Just what entrepreneurial actions do we suggest?
Why Set your ACO up as a ccm provider?
Your providers could (and some will!) contract with outside organizations who sell CCM services. We know this, because we are one of those organizations ourselves. They (we) charge a per-patient-per month fee in exchange for conducting telehealth Care Management visits with qualifying patients.
Those Care Management "calls" can overlap with your own Care Coordination mission and create confusion among patients. Wouldn't it be better for your own staff to be making these calls? One really big benefit is that under Medicare Rules, you can get paid for it. And with your close relationships with your clinics, you are in a position to do a better, more cost-effective job of it.
what do you need to Combine Care management with care coordination
IT is like any other business, really. You will need a template for a contract / arrangement with your clinics to provide this service. You will need software that manages Medicare Compliance and supports high-volume telehealth scheduling. And you will need a library of templates for care plans, patient education and patient consent documentation.
Beyond that, you can leverage existing capabilities, in your nursing Care Coordination staff, and clinical data integration with TIN EHR / Billing systems.
Our ACO CCM toolkit provides all this and more.
provide patient-level nursing staff to clinics
Sometimes, the biggest obstacle is just getting started. Who will do the initial stages, until your volume hits the level where full-time staff is profitable?
We provide nursing staff on a per-patient (or even on a per-call) basis. The cost of these staffing arrangements comes out of Clinic billings, so there is little or no out of pocket startup for clinical staff!