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.

What does it take to create an effective and profitable Remote Patient Monitoring program?

Since 2016, Medicare has reimbursed physicians for Advance Care Planning (ACP) counseling. Yet, despite studies indicating that most patients would rather die at home than in a hospital or nursing home, more than 25% do not die in their location of choice.

Several factors, including supply chain costs and competitive pressures, make it harder for independent pharmacies to realize profits and growth. From 2016-2022, the average independent pharmacy gross profit margin was 20.8% to 21.1%.

Increased economic pressures squeeze health plans, and providers seek relief from burnout and revenue loss while wanting to improve outcomes. Both parties are looking for ways to achieve cost reductions, enhance quality, and better the healthcare experience.

Medicare now covers an optional screening for social determinants of health (SDOH). As detailed in the 2024 Physician Fee Schedule Final Rule, this assessment can be conducted during an Annual Wellness Visit (AWV).

Medicare permits healthcare organizations to subcontract care management services.