Care Management Blog

Electronic Health Records (EHRs) have become ubiquitous across the healthcare landscape. Nearly 78% of office-based physicians and 96% of non-federal acute care hospitals use a certified EHR.

In 2020, more than 7 million Americans aged 65 or older were living with dementia, according to expert estimates. If current demographic and health trends continue, more than 9 million Americans could have dementia by 2030 and nearly 12 million by 2040.

Value-based objectives are more easily met for patients with one chronic condition. However, patients living with multiple chronic conditions (MCCs) typically have a more complex clinical picture. One where the standard value-based care framework often falls short, demanding a different approach than Medicare care management programs were created to address.

Medicare Accountable Care Organizations (ACOs) are increasingly leveraging telehealth and Remote Patient Monitoring (RPM) to enhance care coordination, improve patient outcomes, and reduce healthcare costs.

Care management is a particularly good fit for Medicare Accountable Care Organizations (ACOs) because it aligns with the ACO model’s fundamental goals and incentives.

Providers and care management companies deciding whether to offer Advanced Primary Care Management (APCM), a new Medicare program, may be confused about how it relates to existing services.

As of January 2024, 77.6% of physicians were employed by hospitals, health systems, or other healthcare organizations compared to leading or owning an independent practice.

While Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) cannot be billed by the same clinician for the same patient in the same month, the two services complement each other.

The Centers for Medicare & Medicaid Services (CMS) introduced Remote Therapeutic Monitoring (RTM) in 2022, expanding the use cases for remote digital health technologies. CMS launched its Remote Patient Monitoring (RPM) program in 2019.