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Care Management Blog

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Insights on care coordination and value-based care.

Health Plans | Care Management

By: Carol Helton
June 11th, 2024

The need for tighter payor-provider partnerships has never been greater.

Healthcare Analytics | Care Management

Physician practices, payors, and health system leaders rely on key performance indicators (KPIs) to achieve their clinical, financial, and operational goals.

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Care Management

Health behavior change is challenging for most individuals and can be particularly difficult for patients living with chronic health conditions or physical, mental, or social risk barriers. Care management programs and clinical teams can provide personalized and powerful support to facilitate the changes that patients seek.

Care Coordination | Advance Care Planning | Care Management

By: ThoroughCare
May 21st, 2024

Approaching Advance Care Planning (ACP) discussions with patients requires doctors to cultivate an environment of trust, empathy, and open communication. Doctors should create a safe space where patients feel comfortable expressing their values, fears, and goals for medical treatment. By approaching ACP discussions with compassion, respect, and sensitivity, doctors can empower patients to make informed decisions about their healthcare journey.

Care Management

By: Daniel Godla
May 21st, 2024

Physicians and other qualified providers working within nursing and assisted living facilities can deliver covered care management services, according to The Centers for Medicare & Medicaid Services (CMS). So long as they meet all billing requirements, and the claim is submitted using a specific NPI number. These services include:

Quality | Care Management

By: ThoroughCare
May 14th, 2024

A performance measurement strategy evaluates whether a care management program has met its goals by using a set of metrics compared against expected outcomes.

Social Determinants of Health | Care Management

ThoroughCare's clinical team recently hosted a webinar, “The Impacts of Social Determinants of Health (SDOH) on Patient Care and Outcomes.” They were joined by Dr. Maya Bell, PharmD, MBA, Director of Clinical Services at PharmaClin.

Care Management

By: ThoroughCare
May 7th, 2024

Since 2015, the Centers for Medicare & Medicaid Services (CMS) has established several care management programs to improve outcomes and reduce costs for beneficiaries with chronic conditions and higher complexity. These include: