A patient’s chronic illness journey is cyclical and complex. It's not a linear path but a continuous loop of pre-service, service, and post-service interactions with the healthcare system. Without adequate self-management, health literacy, and personal discipline, a patient’s health can deteriorate, and their condition worsens significantly.

When deciding to start a new care management program or scale an existing one, there are many questions to answer, including:

Health plans have extensive experience with care management, technology, and pilots. However, what’s new is leveraging all three to better collaborate with providers to enhance Chronic Condition Management, engage and activate members more deeply, and facilitate overall cost savings.

Care management program success depends on keeping patients actively enrolled in the program until they achieve their health and wellness goals, their health risk decreases, and they can confidently self-manage their chronic conditions. When this happens, they can graduate from the program and return to traditional disease management.

Health systems are looking for ways to improve care outcomes and patient experiences while building cash flow and enhancing pay-for-performance.

Chronic kidney disease (CKD) is growing in prevalence, impacting more than 37 million Americans. More than 100,000 of these patients begin dialysis each year and 20% of those diagnosed die from the disease or its complications. At an annual cost of $114 billion annually, CKD is one of the most expensive chronic illnesses.

The Centers for Medicare & Medicaid Services (CMS) has released the proposed rule for its 2025 Medicare Physician Fee Schedule.

In this video, we dive into the transformative impact of Remote Patient Monitoring (RPM) on Chronic Care Management (CCM). Chronic conditions require consistent monitoring and management, and RPM offers a revolutionary solution by enabling healthcare providers to remotely track patients' health data in real-time.

Gastroenterology is a complicated specialty that helps patients with multifaceted clinical and quality-of-life issues. Yet, these providers face increased challenges, such as falling reimbursements, increasing patient demand, and physician shortages.

In the US, diabetes affects more than 38 million adults, making up 11.6% of the population, costing more than $306 billion in direct medical costs.