Our Services

Through our highly trained team of clinicians (NPs, RNs, LCSWs, LCPCs) and Member Navigators, we’ve built our reputation as a performance-centric company, enabling health plans and provider partners to significantly improve their quality of care and health outcomes.

Clinical Risk Adjustment

Using Licensed Nurse Practitioners, SCCP performs clinical adjustment services aimed at ensuring that the health conditions and health status of health plan members are accurately documented, and that health plans are properly compensated for managing the care of its members.

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New Member Onboarding

SCCP believes that timely and effective outreach to new members can significantly impact health outcomes and reduce the overall cost of care for health plans. Therefore, our onboarding services provide High Touch, new member engagement support.

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Healthcare Effectiveness Data and Information Set (HEDIS)

SCCP supports the work of health plans to improve their HEDIS scores by closing member care gaps for the following HEDIS measures:

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Physician Extender Services

SCCP works with physician groups (ACOs, PHOs, IPAs) and independent physicians to provide clinical care management support beyond the physician’s office. Our physician support services include:

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Population Health Management

SCCP is uniquely positioned to provide comprehensive, person-centered, population health management services, for high-risk and high-cost populations. Our integrated ecological model aims at addressing the inter-relational aspects of physical, psychological, and social determinants of health status, through providing a comprehensive array of coordinated, timely, and accessible services that are culturally competent. These services are provided by Clinical Care Managers (RNs, LCSWs) with support from Navigators (CNAs, CMAs, Community Health Workers).

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Social Determinants of Health

We recognize that health outcomes are closely linked to non-medical issues that impact access to care and member compliance. That’s why we utilize our Navigators to help members address barriers to care, basic social needs, and other challenges to their self-sufficiency, through the following:

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