs in the marketplace
Retention
Unmatched, sustainable savings that keep your groups renewing year after year
Simplicity MGU
Easy integration with your current processes
Cost
No startup fee and no cost until utilization for a solution that completely pays for itself
Competitive Edge
Industry-exclusive case rate puts you ahead of other TPAs in the marketplace
Retention
Unmatched, sustainable savings that keep your groups renewing year after year
Simplicity Broker
Easy integration with your current processes
Cost
No startup fee and no cost until utilization for a solution that completely pays for itself
Competitive Edge
Industry-exclusive case rate puts you ahead of other TPAs in the marketplace
Retention
Unmatched, sustainable savings that keep your groups renewing year after year
Simplicity Carrier
Easy integration with your current processes
Cost
No startup fee and no cost until utilization for a solution that completely pays for itself
Competitive Edge
Industry-exclusive case rate puts you ahead of other TPAs in the marketplace
Retention
Unmatched, sustainable savings that keep your groups renewing year after year
SCM Ensures Maximized Savings
We understand the struggle to keep your groups happy and satisfied. Without SCM, you may be exposing your groups to increased costs, thus risking group retention. Our solution ensures that you get maximized savings—not the typical savings that network discounts offer, which are based on completely arbitrary charges. At SCM, we are not a function of billed charges; we work with the actual cost. Plus, our self-sustaining solution completely pays for itself—and we only get paid when we create savings for you.
