Without software, Annual Wellness Visits (AWV) will be difficult to provide to your patients. Your practice or organization will need to leverage a digital care coordination solution to implement your program and efficiency screen patients.
As you may already know, care coordination software is used by physician practices, accountable care organizations (ACOs), and home health agencies to coordinate various types of patient services. It can help solve the complex administrative and patient-engagement needs that are associated with value-based care.
But, how much does care coordination software cost for AWV? What can you expect to pay?
It depends on several factors. Software features, the number of patients you’ll serve, and access to training and tech support can influence the price.
Care coordination software options can start as low as $0.99 per month or run as high as $8 per managed patient per month. Full-service solutions, in which a third party completely manages your programs, may cost as much as $20-$30 per patient per month.
Without research, you could end up either overpaying for a software option that’s beyond what you’ll require, or you could commit to a product that’s too basic for your expansive needs. Additionally, some care coordination solutions allow for greater integration with electronic health records (EHRs) and data analytics reporting platforms. These features can further influence cost but may offer great value to your practice.
At ThoroughCare, we’ve helped more than 600 physician practices and clinics utilize care coordination software for their specific needs. We’ve helped many of these clients implement and scale AWV programs. We know what to look for in a quality care coordination solution and what to consider when making a selection.
Below, we’ll delve further into the factors that determine the cost of care coordination software for wellness visits. We’ll cover features, technical support, and training resources.
What Features Influence the Cost of Software for AWV?
Care coordination software companies will price their product, in part, by the features included. For the money you spend, you should expect certain things to be included. Below, we’ll cover three features you should look for in coordinated care solutions that can help you with your wellness visit program.
Clinical Content for Assessment Accuracy and Efficiency
Clinical content refers to language or media elements that add value to a software user’s experience. This can include questionnaires and diagnostic tools that support nursing and care management staff in their roles.
For AWVs, effective clinical content will be critical to streamlining the completion of health risk assessments (which are required for an AWV), and the wellness visits, themselves. Content will help enable you and your staff to ask appropriate questions and glean the necessary insights to make the most of an AWV.
Some care coordination software options provide standard templates and support questionnaires that can walk you through the AWV process. You’ll want to ensure such features are included in the overall cost.
Additionally, while you’re vetting options, you should check whether a platform’s clinical content has been peer-reviewed and edited by healthcare professionals. Content should be backed by institutional recommendations, such as from the American Academy of Family Physicians (AAFP).
For AWVs, specifically, clinical content should also follow the rules and regulations relevant to Medicare, which oversees the program.
Reporting Capabilities
When shopping around, seek extensive reporting features. These should include comprehensive and exportable reports of:
- Time logs
- Enrollment information
- Billing and claims information
- Care plans
- User activity
You should easily be able to see all of your clinical data, summaries, and activities in PDF or CSV formats. Reporting allows providers to measure the effectiveness of the programs they’re managing and leverage the data to learn, adapt, and improve their programs.
Reporting can also be beneficial in case of an audit by Medicare.
Patient-Centered Care Planning
A great takeaway from an AWV for you and your patient is a care plan. A care plan will provide your staff with the necessary guidance when offering additional preventive or wellness services, as you continue to see and engage the patient. This document not only includes key health data, but it's a map of an individual’s health goals.
Some software will provide templates for care plans. A comprehensive care plan for all health issues typically includes, but is not limited to, the following elements:
- Measurable treatment goals
- Symptom management
- Expected outcome and prognosis
- Planned interventions and identification of the individuals responsible for each intervention
- Medication management
- Community/social services ordered
- Schedule for periodic review and, when applicable, revision of the care plan
Low-cost solutions may still require you to manually input most patient information. Premium care coordination software will use a guided interview for care plan creation, automating the process. This approach will walk your care manager through the care plan, step-by-step, by utilizing clinical content that can help ensure accuracy and capture exactly what’s required to engage patients.
Having this plan in place can help connect your patient with other care management programs, including Chronic Care Management (CCM) or Behavioral Health Integration (BHI).
Differences: Low-Cost vs. Premium Care Coordination Software
The key difference between low-cost and premium care coordination software for an AWV program is the depth of tools and features. Ultimately, the adage “you get what you pay for” rings true.
Low-price software solutions can certainly support your staff. They can, however, possibly increase workload or further complicate administrative or clinical tasks due to their limitations.
For instance, some care coordination solutions offered as an add-on with an EHR may require additional manual input with minimal interoperability with other systems. Low-price solutions may also lack extensive reporting, clinical content, auditing functions, and technical support. Also, the design of the software’s user interface can further determine a solution’s quality and affect cost.
Without a user interface that complements your clinical workflow, your staff could view care coordination software as a detriment to efficiency. Some low-cost options can forgo human-centered design, which can contribute to burnout. Premium care coordination software will support an extensive list of features and functionality while acknowledging workflow through intuitive design.
Though premium products will cost your practice more, their benefits can lead to higher returns on investment. For instance, a high-quality software solution can typically support a greater number of patients who can participate in AWVs. This can be the difference between a few hundred to thousands of patients.
Higher participation rates can lead to increased revenue for your practice, as you’ll have more opportunities to bill for the program. As well, if you’re implementing AWV to address value-based care performance metrics, a larger patient population can more effectively help your organization meet or exceed such measures.
Lastly, premium care coordination software can support greater reporting or analytics capabilities. With this functionality, it can be possible to create a very personalized care experience for your patients, as well as use data to address clinical efficiency gaps.
Is Care Coordination Software a One-Time or Recurring Cost?
While some may offer their product for a single payment, it’s more common for care coordination software providers to charge a monthly subscription rate. Some may charge a flat fee for a particular package. This can include a suite of additional tools, training resources, and enrollment of a large patient population.
Others can charge a flat fee per patient that completes an AWV. For a smaller medical practice, the per-patient fee model usually makes the most sense. It can be more cost-efficient when you’re working with fewer program enrollees.
Package deals are typically geared more toward large hospital groups, ACOs, or physician practices that serve a greater volume of patients. These users can require broader technical support, as well as functionality. So, a more inclusive software package can usually address these needs.
Is Tech Support and Software Training Included in the Cost?
When purchasing care coordination software, consider it as if you’re starting a relationship with the vendor. You’re going to depend on them as long as you use their solution. Look for comprehensive technical support, as well as training as you shop.
Ask whether the vendor will assist with onboarding. Your clinical staff will certainly require assistance as they get up to speed with this new tool. Some questions to ask include:
- Will the software company supply training?
- Is this an extra cost or is it included?
- Does the software have ongoing technical support after onboarding?
- Is there a library of educational content and software tutorials?
The best care coordination solutions will include onboarding and training for your staff, as well as live technical support. A large library of educational content and resources doesn’t hurt, either. These resources will ensure you make the most of your purchase, meaning you’ll make the most of your AWV program.
Request a Care Coordination Software Demo
Receiving a product demonstration is a crucial component of the buying process.
If you’re leaning toward a particular software vendor, a demo is an opportunity to see what your money would acquire. ThoroughCare’s care coordination software for wellness visits offers many of the features described above. We ensure that you have all the tools you’ll require, along with the ability to scale with your patient population. Request a demo of our AWV software module.
You’ll see exactly how our comprehensive solution is designed for easy clinical use, as well as supports integration with other care management programs. You can also automate specific tasks and utilize analytics to close clinical efficiency gaps.
