Chronic health conditions are serious mental or physical illnesses where symptoms last 12 months or longer. Among these conditions we find diabetes, cancer, depression, heart disease, among others. These conditions require constant monitoring and ongoing care to address these conditions and improve patients´ daily lives.
According to Centers for Disease Control and Prevention (CDC) data, 6 in 10 adults in the U.S. have a chronic disease. Also, 4 in 10 adults in America have two or more of these conditions.
What is Chronic Care Management (CCM)?
Chronic Care Management (CCM) is a reimbursable, non-face-to-face medical service adding an extra layer of patient care for the most vulnerable population – patients with chronic illness. This care management service has been covered by the Centers for Medicare & Medicaid Services (CMS) since 2015.
CCM allows patients with two or more chronic conditions to enter an ongoing, 24/7 relationship with their care team. These services are critical components of primary care that promote better health and reduce overall healthcare costs. Private insurances are increasingly adding this as a reimbursable service as well.
Based on a recent Health Affairs article, in a study using multidisciplinary care teams and in-person communication methods, the CCM approach decreased readmissions by 60%.
Why should you implement Chronic Care Management in your practice?
Taking a CCM approach for your chronic patients can bring benefits for your patients and for your medical practice. These services elevate patient care for patients by adding support at home, intervening to avoid critical health events, engaging in their care plans, managing medications, and more.
Regarding your practice, CCM services can help you improve outcomes with care plan adherence, reduce burnout, improve patient engagement, satisfaction, and loyalty, reduce medical expenses, and add reimbursement opportunity.
Implementing CCM in your medical practice can seem like a daunting task; however, outsourcing it to a trusted partner can help you make it easy-to-adopt and profitable for your practice.
By outsourcing CCM, you can:
- Expand your team and services without adding staff.
- Have a dedicated team that supports your patients´ personalized care plans.
- Keep patients connected and improve satisfaction.
- Path to revenue expansion without increasing number of patients.
- In-house staff are free to focus on in-person care.
- Set up your practice for increased reimbursement based on favorable patient outcomes.
Learn more about how Health Prime can make CCM easy-to-adopt and profitable for your medical practice on our webinar.
Health Prime offers Health Prime CCM, our optimized solution that supports practices implementing chronic care management to optimize their outcomes and patient care delivery. At Health Prime, we work as an extension of your practice, so your in-house staff can reclaim time on office patients.
Let us know how we can help!
Health Prime CCM will take care of the eligibility process, enrollments, care plans, remote patient care, billing, and reimbursement. Health Prime´s expert Managed Care Team handles it all. Our 100% Managed CCM service:
- Identifies eligible patients.
- Works with providers to get patient consent.
- Establishes care plan and reviews monthly.
- Bills and collects reimbursement for all your CCM services.
Our licensed, certified clinicians offer your patients 5-star service. With Health Prime´s CCM you can reduce strain on office staff between visit tasks with proven reimbursement success and no upfront costs for your practice.
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