Chronic Care Management: The Keys to Success

Deploying a chronic care management program is a great opportunity for providers to enhance their relationship with their patients while also generating a new revenue stream. However Chronic Care Management regulatory guidelines require investments in people and technology that can make managing the CCM process costly and time consuming. Understanding how to overcome these challenges is the key to succeeding with chronic care management.

To start, what does chronic care management look like today?

  • Approximately 140 million Americans have chronic disease – growing to 170 million by 2025
  • New government and commercial reimbursement programs now incentivize connecting with patients between office visits
  • These new reimbursement strategies are critical for controlling costs related to managing chronic disease in the short and long term

Evaluation of the Diffusion and Impact of the Chronic Care Management (CCM) Services: Final Report, November 2, 2017

The Challenges of Implementing CCM

Even with these new reimbursement strategies, many provider organizations are not equipped with the technology or the services necessary to efficiently handle population health in an era of value based reimbursement.

  • Capital and staffing requirements are significant
  • Offices are not equipped to engage patients outside of their practice
  • Providers and staff are overwhelmed – conflicting priorities
  • New population health codes like CCM and Behavioral Health require significant volume and economics to scale

Centricity and RevUp Chronic Care Management Service

RevUp is a chronic care management service that integrates with Centricity EMR to assemble a patient’s CCM care plan and make it available securely anytime, anywhere. Using the care plan, the care team acts as a trusted extension of the provider to help patients meet their health goals by tracking of medication compliance, patient counseling, relationship building, and early detection of adverse health events.

Deep integration with Centricity means:

  • Your practice can enroll and monitor directly within Centricity
  • Documentation is stored in a patient’s chart
  • Billing claims are automatically created, saving practice time and effort
  • The patient’s overall experience is improved through connected care

The Benefits of A Chronic Care Management Service

Better experience for your patients
  • Improved outcomes
  • Increased patient engagement with personalized messaging
  • Extension of the physician practice
Better for the practice
  • Faster enrollment means faster reimbursement
  • Greater patient engagement means the clinical and financial benefit continues over time –instead of tapering off
  • proven engagement processes lead to greater billing. 80%-90% billing for patients
Solution is integrated directly into the EHR
  • Increases patient enrollment
  • Billing automation –no manual billing
  • No disruption to office / provider workflow
Better for compliance
  • Nurses licensed in the state the patient receives care
  • Model has been scrutinized for compliance by two nationally recognized law firms, Jones Day and Epstein Becker
Patient engagement is fully funded