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About Medcom Care Management

OVERVIEW AND PHILOSOPHY

philosophy

We believe in doing the right thing by those we serve. We invest in great people – thought leaders. We approach each client proactively, with ingenuity and foresight, and with a long-term view. We build partnerships that go beyond mere business transactions.

why targeted health management works

Our health care programs are part of a larger, targeted health management strategy to identify risks, uncover undiagnosed conditions and provide the resources to change unhealthy behaviors in employee populations. We cannot control costs by controlling costs — we must control costs by addressing the risks.

MedCom Care Management provides education and proactive solutions designed to work in concert to manage health care utilization and the resulting claims dollars. We provide a fully-integrated approach that touches employees across the entire health care continuum, reaching them at the appropriate level of care for their unique needs. We employ a wide range of programs and services to meet the needs of the entire employee population, providing the right resources, at the right time, to help manage the sick, target the ‘at-risk’ and keep the healthy employees healthy.

distinguishing features

  • MedCom’s programs are administered by registered nurses, licensed practical nurses, health coaches, certified wellness educators, member engagement specialists and an on-site Board Certified Medical Director.
  • Our care management systems are shared real-time between our nurse educators and nurse case managers. This provides early identification of at-risk and chronically ill individuals and expedient referrals into case management.
  • MedCom is URAC accredited in Health Utilization Management and follows nationally recognized evidence-based Milliman care guidelines.