Professional Case Management

What Professional Case Management does

Professional Case Management (PCM), legally Act for Health, Inc., is a Denver-headquartered, privately held home health care organization founded in 1986 and the largest U.S. provider of in-home nursing, personal care, and impairment evaluation services for former nuclear weapons and uranium workers eligible under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA) and the Radiation Exposure Compensation Act (RECA). PCM became the first provider enrolled under EEOICPA in 2002 and operates a network of 18 regional offices across the United States (Colorado, Florida, Georgia, Illinois, Indiana, Kentucky, Nevada, New Mexico, Ohio, South Carolina, Tennessee, Utah, Texas, Washington) with over 3,000 nurses and caregivers on staff, all employed as W-2 personnel rather than contractors. The company delivers services free of charge to eligible beneficiaries, with no deductibles, co-pays, or benefit caps, and is reimbursed directly by the U.S. Department of Labor (Part B lump-sum up to $150,000; Part E impairment awards up to $250,000 at $2,500 per 1% impairment; total monetary compensation capped at $400,000). PCM's second line of business is catastrophic home health care (spinal cord injury, traumatic brain injury, multiple sclerosis, ALS) funded primarily by workers' compensation payers, in which it claims to be the largest provider in the country. Two further extensions round out the portfolio: PCM Impairments provides free, ABIME-certified impairment evaluations via teleconference for white-card holders, and EmVenio Clinical Research, formed in 2024 by consolidating PCM Trials, EmVenio Research, and Clinical Trial Service under one brand, runs decentralized clinical trials in more than 80 countries with roughly 5,000 professionals and the Patient Navigator(TM) platform.

The go-to-market model blends an enterprise field-sales motion (17-18 regional offices, a VP of Outreach, dedicated staffing coordinators and case managers) with a community-led acquisition channel anchored by Cold War Patriots, the worker advocacy organization PCM founded in 2008. Cold War Patriots runs resource fairs, town hall meetings, an annual Washington advocacy conference, and the October 30 National Day of Remembrance; it also serves as the political lobbying arm for EEOICPA/RECA expansion and as a referral network that funnels workers into PCM's services. Inside sales supplements this through a Help Center (1.866.387.2123), an online referral form, and a four-step intake (expression of interest, prospective visit, comprehensive assessment, paperwork/authorization), with claims navigated jointly with U.S. Department of Labor Resource Centers and NIOSH for dose reconstruction. Revenue is therefore generated primarily on a managed-services basis (EEOICPA/RECA home care plus workers' comp catastrophic care) with a professional-services overlay from impairment evaluations and from EmVenio's clinical trial contracts with pharmaceutical sponsors and CROs. Patient pricing is anchored to third-party payers (the U.S. DOL or workers' compensation insurers) rather than to out-of-pocket spend.

PCM's competitive position rests on several reinforcing assets: the first-mover regulatory license under EEOICPA, ACHC accreditation, documented 96%+ annual client-satisfaction referral rates (every year since 2008), and recognition via the 2021 CIO 100 and CSO50 awards for technology/security investments (custom eligibility engine for state licensing, GDPR/HIPAA/CIS20 compliance). Operational maturity is also visible in a named executive team (Greg Austin as President since 2005; CIO Charlie Billings; CFO Curtis Fletcher; SVP & General Counsel Christy Crase; and 2026 additions Sarah Zwicky as CMO and Voula Siderakis as VP of Outreach). Legal name is Act for Health, Inc., doing business as Professional Case Management and EmVenio Clinical Research; ownership is private and there is no public ticker, no institutional investor disclosure, and no parent company identified.

Name

Professional Case Management

Legal name

Act for Health, Inc.

Website

https://procasemanagement.com

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Professional Case Management is the nation's largest home healthcare provider for nuclear weapons and uranium workers under EEOICPA/RECA, operating 18 U.S. regional offices with 3,000+ W-2 nurses and running impairment evaluations, catastrophic care, and (via subsidiary EmVenio) decentralized clinical trials in 80+ countries.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Cardiac & Pulmonary Clinical Home Health (e.g., CHF/COPD) (HSABACAI)

Keywords

• Home healthcare services
• Catastrophic injury care
• Impairment evaluations
• Decentralized clinical trials
• Nuclear worker healthcare

Headquarters

HQ city

Denver

HQ country

United States

HQ region

North America

Offices18 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. EEOICPA/RECA Home Healthcare Services: PCM provides free in-home healthcare services to eligible nuclear weapons and uranium workers under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA) and Radiation Exposure Compensation Act (RECA). Services are fully funded by the U.S. Department of Labor with no deductibles, no co-pays, and no cap on benefits. This is the company's primary revenue stream and core business.
2. Impairment Evaluations: PCM Impairments offers free impairment evaluations for anyone holding a U.S. Department of Labor white medical benefits card, performed by EEOICPA-enrolled, ABIME-certified physicians. Evaluations are reimbursed by the U.S. DOL. Each 1% of impairment awards $2,500, up to $250,000 maximum.
3. Catastrophic Care Services: PCM provides comprehensive in-home nursing services and medical treatment for catastrophic injuries (spinal cord, brain injuries, degenerative diseases) supported by workers' compensation and other third-party payers. PCM is described as the largest home healthcare company for workers' compensation clients in the U.S.
4. Clinical Research Services (EmVenio): EmVenio Clinical Research, a subsidiary of PCM, conducts decentralized clinical trials for pharmaceutical sponsors and contract research organizations (CROs). PCM Trials, founded in 2008, acquired Clinical Trial Service and EmVenio Research in 2024 to form the unified EmVenio brand operating in over 80 countries.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels10 records

Core offering

Professional Case Management (PCM) is a specialized home health care provider that delivers in-home nursing, personal care, case management, and related services to former nuclear weapons and uranium workers under the federal EEOICPA and RECA programs, free of charge to eligible beneficiaries. The company also offers free impairment evaluations through PCM Impairments, catastrophic home health care for spinal cord, brain injury, and degenerative disease patients, and decentralized clinical trial services worldwide through its subsidiary EmVenio Clinical Research. All clinical services are delivered by PCM-employed nurses and caregivers across 18 offices in the United States.

Product overview

Professional Case Management (PCM) operates as a diversified home healthcare organization with four primary divisions serving nuclear weapons and uranium workers and clinical research participants. The core offering is specialized home healthcare under EEOICPA/RECA programs for former nuclear weapons and uranium workers, supported by PCM Impairments (impairment evaluations), Catastrophic Care Services (spinal cord/brain injury care), and Cold War Patriots (advocacy/community resources). PCM's subsidiary EmVenio Clinical Research provides decentralized clinical trial services. PCM also offers a FamilyFirst Caregiver Program supporting family members who provide care. Services range from periodic nursing visits to 24/7 continuous care, delivered by PCM-employed nurses and caregivers through 17+ regional offices nationwide.

Differentiator

Problem solved

Functional benefit

Brands

• Cold War Patriots: Community resource organization founded by PCM in 2008 for nuclear weapons and uranium workers, providing advocacy, information, and resources. Connects workers with EEOICPA and RECA benefits.

Products and services

• Home Healthcare Services (EEOICPA/RECA) Specialized in-home nursing and personal care services for former nuclear weapons and uranium workers under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA) and Radiation Exposure Compensation Act (RECA). Services are delivered by PCM-employed nurses and caregivers through 18 regional offices, ranging from monthly visits to 24/7 continuous care, and are fully funded by the U.S. Department of Labor with no deductibles, no co-pays, and no benefit caps for eligible beneficiaries.
• PCM Impairments Free impairment evaluation service offered nationwide to anyone holding a U.S. Department of Labor white medical benefits card under EEOICPA, performed by EEOICPA-enrolled, ABIME-certified impairment physicians. Evaluations include a thorough medical records review and an in-depth conversation with the physician, and each 1% of impairment awards $2,500 (up to $250,000 maximum) toward Part E compensation, with re-evaluations available every two years or sooner for new qualifying conditions.
• Catastrophic Care Services Specialized in-home nursing services for individuals with catastrophic injuries including traumatic brain injuries, spinal cord injuries, and degenerative diseases such as multiple sclerosis and ALS. Provides up to 24/7 skilled care including ventilator and tracheostomy care, wound care, catheter care, IV therapy/PICC line care, infection prevention, pain management, medication management, medical equipment coordination, and transportation services, supported by workers' compensation and other third-party payers.
• EmVenio Clinical Research (Decentralized Clinical Trials) Decentralized clinical trial services for pharmaceutical sponsors and contract research organizations (CROs), delivered through community-based research sites and mobile research units across more than 80 countries. Includes the proprietary Patient Navigator™ tool that reduces logistical and financial barriers to trial participation and provides sponsors and CROs with greater global reach, geographic diversity, and operational flexibility.
• FamilyFirst Caregiver Program Program providing year-round recognition, appreciation, and connection for family caregivers involved in PCM clients' care. Family caregivers can receive compensation for the care they provide to family members, with simplified onboarding for relative personal caregiver attendants and inclusive events and welcome gifts. Targeted at families of former nuclear weapons and uranium workers receiving PCM in-home services.

Quantifiable outcome

• Over 96% of PCM clients have reported they would recommend the company's services to a family member or friend every year since 2008.
• +4 more outcomes

Named customers24 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Seven partnerships are on record, tiered core and minor.

• EmVenio Research (acquired by PCM Trials)coreStrategic or Co-development Partner · 1 January 2024PCM Trials, founded in 2008 and known for decentralized clinical trials, acquired Clinical Trial Service and EmVenio Research in 2024 and rebranded the combined entity as EmVenio Clinical Research. The consolidated company now operates in over 80 countries with approximately 5,000 professionals, offering sponsors and CROs greater flexibility and global reach. PCM retains operational control as the parent company.
• Cold War Patriots (CWP)coreStrategic or Co-development PartnerFounded by PCM in 2008 as a community resource organization for nuclear weapons and uranium workers. CWP provides expert information, resources, and community connections for workers and families. The organization has an advisory committee of former workers, advocates, and medical professionals. CWP lobbies Congress to protect and strengthen EEOICPA and RECA programs, and successfully advocated for establishing the National Day of Remembrance on October 30th.
• American Cancer Society (ACS)minorStrategic or Co-development PartnerPCM partners with the American Cancer Society through its 'CEOs Against Cancer' initiative. PCM President Greg Austin serves as Colorado chapter leader. PCM sponsors ACS events and collaborates on community education and cancer survivor support initiatives. The partnership reinforces PCM's commitment to cancer care awareness and survivorship.
• U.S. Department of Labor (DOL) Resource CenterscoreChannel Partner/ Reseller/ DistributorPCM works in coordination with U.S. Department of Labor Resource Centers where workers file EEOICPA claims. The DOL authorizes PCM's home care services for eligible beneficiaries. PCM Help Center assists workers in navigating the claims process. The DOL pays for impairment evaluations performed by PCM Impairments physicians.
• U.S. Department of Justice (RECA)coreChannel Partner/ Reseller/ DistributorThe Radiation Exposure Compensation Act (RECA) is administered by the U.S. Department of Justice for uranium miners, millers, and ore haulers. PCM helps eligible workers navigate the RECA claims process and provides home care services for RECA beneficiaries who also qualify for EEOICPA Part E benefits.
• National Institute for Occupational Safety and Health (NIOSH)minorOthersNIOSH conducts dose reconstruction analyses for EEOICPA claims by examining dates and locations of employment to determine likelihood that workers contracted illness as a result of their work. PCM refers workers to NIOSH for dose reconstruction as part of the EEOICPA claims process.
• EmVenio Clinical Research - Pharmaceutical Sponsors and CROscoreChannel Partner/ Reseller/ DistributorEmVenio Clinical Research (PCM subsidiary) provides clinical trial services to pharmaceutical sponsors and contract research organizations (CROs), offering decentralized trial capabilities, community-based sites, and mobile research services across 80+ countries.

Scale indicators8 records

Recent moves10 records

Expansion highlights5 records

Direct peers

• BAYADA Home Health Care: BAYADA is one of the largest U.S. private home health care providers, offering skilled nursing, personal care, and catastrophic injury services similar to PCM. PCM's newly appointed VP of Outreach came directly from BAYADA, underscoring the close operational overlap.
• Maxim Healthcare Services: Maxim is a large national home healthcare and medical staffing operator providing skilled nursing and personal care services. PCM's CMO previously led marketing and communications at Maxim, reflecting comparable business models and service portfolios.
• Aveanna Healthcare: Aveanna is a major U.S. provider of private duty nursing, adult home care, and pediatric services, directly comparable to PCM's in-home skilled nursing and personal care offerings for medically complex patients.
• BrightSpring Health Services: BrightSpring provides home and community-based health services including home health, hospice, and pharmacy solutions across all 50 states. It competes with PCM on in-home skilled care delivery for medically complex patients.
• The Pennant Group: Pennant operates home health, hospice, and senior living services across the U.S. Its decentralized operating model and home health focus make it a comparable peer in delivering community-based clinical care.
• Help at Home: Help at Home is one of the largest U.S. personal care services providers focused on Medicaid and elderly populations. It competes with PCM on personal care aide delivery for aging and chronically ill populations.

Broad incumbents

• LHC Group: LHC Group operates one of the largest U.S. networks of home health, hospice, and facility-based services. While broader in scope than PCM's EEOICPA-focused offering, LHC overlaps on home health delivery, clinical staffing, and value-based care models.
• Amedisys: Amedisys is a leading U.S. home health and hospice operator with overlapping skilled nursing and therapy services to PCM. Its scale and Medicare Advantage exposure make it a broader incumbent in adjacent home-based care categories.
• Encompass Health: Encompass Health operates the largest U.S. network of inpatient rehabilitation hospitals and a home health segment. Its home health division is comparable to PCM's Catastrophic Care Services for TBI/SCI recovery.

Emerging players

• Apria Healthcare: Apria is a leading U.S. provider of home medical equipment and clinical respiratory services. PCM's VP of Specialized Services came from Apria, indicating overlap in home-based clinical and respiratory care delivery.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat7 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/procasemanagement
• LinkedInlinkedin.com/company/professional-case-management

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Professional Case Management