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Insights on care coordination and value-based care.

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.

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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:

Value-Based Care | Care Management

By: ThoroughCare
April 30th, 2024

Software should make meeting compliance and value-based care contracting requirements seamless. ThoroughCare was built to not only meet CMS’s care management program requirements, but our existing tools and capabilities were designed to support value-based care coordination and contracting no matter the payor.

Annual Wellness Visit | Care Management

By: ThoroughCare
April 30th, 2024

Since the Centers for Medicare & Medicaid Services (CMS) began covering Annual Wellness Visits (AWV) in 2011, the value of this yearly assessment has continued to increase.

Care Coordination | Care Management

By: ThoroughCare
April 23rd, 2024

Nearly 50% of Medicare beneficiaries are enrolled in Medicare Advantage plans. Each of those health plans is given a Star Rating, which has become the cornerstone of consumer rankings, performance assessment, and more than $12 billion in Quality Bonus Payments.

CPT codes | Care Management

By: ThoroughCare
March 26th, 2024

Since Medicare introduced care management programs in 2015, coverage has evolved to provide expanded opportunities for Rural Health Clinics and Federally Qualified Health Centers. Historically, however, new care management programs have been launched without initially including RHCs and FQHCs or with significant restrictions.

Pharmacy | Care Management

By: ThoroughCare
February 27th, 2024

Several factors, including supply chain costs and competitive pressures, make it harder for independent pharmacies to realize profits and growth. From 2016-2022, the average independent pharmacy gross profit margin was 20.8% to 21.1%.