C3 Chronic Care Management

C3 Chronic Care ManagementC3 Chronic Care ManagementC3 Chronic Care ManagementC3 Chronic Care Management
  • Chronic Care Management
  • Who We Serve
    • ACO's
    • CCM Providers
    • Patients
  • Just for ACOs
    • CCM for ACO
    • The Entrepreneurial ACO
    • The Mechanics of CCM
    • CCM-Mission Critical ACO
    • CCM Software
  • Contact
  • About Us

C3 Chronic Care Management

C3 Chronic Care ManagementC3 Chronic Care ManagementC3 Chronic Care Management
  • Chronic Care Management
  • Who We Serve
    • ACO's
    • CCM Providers
    • Patients
  • Just for ACOs
    • CCM for ACO
    • The Entrepreneurial ACO
    • The Mechanics of CCM
    • CCM-Mission Critical ACO
    • CCM Software
  • Contact
  • About Us

The Entrepreneurial ACO

Here's our vision. your aco creates a new business, as a virtual cCM vendor to your member clinics.

CMS Predicts CCM will reduce your Medicare Costs by $74 PMPM

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! 

So, how does an ACO become a CCM Company?

Software

We will license (and even white-label) our C3-CCM Software suite to you.  The C3-CCM software suite is built to create staffing efficiency.  We integrate with Clinic EHR.  We pass billing data to Clinic Practice Management systems.  Our telehealth tools schedule and actually make phone calls, while tracking nurse time and documentation that Medicare requires for billing.  


Further, the software comes complete with configurable Care Management templates and patient education materials that your nurses will need.  

Contracts

Sometimes the biggest speed bump is in drafting the contracts, proposals and marketing materials that educate and commit clients.  Our ACO toolkit comes complete with these templates that you can use as-is, or modify to fit your unique offering configuration.  

processes

We have learned that there are two dimensions to the Medicare CCM program.  One dimension (the obvious one) involves certified healthcare professionals interacting with consented patients according to a physician-approved Care Plan.  In this dimension, all activity is paid for under Medicare. 


But there is a second dimension, that often gets overlooked, and becomes a big obstacle to a rapid ramp-up.  That dimension involves analyzing your existing patient population and reaching out to them, and is pre-funding.  Patients need to understand that they have the option to work with their own dedicated nurse every month, at no cost to themselves.  We support  this need with outreach tools that help your team efficiently educate patients and get them enrolled into the "for-pay" component of your offering.  


For ACO's your care coordination activity is a natural patient outreach, giving you a huge advantage in achieving high penetration into your Chronic Condition populations.  

Staffing

Our contracts will enable - but not require - you to tap into knowledgeable and certified nursing staff.  We call it demand-based staffing that helps kick-start your operation. 

startup strategy

Think of us as something of a "franchise" partner.  We have already developed the software, templates and processes that get you a quick start.  

Click here to set up a 20 minute meeting to analyze your opportunity

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