Improving Lives Through Effective Engagement

Who We Are

AN AFFORDABLE SOLUTION FOR HEALTH PLANS

SMM delivers affordable care management services for health plans when they need them and in the amount they need them. We contract with regional and national health plans to provide care management services that compliment their existing care management and utilization teams. Health Plans pay for only the services they use with no further obligations.

Simply put, Health Plans have access to High Performance Face-to-Face Care Management Services delivered in all Levels-of-Care, but are not strapped with per-member per-month multi-year contracts. We are budget friendly by reducing staffing costs while improving quality, compliance and Medical-Loss Ratio. We are good for your bottom-line.

HIGH-IMPACT COMPREHENSIVE FACE-TO-FACE CARE MANAGEMENT SERVICES

We are your Ground Game for Member Location, Outreach, Engagement, and Delivery of Comprehensive Case Management Services Delivered in the Home and Inpatient Settings that Produce Outcomes Well Above Industry Standards. No one in the industry has a higher Engagement Success Rate than SMM. Our Care Management Services have been recognized by State Organizations and Industry Trade Groups for our Successes

ANY TIME & ANY WHERE

We have capability to deploy face-to-face comprehensive case management services in all settings and all geographical areas. We can deliver case management services at any time in the amount you need providing timely turn around and best industry outcomes

FAST & ON DEMAND

We can initiate new services for you within five (5) to seven (7) days including training, tool creation and scheduling. SMM provides as much or as little care management services to meet your needs and goals. Let us be part of your work plan and never miss compliance, quality or financial goals again

QUALITY & COMPLIANCE

SMM has comprehensive compliance and quality improvement programs that meet all CMS and NCQA requirements for health plans, ACOs and Provider Practices. We exceed CMS and NCQA compliance for data security practices and meet all HIPAA and HITECH requirements.

What We Do

Our Current Successful Partners

We do more than just complete work. We develop, design and implement care management solutions with health delivery partners for higher than industry results.

Quality
Health Plans

We Provide Direct Face-to-Face and Telephonic Care Management Solutions to Health Plans for Governmental and Commercial Lines of Business including Medicare, Medicaid, TriCare, VA, and Employer-Based Plans. We Provide Specialized Care Management Training for Staff and Leadership.

Quality
ACO

We Provide Accountable Care Organizations with Care Management Programs Including Transitions of Care, SNF Management, and Custodial Management as well as Physician Care Management and Practice Programs and Training that are Meaningful and Produce Cost-Savings.

Quality
Physician Practice

We Provide Individual and Group Physician Practices with Complete Care Management Solutions and Prepare the Practice for NCQA PCMH Recognition. With Our Meaningful Programs, Physicians Will Increase Shared-Savings with ACOs, CMS Direct Contracts and Health Plan Value-Based Contracting.

Quality
SNF Management

We Provide a Complete Solution to Managing SNF Patients through Integration of Our Case Managers Specializing in SNF Readmission Prevention and Transitions of Care Management. Our Case Managers Help Guide and Support the Patient and SNF Staff to Ensure A Safe Stay, Shorter LOS, No Re-Admissions and Safe Transitions Home.

Our Services