Thorough Thoughts | Behavioral Health

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Thorough Thoughts

News and insights about medicare's preventive and wellness programs and improving health outcomes for patients.

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Medicare | Chronic Care Management | Care Coordination | Prevention and Wellness | Quality | RHCs / FQHCs | Behavioral Health

6 Reasons Rural Health Providers Need Chronic Care Management

By: Earl Hutz
May 28th, 2019

Care Coordination and Wellness programs, with goals of improved health, better care and lower costs, continue to expand. Unfortunately, these programs lag behind in many rural communities. But programs like Chronic Care Management (CCM) are tailor-made for the rural population. Here are 6 reasons Rural Health Providers need CCM:

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Medicare | Chronic Care Management | Care Coordination | Prevention and Wellness | Quality | Behavioral Health

Tales of a Medicare Care Coordination Operation – A Financial Case Study

By: Earl Hutz
February 6th, 2019

Physicians and their staff have long been advised of the quality of life improvements afforded through the implementation of care management, wellness and prevention programs for its Medicare patients.  But do they really understand what is to be gained financially?  

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Medicare | Chronic Care Management | Care Coordination | Product Updates | Behavioral Health

Medicare's Behavioral Health Integration Program - Powered by ThoroughCare

By: Earl Hutz
September 5th, 2018

Hello Everyone and Happy Belated Labor Day!  We hope everyone enjoyed the long weekend as the summer winds to completion (I for one am not thrilled, but hey, at least we have football!) In this blog, I'll cover an area that is ripe with opportunity for improving overall quality of life through expanded care coordination efforts: Behavioral Health. Estimates show that approximately 65 million Americans are afflicted with a behavioral health condition, 13 million of whom are Medicare beneficiaries. The projected health care costs associated with these conditions is $57 billion - yes, that is billion with a “b” - a staggering amount that puts the behavioral health-related spend on a level playing field with cancer. For many years, and particularly within the Medicare community, these conditions were rarely addressed.  Older adults, mostly affected by preexisting chronic conditions, generally look to their primary care physicians to provide treatment. Unfortunately, this community of providers were limited in their ability to identify – or even acknowledge – a patient’s behavioral issues, as the diagnosis and management of these issues was restricted to settings that specialized in mental health.  This resulted in upwards of two-thirds of qualified Medicare beneficiaries failing to receive the appropriate care. The downstream impact on physical outcomes, in hindsight, is rather obvious – for example, a depressed patient may not feel motivated to take the actions recommended by their doctor in association with their chronic physical ailment.  If we intend to effectively address the physical conditions, we first need to effectively address the behavioral ones.

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