Critical Care Systems works closely with managed care organizations, private and commercial insurance carriers, self-funded employer groups, third party administrators (TPAs), pharmacy benefit managers (PBMs) and federal and state government agencies to provide cost effective healthcare solutions and cost-savings through proven clinical excellence and measurable quality assurance indicators.

Our success is predicated on sustained clinical excellence and a spirit of partnership that extends from our one-to-one patient relationships to multifaceted Payor organizations.

Proven Clinical Excellence

• Outcome reporting with published key quality assurance indicators such as catheter infection rates, hospital re-admissions and member satisfaction
• Therapy-specific clinical management, patient education and training to support patient compliance and positive patient outcomes leading to reduced healthcare costs
• Nurses and pharmacists available 24/7 for members and healthcare professionals
• Fully licensed JCAHO accredited pharmacies with ISO 5 (class 100) compounding environments which meet USP 797 mixing standards
  

Flexible, Cost-Effective Solutions

• Customized cost reduction programs including emergency room avoidance, length of stay reduction, clinical performance-based incentive reimbursement and disease state management
• Assistance and compliance with drug formulary decisions, including the drug management and utilization reports
• A flexible service model, offering drug distribution and care management in the home or alternate site settings, such as our ambulatory infusion suites (AIS) or a physician’s office.
• Electronic claim submissions and cost-saving billing solutions
• Local, regional and national account management designed to support Payor initiatives and to provide customized solutions based on Payor and market demands