Intensive Case Management
Helping employees access the best care and outcomes
A health champion for employees
For serious medical conditions, comprehensive health benefits and other programs aren’t always enough to get your people the urgent and specialized care they need. From confirming diagnoses and coordinating multiple providers and specialists, to the stress of making critical treatment decisions, people can quickly feel overwhelmed. But managing these conditions is critical to achieving the best outcomes. Supporting your people through this process isn’t just a reflection of your commitment, but also helps ensure your healthcare dollars go towards the most effective care.
How we do it
Our proprietary 4-step approach arms your people with information and support to confidently make care decisions – from diagnosis to treatment planning and implementation.
Obtain, review, and summarize your health history and all relevant medical records to inform your clinical care
Secure comprehensive diagnostic testing and arrange expert consultation to reach an independent confirmation and deeper understanding of your diagnosis
Identify and prioritize treatment options personalized to your unique profile and condition based on leading expert opinions and relevant medical research
Provide comprehensive support to ensure the treatment plan is optimally implemented and your progress is closely monitored to obtain the best possible care and outcomes
The Plus Factor
We know what it takes to get you the best medical care.
Dedicated support from your Personal Care Team
Our highly-trained clinical resources work together to understand your needs and tailor an appropriate scope and intensity of support. We involve all relevant care providers to ensure you feel completely supported and confident throughout your journey.
Advanced Practice Clinicians
Nurse Practitioners and Physician Assistants using our proprietary care management system
PhDs, PharmDs, MDs, and Referral Specialists research medical literature and investigate and evaluate physicians and treatments for you
Care Logistics Specialists
Clinical Service Coordinators manage scheduling, coordination and follow-up
Medical Records Collection
Medical Records Specialists collect, organize, digitize and summarize medical records
Priority access to medical experts for your condition
We believe in expert opinions, not just second opinions, which too often result in confusion instead of better care. We work closely with as many leading specialists as required to determine exactly the right care plan and specific health need.
Elite physicians who regularly consult on our toughest cases
Eminent physician specialists across all specialties and sub-specialties most qualified to treat your complex condition
Curated Provider Network
More than 16,000 physicians continuously refined and updated by provider network specialists
Research & education on the latest developments
Our unique in-house research department of MD, PhD and PharmD scientists scour medical literature to ensure that the latest findings guide your care plan. We investigate and evaluate innovative technologies, including new drugs and devices, new diagnostic modalities and clinical trials.
Identification and analysis of the most relevant publications in the vast and rapidly expanding medical literature using our proprietary AI-powered tool
Access to Cutting-Edge Treatment
A pathway to treatment options personalized for the precise nuances of your case including “off label” use of FDA approved treatments and clinical trials of promising new therapies
Investigation and evaluation of the best treatments for your specific condition from around the world
It all adds up to better care
We’re never daunted by even the toughest cases. Here are just a few examples of how we’ve helped patients facing serious and complex conditions.
Debilitating Back Pain
25-year-old male, 5 years of chronic pain, use of opioids and failed surgery. Leading neuro-spine institute recommended second surgery.
PHM medical director confirmed non-surgical approach with leading spine surgeon known for conservative surgical approach.
75% improvement. Regained mobility and quality of life. Saved $75,000 in surgery costs.
Chronic Bowel Dysfunction
20-year-old female with moderate intestinal deformities. 1st and 2nd opinions recommending colectomy.
PHM identified two leading experts who recommended muscle retraining using intensive biofeedback.
85% improvement in symptoms and elimination of pain. Regained normal bowel function and quality of life. Saved $100,000 in surgery in addition to maintenance costs.
60-year-old female, 5 years of progressive pain, fatigue, sensory issues, weight gain and reduced mental acuity. $500,000 spent on ineffective treatments.
PHM’s comprehensive diagnostic review uncovered symptoms of hyperparathyroidism. Specialist confirmed and expedited surgery with insurance.
Immediate improvement in sensation. After two weeks, lost 20 lbs. of fibrous tissue. After four weeks, virtual 100% recovery.
A 56-year-old male with Stage IV esophageal cancer was told by his treating physician that they had exhausted all options. He came to PHM after being referred to hospice.
PHM’s researchers found an overlooked mutation in his molecular profiling results that made him eligible for a clinical trial precisely targeted to his presentation.
He had a complete response and remains cancer free for six years. While the trial was terminated, PHM helped him receive permission to remain on the therapy past the trial. PHM helped save $360,000 in treatment costs covered by trial.
A 28-year-old female with Stage IV melanoma came to PHM with a grim prognosis.
PHM immediately connected her with the top melanoma specialist in the country and facilitated her enrollment in a clinical trial specific to her cancer mutations.
She had a complete response to treatment and is now symptom-free and thriving with no evidence of disease. PHM helped save over $345,000 annually on drugs.
59-year-old male, diagnosed with stage IVb non-small cell lung cancer with adrenal and osseous metastases moderate intestinal deformities, advised to go to hospice and make end-of-life arrangements.
PHM recommended genetic testing which revealed information that qualified him for clinical trials.
Enrolled in three clinical trials in 5 years with successful outcomes.
Aggressive Breast Cancer
An otherwise healthy 31-year-old female was given a Stage II breast cancer diagnosis following a routine annual exam. She was concerned about fertility preservation in addition to treating the cancer.
Faced with differing expert opinions, PHM recommended additional molecular profiling that helped determine the best treatment sequence for this aggressive breast cancer and located a clinical trial to reduce risk of reoccurrence.
Conducted successful egg retrieval, chemotherapy, surgery and reconstruction. Cancer free with active monitoring and saved $200,000 over three years on the trial regimen.
Chronic Hip Pain
43-year-old female with nerve impingement and chronic intermittent sharp pain in her right hip that became chronic after 6 years of poor treatment, that did not work.
PHM identified leading experts including a rheumatologist, vascular surgeon, spine surgeon and genetic counsellor to rule out autoimmune or rheumatologic conditions.
Completed her treatment and her pain has been significantly relieved. She now lives her life without any restrictions.