Care Management

Lives Served
Total Savings
Years Clinical Experience

What Drives Us



We believe in providing excellent customer service that is personalized to the individual and their needs. Providing constant  support to our members and their families  is our greatest  priority.


We believe members deserve care that is affordbale, effective, and safe. Our team helps members and their families understand  their illness and options, empowering them to make informed choices about their care.


We treat members as we would our own family. Our team is sensitive to the needs of our members and ensure we enage in a maner that is personalized, collaborative, and respectful.


We partner with providers, specialiss, and community organizations to provide insights and solutions for our members facing challenging situations. We connct our members to resources and care they need to stay healthy.

How It Works

Our Care Management Process


Member Enrollment

We assign members a dedicated, high-touch nurse and align on the best form of communication using our advanced omni channel chat tool.


Care Assessment

We complete a comprehensive assessment with members to understand their specific condition and social determinants of health.


Care Plan & Goals

We design a customized plan focused on addressing the member’s condition and establish SMART goals to hold ourselves accountable.


Intervention & Support

We help members book appointments, understand the proper avenues of care, and navigate their journey with their own interdisciplinary team.


Progress Tracking

We evaluate and track progress, identifying risks and barriers early to drive forth solutions and achieve our goals.

Care Management

Our offerings

General Care Management

We provide you with more than just a nurse. Our entire team has extensive experience managing complex and chronic conditions. You will have a single point of contact with an expert who can assist with all your healthcare needs.

Member Centric & High-Touch.

Point C Nurse Care Managers support the member and their families throughout the healthcare journey with the concierge care and support that they deserve.

Our Nurse Care managers work with member to learn more about their health care needs, then coordinate care across all providers to ensure access to timely cost-effective and quality care.

Drug Optimization

Point C strives to help members cut costs and optimize their spend for expensive prescription drugs. By using alternative sourcing, site of care navigation, copay assistance, and more our team is here to increase member access to affordable Rx options.

$10,883 Average Savings per Member

Integrated with Point C Care Management, a nurse Care Manager helps members access high-cost medication at a reduced price, thus removing financial barriers and improving member access to necessary treatment.

Point C Drug Optimization is a vital solution to help control a plan’s total drug costs.

Dialysis Carveout

Using market-based repricing, Point C’s Care Management team provides dialysis members with reduced plan costs.

Personal care managers educate members on their condition and treatment options, then stay by their side to help them navigate all the challenges dialysis brings.

Reduce Plan Cost & Maintain Benefits

Members are each assigned a dedicated and specialized care manager who helps coordinate services and benefits. Navigating eligibility coverage and secondary payer requirements is a breeze with the help of our professional care managers.

Collaborative Care

Behavioral Health

Poor mental health leads to higher healthcare spend and decreased retention for employers. Point C Collaborative Care connects members with medical providers, therapists, and pharmacists to get them the treatment they deserve at an affordable cost.

Our specialized care managers have extensive experience in mental health, substance use, community health resources, and behavioral modification. Acting as a personal advocate, they are there every step of the way.


Receiving a cancer diagnosis can be overwhelming. Our Point C Oncology program was designed to help members with new or existing cancer diagnoses.

Our expert team of oncology care managers provide support, education, guidance, and assistance with the coordination of care and benefits. Each member has unique needs, and our care managers are here to assess and develop the care plan especially for them.

PCRx Care

Rising costs of specialty drugs cause employers to face large increases in healthcare spend. With PCRx Care, we help employers find the most efficient means of providing specialty medication at little to no out-of-pocket cost.

60+ Drugs Eligible for Savings

Specifically designed for members requiring specialty drugs or therapy for complex conditions, our program is tailored to meet the unique needs of any employer-sponsored plan.
Our multi-faceted approach integrates a deep understanding of each individual health plan, its members, and alternative drug solutions.

General Case Management

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A friendly team with open door policy.

Learn more about we can do from our VP Clinical Operations

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