Ask a Clinician: What Prevents Patient Enrollment in CMS Care Programs?
Maranda Cruce, RN, BSN, CCM, POMP
Manager of Clinical Operations, ThoroughCare
Patient enrollment can be a major challenge for groups providing services like Chronic Care Management and Remote Patient Monitoring. In this episode of Ask a Clinician, ThoroughCare's Clinical Advisory Team will answer some questions around patient enrollment in CMS care management programs to help you understand what to consider.
What prevents patients from enrolling in CMS care programs?
Trust and understanding can be one of the largest hurdles. Patients often don’t know what "care coordination" means and fear there's a hidden cost involved. Or, they may just not understand what a program specifically offers, along with its potential benefits. A lack of clarity can leave a patient with more questions than assurance.
How can providers help patients gain trust in these services?
To overcome this, providers can shift the language they use. Don’t ask them to "enroll in a program." Instead, offer the patient a dedicated, personal health guide who can bridge the gap between doctor visits. Help them navigate resources or develop a personalized care plan.
How can providers help patients gain trust in these services?
Technology can help support this. Providers can use their EHR or other data to spot patients with frequent emergency department visits, multiple care transitions, or those struggling with medication adherence. These patients are ideal for a conversation about how certain programs, paired with a personal care manager, can help them work toward individual goals.
Getting enrollment right is the first step to ensuring your care coordination programs truly deliver results for both you and your patients.
How We Can Help
Using ThoroughCare, care teams can utilize our analytics platform to identify cohorts of patients, such as those who have had increased hospitalizations or have multiple conditions. With this data, providers can target patients for certain program enrollment.
At ThoroughCare, our Clinical Advisory Team regularly helps answer care coordination workflow questions and help providers understand the essential ins and outs of care coordination programs.
If you have any questions or would like to learn more about how ThoroughCare’s Clinical Advisory Team can assist optimizing your workflows, reach out to us.
