Combining Chronic Care Management with Remote Patient Monitoring can improve clinical outcomes, lower total cost of care, and enhance patient satisfaction.

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.

UPDATE (1/8/2025): In its 2025 Final Rule, CMS changed the rules pertaining to HCPCS code G0511. Read here for the latest information. Since Medicare introduced care management programs in 2015, coverage has evolved to provide expanded opportunities for Rural Health Clinics and Federally Qualified Health Centers. Historically, however, new care management programs have been launched without initially including RHCs and FQHCs or with significant restrictions.

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.