Providers and care management companies deciding whether to offer Advanced Primary Care Management (APCM), a new Medicare program, may be confused about how it relates to existing services.

As of January 2024, 77.6% of physicians were employed by hospitals, health systems, or other healthcare organizations compared to leading or owning an independent practice.

“Workflow” often means “how you get needed work done.” But there is more science, discipline, and skill behind optimizing care management operational workflows.

Substantial evidence supports the benefits of patient engagement in healthcare. Studies have shown that engaged patients experience better health outcomes, including reduced hospital readmissions and improved chronic disease management.

Artificial Intelligence (AI) can help care teams become more efficient, spend less time on administrative tasks, and enroll and engage more patients in care management.

While Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM) cannot be billed by the same clinician for the same patient in the same month, the two services complement each other.

The Centers for Medicare & Medicaid Services (CMS) introduced Remote Therapeutic Monitoring (RTM) in 2022, expanding the use cases for remote digital health technologies. CMS launched its Remote Patient Monitoring (RPM) program in 2019.

Periodic performance reviews are crucial to ensuring any care management program meets its objectives. However, creating a process and determining which data to focus on can be challenging for a new or expanding program.