What we do

Care Management International (CMI) delivers smart sourcing solutions with a focus on ENHANCING – not replacing - our clients’ core competencies and operational effectiveness.

CMI creates customized programs that achieve superior results by applying “the right talent, to the right task, at the right time, using the right cost structure.” This expert-based methodology not only lowers costs and increases productivity, but also facilitates innovation.

Our healthcare programs are designed by healthcare experts and apply new techniques, global resources, and advanced technology solutions to drive positive clinical outcomes and create true market differentiation for our clients in all areas of care management: case management, disease management, utilization management, radiology management, pharmacy management, and informatics and data analytics.

Our non-healthcare programs are operated by experienced business process outsourcing (BPO) managers who can successfully operate programs that significantly expand a clients operational capabilities by providing highly-skilled and trained staff to compliment client efforts to increase productivity, provide operational flexibility supporting frequent or short-term program changes, ensure rapid turnaround on application development, and allow for administrative cost savings.

CMI provides value to its clients by:

»	Addressing the gap that exists between a client’s ability to assign resources (including recruiting, staffing, training, scheduling, and technology) and the level truly required to obtain their desired program results,
»	Providing insight and expert program design in areas traditionally burdened by complex regulations, complicated technology, and misaligned incentives,
»	Systematically supporting client retention, control, and optimization of critical decisions,
»	Freeing-up client professional staff from administrative duties allowing for greater time, attention and focus on high priority activities that truly require high-end talent,
»	Achieving cycle-time advantages and time-of-day flexibility through a 24/7 schedule,
»	Determining which elements of a complex and regulated business process can be conducted offshore, onshore, or with technology,
»	Providing solutions flexible enough to support customized data and reporting applications or working directly within client systems and workflows,
»	Prioritizing work effort through the delivery of time-sensitive indications of clinical need, with usable data, so patient interventions and interactions can be maximized,
»	Focusing on clinical and administrative processes within healthcare companies that would benefit from process redesign or the addition or replacement of clinical and trained non-clinical talent.

Additionally, clients also see continuous process improvements through CMI’s quality management and formal project management techniques.

CMI’s services and solutions are designed to achieve the following for its clients:

Improve Outcomes
Clients can receive time-sensitive indications of clinical need with usable data to maximize the impact of their member interventions and interactions. Examples include:

»	Alerting clients of critical gaps in care,
»	Supporting more effective care planning, and
»	Increasing intervention contact rates

Improving Effectiveness and Efficiency
Clients can receive the benefit of CMI’s 24/7 operation in areas such as:

»	Overnight work queue preparation,
»	Reduced project cycle-time,
»	Automation implementation support, and
»	Scalable staffing and shift flexibility

Clients can receive the benefit of CMI’s operational flexibility in areas such as:

»	Wholesale production from within CMI’s state-of-the-art HIPAA-compliant facilities,
»	Staff support from CMI’s facilities while working directly within client systems, and
»	Customized application development and reporting

Freeing-Up Resources
Clients can allow for greater attention and focus on clinical activities by freeing staff from performing administrative duties which do not require the level of capabilities achieved through their education and clinical experience. Types of activities which can be removed from clinical staff include:

»	Claims and case look-up,
»	Clinical research,
»	Clinical analytics,
»	Data entry,
»	Data collection,
»	Paperwork processing, and
»	Telephonic outreach.

Additionally, CMI’s programs:

»	Can be established with simple technical interfaces allowing for minimal client input and minimum implementation cost,
»	Can be highly customized by clinical and process experts to meet the specific care management needs of clients, and
»	Can be started as pilots and small proof of concept programs so value can be proven before large scale commitments need to be made.

Care Management International (CMI) delivers smart sourcing solutions to healthcare companies with a focus on enhancing our clients’ core competencies and effectiveness in care management

Our Publications Support programs include:
Circulation Management (Publications)
Providing outbound telephonic, IT, and call center capabilities to companies supporting the publications industry, including:

»	Subscription management,
»	Data cleansing, and
»	Data enhancement activities.

Our Ecommerce Support programs include:
Ecommerce Solutions and Services - Including Electronic Retailing and Web Support Ecommerce/Electronic Retailing (Web-Support)
Delivering a broad capability of technology and transactional services based upon the dynamic application of both web-technology and human resources supporting our clients interactive consumer-based programs:

»	Web-based consumer-facing web portals
»	Order processing,
»	Customer service,
»	Order capture,
»	Post-sales service,
»	Satisfaction survey activity,
»	Email interaction, and
»	Web-based chat activities.

Our Receivables Management Support programs include:
Financial Services (Receivables Management)
Providing experienced outbound telephonic customer service agents and sophisticated IT and call center capabilities to companies and financial debt aggregators, including:

»	Small case debt collection,
»	Large case debt collection,
»	Healthcare debt receivables management in a HIPAA compliant facility, and
»	Fraud analysis and prevention

CMI focuses on helping you apply “the right talent, to the right task, at the right time, using the right cost structure.” In order to IMPROVE YOUR BUSINESS.