Today’s healthcare mantra is to provide quality care through optimized and efficient performance. The three main goals of the healthcare industry are to 

  1. Enhance care experience
  2. Boost the health of the population
  3. Minimize the per capita healthcare cost. 

Managing these three interdependent goals can be done by managing chronic conditions. In addition, chronic care management has made the goals achievable by extending the horizons of healthcare.

According to the Centers for Medicare and Medicaid Services, 93% of total Medicare spending is done on patients with chronic conditions. This poses a challenge to hospitals and physicians as the population ages and the need for enhanced care quality and containing costs increases.

Above all, chronic conditions such as type 2 diabetes, obesity, arthritis, stroke, and cancer significantly disrupt the quality of life. Arthritis is a common cause of disability. And diabetes is a primary reason for kidney failure. Many of these conditions can be controlled and managed with proper medical intervention. Proper chronic care management can help curb the piling costs and boost overall health.

Quality of Care is Key to Chronic Diseases

The primary goal of chronic care management is to provide high-quality care. The MACRA law of 2015 changed the way how medicare rewards physicians who focus on value-based care over volume. Chronic care management system reinforces quality as the primary goal for clinicians in treating patients with chronic conditions. The Medicaid services also established multiple incentive systems in 2017, intending to escalate quality of care. Chronic care management services help physicians improve the quality of care by helping high-risk patients.

Why Chronic Care Management is the Step towards Quality?

The chronic care management system reimburses the clinicians under CPT code 99490 in the wake of providing non-face-to-face healthcare to eligible chronic disease patients. Through a chronic care management system, a clinician can proactively manage the patient’s health beyond the boundaries of clinics and see some bucks without compensation.

  • A clinician must provide at least 20 minutes of virtual chronic care services a month as a medical service practitioner.
  •  A clinician can claim reimbursements as per the standards.
  • The chronic care management elements comprise a comprehensive care plan, care transition, care coordination, medication reconciliation, and 24/7 emergency care.

Chronic care management helps prioritize patient needs first, leading to higher patient engagement and satisfaction. The other ways in which Chronic care management improves patient care are as follows:

  • Less Chance of Re-Admissions 

According to a recent study, patients who strictly stick to their after-hospital care are less likely to return to the emergency department. Numbers also say that people part of the chronic care management program are 2.3% less likely to go to the emergency room or be readmitted.

  • Improved Care Coordination

Lack of care organization is an issue patients often face. Such patients are compelled to see numerous healthcare suppliers frequently to address unique issues in terms of care. Chronic care management comes as a solution to the patients by setting a considerable group that is arranged and organized by the healthcare providers to provide ideal care. The patients can effectively communicate with the clinician if they have any doubts regarding the care plan.

  • Happy Patients

The significant part of chronic care management is the long-term value a clinician can provide to the patients. A clinician can develop a cadre of happy and loyal patients and get word of mouth going. But, a clinician can’t build a group of happy patients just by scoring high on the patient satisfaction survey. Loyalty is the base to satisfaction, and it can be built only by catering to the care needs of the patients or exceeding them.

  • Cost Control

According to research, the cost of the patient whose care was unorganized and optimized was 75% higher than patients with organized chronic care. In addition, as the digital platform minimizes the need to visit the clinic setting, the overall care costs are less.

  • A Source of Revenue

A charming advantage of chronic care management is that it opens an opportunity for income. In most cases, chronic care management widens the pocket of healthcare providers. In addition, the payments and reimbursements boost the clinicians to take time out of their busy schedules to provide non-face-to-face healthcare.

Conclusion

Though chronic care management provides an array of benefits, the primary goal is to extend quality care to patients with two or more chronic conditions. And this makes CCM an important path in improving the quality of patient care.

About Humhealth

Humhealth is a suite of products that supports RPM, CCM, AWV, BHI, and PCM. Humhealth’s Chronic Care Management Solution helps practitioners provide non-face-to-face care to patients with chronic conditions. Humhealth serves Solo Practice and Group Practice Physicians, Hospitals, Community Health Centers, and Healthcare Call Centers handling outsourced services.

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