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Insights on care coordination and value-based care.

Chronic Care Management | Care Coordination | Remote Patient Monitoring (RPM) | Transitional Care Management | Behavioral Health Integration

By: ThoroughCare
June 11th, 2024

Are you intimidated by offering multiple care management programs to your patients at a time? You don't have to be!

Health Plans | Care Management

By: Daniel Godla
June 11th, 2024

The need for tighter health plan-provider partnerships has never been greater.

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Healthcare Analytics | Care Management

Physician practices, payors, and health system leaders rely on key performance indicators (KPIs) to achieve their clinical, financial, and operational goals.

Care Management

Health behavior change is challenging for most individuals and can be particularly difficult for patients living with chronic health conditions or physical, mental, or social risk barriers. Care management programs and clinical teams can provide personalized and powerful support to facilitate the changes that patients seek.

Social Determinants of Health

The Centers for Medicare & Medicaid Services (CMS) reimburses for an optional assessment of social determinants of health (SDOH). When the evaluation is conducted as part of the Medicare Annual Wellness Visit (AWV), the beneficiary will not be burdened by a cost-sharing obligation.

Social Determinants of Health

According to the Centers for Medicare & Medicaid Services (CMS), research shows that 5.8 million people in the US do not receive medical care each year due to transportation issues. More recent research from 2022 found that 21% of adults without a vehicle or public transportation went without needed medical care.

Care Coordination | Advance Care Planning | Care Management

By: ThoroughCare
May 21st, 2024

Approaching Advance Care Planning (ACP) discussions with patients requires doctors to cultivate an environment of trust, empathy, and open communication. Doctors should create a safe space where patients feel comfortable expressing their values, fears, and goals for medical treatment. By approaching ACP discussions with compassion, respect, and sensitivity, doctors can empower patients to make informed decisions about their healthcare journey.

Care Management

By: Daniel Godla
May 21st, 2024

Physicians and other qualified providers working within nursing and assisted living facilities can deliver covered care management services, according to The Centers for Medicare & Medicaid Services (CMS). So long as they meet all billing requirements, and the claim is submitted using a specific NPI number. These services include:

Advance Care Planning

Studies show that nearly 75% of people will need help making medical decisions. Less than 25% have formally documented their end-of-life care wishes.