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Care Management Blog

Learning Center

Insights on care coordination and value-based care.

Kathryn Anderton, BSN, RN, BC-RN, CCM

Vice President of Clinical Operations, ThoroughCare

Care Management

“Workflow” often means “how you get needed work done.” But there is more science, discipline, and skill behind optimizing care management operational workflows.

See how ThoroughCare simplifies Medicare's most complex programs
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See how ThoroughCare simplifies Medicare's most complex programs.

Patient Engagement

Substantial evidence supports the benefits of patient engagement in healthcare. Studies have shown that engaged patients experience better health outcomes, including reduced hospital readmissions and improved chronic disease management.

Clinical Advisory Services

Artificial Intelligence (AI) can help care teams become more efficient, spend less time on administrative tasks, and enroll and engage more patients in care management.

Value-Based Care | Care Management

Periodic performance reviews are crucial to ensuring any care management program meets its objectives. However, creating a process and determining which data to focus on can be challenging for a new or expanding program.

Annual Wellness Visit | Value-Based Care

In this video, we discuss how Annual Wellness Visits — or AWVs — can be a powerful gateway to enrolling patients in care management programs like Chronic Care Management (CCM) and Remote Patient Monitoring (RPM). We’ll show you why AWVs are more than just a Medicare requirement — they’re a key touchpoint for identifying patient needs, improving outcomes, and boosting reimbursement for your practice. If you're looking to deliver more holistic care and grow your value-based care efforts, you're in the right place.

Care Management

Launching or expanding a care management program comes with certain challenges.

Care Coordination | Care Management

The Centers for Medicare & Medicaid Services (CMS) allows billing practitioners to collaborate with third-party care management service companies. This arrangement can provide external clinical staff and non-clinical staff to perform certain care tasks.

Telehealth | Care Management

Providers and third-party service companies want to deliver accessible and convenient care that has an impact.

Transitional Care Management

By: Kathryn Anderton, BSN, RN, BC-RN, CCM
February 28th, 2025

Ineffective transitions of care challenge providers Readmission rates have remained high despite the Hospital Readmission Reduction Program (HRRP). The average US all-cause readmission rate is 14.56%, and it ranges from 11.2% to 22.3% across states. Other value-based care programs, where reimbursement is tied to the quality of service, haven’t led to a significant change in readmissions, either.