Launching or expanding a care management program comes with certain challenges.

The Centers for Medicare & Medicaid Services (CMS) allows billing practitioners to collaborate with third-party care management service companies. This arrangement can provide external clinical staff and non-clinical staff to perform certain care tasks.

Care management service providers—the companies to which physicians and their practices outsource their programs—are becoming increasingly popular.

In 2020, the Centers for Medicare & Medicaid Services (CMS) finalized that auxiliary personnel, including contracted vendors or service companies, may perform Remote Patient Monitoring (RPM). This includes services described by CPT codes 99453, 99454, and 99457.

The Centers for Medicare and Medicaid Services (CMS) have updated the CPT code for the Social Determinants of Health (SDoH) assessment for 2025.

The Centers for Medicare and Medicaid Services (CMS) updated the CPT codes for Principal Care Management (PCM). For 2025, there were no major changes to the PCM program rules and regulations in CMS’s Final Rule.

Accountable Care Organizations (ACOs) can scale their patient cohort through care management, particularly through the Medicare Chronic Care Management program. But what are the most effective, research-based strategies ACOs use to maximize the value of Chronic Care Management?

Providers and third-party service companies want to deliver accessible and convenient care that has an impact.