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:

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.

A performance measurement strategy evaluates whether a care management program has met its goals by using a set of metrics compared against expected outcomes.

Directly engaging patients through mobile phones enables patients to text their care team directly with any questions or concerns.

ThoroughCare's clinical team recently hosted a webinar, “The Impacts of Social Determinants of Health (SDOH) on Patient Care and Outcomes.” They were joined by Dr. Maya Bell, PharmD, MBA, Director of Clinical Services at PharmaClin.

Since 2015, the Centers for Medicare & Medicaid Services (CMS) has established several care management programs to improve outcomes and reduce costs for beneficiaries with chronic conditions and higher complexity. These include:

Software should make meeting compliance and value-based care contracting requirements seamless. ThoroughCare was built to not only meet CMS’s care management program requirements, but our existing tools and capabilities were designed to support value-based care coordination and contracting no matter the payor.

Since the Centers for Medicare & Medicaid Services (CMS) began covering Annual Wellness Visits (AWV) in 2011, the value of this yearly assessment has continued to increase.

Understanding the socioeconomic needs of your patients is crucial for improving their overall health outcomes. Deprivation of basic necessities like food, housing, clean water, transportation, and employment, among other challenges, can have significant adverse impacts on even healthy patients. This is why it's essential to talk about Social Determinants of Health (SDOH) with your patients in order to identify their unique needs and challenges.