Medicare beneficiary statistics demonstrate the need for some level of behavioral health integration with primary care:

In times of emergency, or at the end of life, you might be unable to communicate your medical treatment preferences. Although you may assume that your loved ones know what you would want, that is not always the case.

UPDATE (1/8/2025): In its 2025 Final Rule, CMS changed the rules pertaining to HCPCS code G0511. Read here for the latest information.

Advance Care Planning (ACP) adoption is picking up steam, but documented barriers keep physicians and patients from engaging more widely. A team-based care management approach can overcome those barriers, yielding numerous benefits for the provider, patients, and their families.

Care management provides the best opportunity to offer Advance Care Planning.

Advance Care Planning (ACP) is a highly impactful service to add to a provider’s practice. However, confusion around who can deliver and bill these services keeps healthcare organizations from fully embracing and adopting the offering.

Due to the pandemic, the demand for expanded Behavioral Health services in primary care settings has increased significantly. It is reported that one in five adults have a diagnosable mental health disorder, whereas two out of five individuals experience symptoms of anxiety and depression.

As you may be aware, an Annual Wellness Visit (AWV) is a yearly evaluation of a patient's current health. For Medicare Part B beneficiaries, the appointment is free of cost. During an AWV, a doctor will review the patient's health history, identify any potential health issues, and answer any questions. The main goal of an Annual Wellness Visit is to establish a record of the individual's physical and mental well-being to develop a preventive health plan. While Annual Wellness Visits (AWVs) can benefit healthcare providers by improving communication with their patients and helping them collect reimbursements, there are also several advantages for patients themselves.

ThoroughCare has earned NCQA Population Health Management Prevalidation in the following categories: Health Plan, Managed Behavioral Healthcare Organization, Case Management, and Population Health. This means that our platform has the functionality to help other organizations receive NCQA accreditation in the same areas.