Welcome to Cave Consulting Group

CCGroup is a software and consulting company focused on improving the efficiency and quality in the healthcare delivery system.

Cave Consulting Group

We recognize the need to address all components of medical trend, if efficiency and quality are to be improved and trend is to be controlled.

CCGroup Marketbasket System™

The CCGroup Marketbasket System™ includes solutions for provider and network management, as well as member and population management.

Products – Home

About our software – CCGroup Marketbasket System™

The CCGroup Marketbasket System™ includes solutions for provider and network management, as well as member and population management.

For provider efficiency (cost-of-care) profiling, the CCGroup Marketbasket System™ compares individual physician efficiency to a specialty-specific peer group using a standardized set of prevalent medical condition episodes to minimize the influence of patient health status and methodology statistical errors.

  • Because of the stability and reliability of our provider efficiency scores, we are able to pinpoint MedMarkers™ – the services driving inefficiency.
  • Our clients use MedMarkers™ as the foundation for a variety of performance improvement programs.
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Cave Grouper™

The Cave Grouper™ groups over 15,000 unique ICD.9 and 70,000 unique ICD.10 diagnosis codes into 538 meaningful medical conditions.


CCGroup EfficiencyCare™

Compare physician efficiency against the efficiency of a peer group of interest using a standardized set of prevalent medical condition with the intent of minimizing the influence of patient health status and methodology statistical errors.

CCGroup BullsEye

CCGroup BullsEye™

MedMarkers™ identify potential areas of significant procedure and service over utilization, upcoding, and unbundling.



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CCGroup EffectivenessCare™

Develops patient gaps-in-care information as well as specialty-specific physician effectiveness scores that compare individual physician effectiveness, or physician group effectiveness, against the effectiveness of a peer group of interest.

CCGroup MediScreen

CCGroup MediScreen™

Develops accurate and reliable member scores for predicting the chance of being a high-cost patient in the near future.



Case Studies

Cost and Utilization Management

Cost and Utilization Management

We were involved in developing and implementing some of the first preferred provider organizations (PPOs) on the west coast for self-insured employers.

Efficiency and Quality Measurement

Efficiency and Quality Measurement

We have worked with leading health plans and physician-hospital organizations on improving the efficiency and quality of their practitioner networks. In this...

Disease and Population Management

Disease and Population Management

We were involved in designing and implementing one of the first disease management programs in the country. The client was a multi-state, energy supply company.

Medicaid Health Plans Save Millions by Moving from Auto-Assignment to Smart-Assignment

SAN MATEO, Calif.–(BUSINESS WIRE)–Cave Consulting Group, Inc. (CCGroup) and healthcare researchers (such as Yale University) performed studies that show a 350,000 member Medicaid health plan will save between $2 million and $15 million annually by moving from auto-assignment to smart-assignment. Over a billion dollars are saved across all Medicaid health plans.

Read full article here.

Western Region Health System Works with CCGroup to Improve Clinically Integrated Network Efficiency and Reduce Losses on Capitation Arrangements