The CCP Model

Plan. Treat. Recover.

Choose the part of the pathway you need. Start with a clinical decision, add managed treatment support, or connect the full benefit programme.


Step 01 — Before the patient travels

Plan: Build a Decision-Ready Case

Record readiness and independent specialist review support a clearer clinical decision. Provider options and episode-cost assessment are added in the managed-case and complete-suite products.

Traditional model flaw: approval without clinical scrutiny.

Step 02 — Before the destination is chosen

Compare Clinically Suitable Options

Provider and destination recommendations consider the required procedure, relevant expertise, available outcome evidence and the agreed programme geography.

Traditional model flaw: destination by familiarity, not by fit.

Step 03 — Before the flight is booked

Establish the Expected Episode Cost

Define the proposed treatment scope, estimate and budget before approval. Material changes are documented and returned for the appropriate clinical and financial review.

Traditional model flaw: approval on estimates, billing on actuals.

Step 04 — While the patient is abroad

Treat: Keep the Episode Visible

MediGence coordinates the agreed care pathway, while CCP brings case updates, bills and expenditure information together for authorised payer teams.

Traditional model flaw: invoices arriving with charges no one pre-validated.

Step 05 — After the patient comes home — the step most programmes miss

Recover: Support Continuity and Close the Financial Record

Follow-up and rehabilitation reflect the agreed care plan. Case reconciliation connects the authorised budget, recorded expenditure and supporting bills. The standalone clinical-validation product ends with its review deliverables.

Traditional model flaw: programmes that end at the hospital door.

We do not approve cases on a budget. We validate them.

Most insurers approve overseas budgets they cannot verify. The number arrives from a referring agent. There is no second opinion on the clinical case or the price. By the time the invoice lands, the leverage is gone.

A proprietary clinical and pricing validation discipline sits inside CCP — the part of the platform that brings sanity to the approval before it happens. The mechanics belong in a conversation, not on a website.

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“Which of these five steps is part of your current programme?”

The answer is usually the most expensive conversation a healthcare team has all year.

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