CMS Estimates that CCM reduces Medicare Cost by $74 PMPM
CCM and ACO Overlap in mission-critical areas
Chronic Condition-based QuaLITY
Chronic Condition-based QuaLITY
Chronic Condition-based QuaLITY
Where Clincial Quality Measures reference Chronic Conditions, the presence of a CCM program goes far in sustaining visibility into Chronic Patients. And visibility is a first step in managing quality.
cHRONIC cONDITION-BASED cOST
Chronic Condition-based QuaLITY
Chronic Condition-based QuaLITY
Cost measures are completely based on Medicare patients. This makes a Medicare CCM Program particularly powerful in the ability to influence utilization of expensive services, by pre-empting the need with ongoing clinical care.
cARE cOORDINATION
Chronic Condition-based QuaLITY
PHYSICIAN / CLINIC rELATIONSHIP MANAGEMENT
Care Coordination and CCM Care Management both involve clinical staff interacting with active Medicare patients. The goal of both is to prevent the need for expensive services.
The difference is that you can get paid for CCM.
PHYSICIAN / CLINIC rELATIONSHIP MANAGEMENT
PHYSICIAN / CLINIC rELATIONSHIP MANAGEMENT
PHYSICIAN / CLINIC rELATIONSHIP MANAGEMENT
Imagine a scenario where your activities generate new revenue for your physician population - daily. In some cases, you enable those revenues in ways the physicians cannot. Might that improve physician recruitment and retention?
pATIENT rECRUITMENT (REACH-mODEL aco)
PHYSICIAN / CLINIC rELATIONSHIP MANAGEMENT
pATIENT rECRUITMENT (REACH-mODEL aco)
REACH-Model ACOs are allowed to provide incentives to patients to be a member of the ACO.
What better incentive for a patient than having monthly access to theirr own nursing staff?
Mission Critical Bottom line: CCM Reduces Medicare Cost
Don't just take our word for it. Check out this current article, about Medicare's push to improve Chronic Care. It is a well-balanced view of CCM. From an ACO's point of view though, here's the most telling quote:
"A federally funded study by Mathematica in 2017 found the CCM program saves Medicare $74 per patient per month" (Download from the CMS Website)
It is a great study, but a bit long. Scroll to page 64 for the Bottom Line
