This year brings significant opportunities and changes to care management that invite providers, health plans, and care management service organizations to transform. Central to these changes is the launch of the Advanced Primary Care Management program.
Healthcare leaders can approach this year by asking themselves:
- Should we transition out of Chronic Care Management (CCM) and into Advanced Primary Care Management (APCM)?
- Should we enter into Medicare care management by starting with APCM?
- Should we offer APCM and CCM programs concurrently?
Consider that the APCM program is different from CCM in several key areas:
- APCM doesn’t use time requirements as the basis for billing like CCM
- Without time minimums, care teams can focus more on outcomes and progress
- APCM doesn’t require patients to have any chronic conditions, which makes services accessible to many more patients
Once a healthcare organization decides to start, add or shift to APCM, it's critical to achieve a level of automation and efficiency that optimizes staff time. This allows care teams to deliver advanced primary care to more patients in the same or less time.
Artificial Intelligence (AI) tools are fundamental to enabling APCM. Some may say that it's impossible to deliver APCM to all eligible patients without AI.
To meet this moment, ThoroughCare has released new AI features through a preferred partnership with CareCo.
AI tools enable advanced primary care models
Armed with the pragmatic AI tools in ThoroughCare, APCM care managers and teams can provide risk-based attention while expanding services and creating sustainable revenue. They can tailor their focus to patients who have more significant or timely needs rather than focus on meeting a minimum time requirement each month.
Our AI feature set not only allows teams to manage more patients effectively but also streamlines administrative and documentation tasks, enhancing patient engagement before, during and after every call.
Before the call: AI makes call prep seamless
ThoroughCare AI automates the process of initiating, receiving, recording and transcribing every patient call. The platform analyzes the call data and transcripts to create conversation guides.
The conversation guide lists each prioritized topic from the last call with links to citations from previous transcripts.
Care managers instantly have everything at their fingertips to prepare for and initiate the call. They don't have to dig through old clinical or call notes to feel prepared to address the most pressing issues.
During the call: AI-generated conversation guides maximize engagement
Because AI does most of the prep, the care manager can be more present with the patient. This allows the care manager to address not only their priorities but also focus on what's top of mind for the patient.
Through the conversation guide, AI capabilities index a topic checklist that care managers can use in real time to guide the conversation and engage the patient in an organic and personalized way.
These streamlined and focused patient discussions maximize the value of every interaction.
After the call: AI automates action plans, documentation and next steps
Once the patient call is complete, our AI tool automatically takes the transcribed call data, analyzes it and converts it into actionable care plan suggestions. The care manager can review the recommendations and instantly import the details into ThoroughCare.
Not only does the care manager have AI-generated call transcripts and care plans, but they have all the necessary documentation for this call and a prioritized list of topics for the next one.
Care managers no longer need to take time to recap what was discussed with the patient and document key details. Now, AI does it for them automatically.
Early findings show ThoroughCare AI users are achieving greater efficiency and patient retention
Our AI tools are already demonstrating real value for providers. Clients have noted increases in a host of performance metrics, including:
- +50% productivity
- +70% task accuracy
- +27% patient retention
One client, Candace Stewart from 24OurCare, pointed to a 25% increase in efficiency, which allows them to care for more patients. She shared, "The conversations are more intentional and empathetic because we can trust [the platform] to accurately transcribe and summarize the content."
Getting started with AI for care management
Our partnership with CareCo provides a pragmatic way to leverage AI for greater efficiency, more meaningful patient engagement and quality care outcomes.
When used as part of Chronic Care Management and Advanced Primary Care Management, AI eliminates many burdensome yet important tasks, refocusing energies toward patient-driven outcomes.
