Enhanced Community Care Management Program

Enhanced Community Care Management (ECCM) is a non-billable service offered for Highmark Medicare Advantage, Highmark Individual Affordable Care Act (ACA), and HealthyWay (Highmark employees with Highmark insurance) members to support the most complex and vulnerable patients. The goal of the program is to help our members live their best lives possible while maintaining their independence in the community.

ECCM’s interdisciplinary care team, including physicians, advanced practice providers (nurse practitioners or physician assistants), nurses and social workers, are all trained in motivational interviewing, health literacy, and serious illness conversations.

For members who have advanced illness and need supportive and palliative care, the interdisciplinary team will:

• Create and document a whole-person-advance care plan (centered on the member and their family)
• Help with pain and symptom management through medical and non-medical interventions in coordination with the member’s primary care physician (PCP)
• Provide more frequent check-ins
• Help with care plan support, including monitoring of conditions and when to take medications
• Provide the family caregiver with education, counseling, and/or respite
• Assist with decision making, clarifying care priorities, and helping to match treatment and services to the member’s goals
• Assist with social determinants of health
• Attend to palliative care needs and help to relieve the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and their family. 

The ECCM interdisciplinary team of clinicians and care coordinators are highly trained in health literacy and motivational interviewing, including serious illness conversations, which provides a unique approach to care by helping patients identify what matters most to them.

Learn More About the ECCM Program:

Please refer appropriate patients to ECCM through any of these channels:

• Phone Number: 844-438-3226 (844-GET-ECCM)
  
• Email: eccmreferrals@highmark.com
• Fax: 844-978-2756