Securing the best care at the best price.
The C&A Medical Allies Story:
Capone & Associates is now C&A Medical Allies.
What started in August 1993 as a small medical case management service by founder Ginny Capone, grew to a family business focused on compassion and personal attention in medical cost containment. We work with a wide variety of customers and a large network of medical professionals to achieve optimal care for claimants at the best price for insurers.
In January 2022, Capone & Associates became C&A Medical Allies. While the name has changed, the same great service hasn’t. C&A provides savvy bill negotiations, quality medical case management, accurate case reserve projections, and reputable bill reviews. We stay current with resources so our customers can access the services they need beyond what’s paid for by insurance policies.
Our commitment to insurers and claimants is a vital part of who we are. It thrives because of the standards set by Ginny Capone who is still an active case manager with the business. Her son, and CEO, Gabe Capone is taking on the responsibility of business management, brand development, and fostering relationships with clients and medical professionals.
For nearly three decades, Capone & Associates has assured quality medical care while focusing on the bottom line. That tradition continues with C&A Medical Allies as we are dedicated to securing the best care at the best price.
“We can go farther working together than alone.”
Ginny Capone, President, Capone & Associates
MEDICAL CASE MANAGEMENT
Our service is contracted by health insurers, reinsurers, and other parties who have a fiduciary responsibility for medical claims. We also manage select catastrophic cases referred by workers compensation insurers or their agents. We can identify and direct claimants to eligible federal or local benefits and community services.
MEDICAL REVIEWS
Our network of certified physicians provide peer review of medical treatment and are available to determine if claimant’s illness or demise was caused by an accident or existing medical condition.
OUT OF NETWORK FEE NEGOTIATION
Our nurse consultant contacts the provider when fee negotiation is requested by insurer and attempts to secure an agreement to accept reduced price. If services are not covered, we can identify and coordinate with any available federal or local benefits subsidies.
CASE RESERVES
Our medical case reserve projections are compiled based on current cost of an individual patient’s care and what future medical costs will be. Insurers require accurate prediction of medical costs by individual claimant so funds can be reserved for their case and reinsurer can be notified if funding will be required.
Acknowledgment of the Capone & Associates legacy…
“We were referred to Capone & Associates and we and our clients have been very pleased with the results they’ve achieved for us.”
— FG, Lawyer for Workers & Families
“I am always amazed at the level of compassion Capone & Associates shows to all claimants, while still maintaining the client's best interests at heart.”
— TM, Colleague
“I had a spinal cord injury from a horse race. Ginny Capone made me feel comfortable, confident, and cared for. If I ever get hurt again, I hope to be set up with a case manager from Capone & Associates.”