Nobody plans to go to the emergency room. Most people who end up there — especially those managing multiple chronic conditions — would have chosen a different path if one had been available to them.
We see this reality in our work every day. A member with diabetes and heart failure who hasn’t seen their primary care doctor in eight months ends up in the ER with something preventable. After discharge, if nobody follows up within a week, the odds of readmission climb sharply.
That’s where care management makes its biggest difference — not in the moment of crisis, but in the 7 to 30 days after it. Research consistently shows that structured follow-up after an ED visit for high-risk members can significantly reduce readmission rates. That window is everything.
SCCP’s clinical team — nurses, licensed social workers, community health workers — is specifically designed to fill that gap. We don’t just schedule follow-up appointments; we make sure members can actually get to them. We check in on medications, flag warning signs, and connect members to social services when the barriers go beyond the clinical.
For health plans working to improve their FMC (Follow-Up After ED Visit for High-Risk Chronic Conditions) HEDIS scores, this kind of hands-on support isn’t just clinically sound — it’s also one of the most cost-effective investments available.