CCME is a physician-sponsored, non-profit organization that has built its solid reputation on advancing the quality of health care for Medicare and Medicaid consumers in North and South Carolina. Our work centers around four major market areas:

Programs Management
We collaborate with federal, state, and local agencies to evaluate quality of care, utilization, and reimbursement practices to create innovative, cost-effective and efficient solutions and improve health care quality

• Federal Programs and Services – CCME holds the Medicare Quality Improvement Organization (QIO) Contract with the Centers for Medicare & Medicaid Services (CMS). As the QIO for both North and South Carolina, we are responsible for assuring quality of care for people with Medicare. For more information on our Medicare activities, please visit www.CCMEMedicare.org.

• Medicaid Services – CCME contracts with state Medicaid programs to provide review and quality care management services. We work to improve health care outcomes and reduce health care costs. Our work encompasses quality improvement, review of inpatient hospitalization, health care data, and cost effectiveness. For more information on specific services, please visit our Medicaid Services section.

Education
CCME provides continuing educational opportunities for physicians and other allied health professionals to earn the required credit hours. The cornerstone of CCME Education Services is the Physician Leadership Institute (PLI), a collaboration between CCME and the UNC Kenan-Flagler Business School held at the Rizzo Conference Center in Chapel Hill, NC. We are also accredited to provide Continuing Medical Education (CME) credit hours, Continuing Education Units (CEU), Continuing Nursing Education credits (CNE) and Nursing Home Administrator credits (NHA) to attendees of various functions. For more information on upcoming courses, PLI, or our accreditation activities, please visit the Education Services section.

Research
CCME’s Research team explores the best approaches to measuring quality, cost-effectiveness, and health outcomes. Members of CCME’s research division have extensive scientific and analytic skills, and the results of their work have been published in peer-reviewed publications and presented at national conferences. CCME research expertise has been applied in a wide variety of ways, addressing important questions in health care policy and effectiveness. Please visit CCME Research for more information on our current projects.

Consulting
CCME works with health care providers in all health care settings to develop data-driven quality improvement solutions to enhance clinical efficiency and improve patient care.