Chronic Care Management

Chronic Care Management for value-based success

A software platform to engage, analyze, and manage patient care.

ThoroughCare equips payors and providers with digital tools and data to foster patient engagement, enhance revenue streams, and improve care delivery.

Request a Software Demo Learn About CCM

A comprehensive platform
to optimize care delivery

Manage chronic conditions with SMART goals, care plans, evidence-based risk assessments, and patient data.

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Create personalized, measurable goals to monitor progress and track patient success

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Promote clinicians’ abilities to motivate and educate patients with clinical content

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Capture and interpret patient data to inform complex care decisions

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Clinical workflows designed
to empower patients

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MetaPhy Health uses ThoroughCare to enhance chronic care delivery

Since 2017, ThoroughCare has helped MetaPhy Health optimize care delivery for patients with multiple chronic conditions.

Learn how MetaPhy Health uses our care coordination platform.

Watch a Case Study

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Manage all CCM program patients

Customizable columns and filters can sort patients by their care manager/physician, patient status, billable CCM time, call status, customizable flags, conditions, and risk level.

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Plan and care for social determinants of health

Care plans can capture detail on conditions and their related barriers. Guided assessments collect patients’ SDOH to ensure care is comprehensive.

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Automate and track billable time

Automatically assign chronic care CPT codes. Track and report common tasks, including a complete audit trail of patient services.

Ensure billing and claims are accurate and efficient.

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Care delivery organizations
innovate with ThoroughCare

"ThoroughCare has helped us grow. We started our company in 2019 with one employee and one patient. We now have 15 employees and provide Chronic Care Management and Remote Patient Monitoring to 5,000+ patients. ThoroughCare helped make this possible."

Ronnie Madison, President,
Advance Care Management

“Since starting a Chronic Care Management program through ThoroughCare's platform, we have made many positive impacts. We have increased our quality measure scores and reduced hospital readmits, resulting in a decrease in overall spending. Our providers are much more engaged with their patients' care teams.”

Sabrina Martin, Director of Provider Network Management, National ACO

"ThoroughCare Analytics has given us invaluable insight into our own internal program and processes. It has allowed us to better measure, monitor, and manage all aspects of our program, and in turn, provide a higher level of service."

Todd Shafer, Senior Vice President of Operations and Administration,
MetaPhy Health

Inform care decisions
with patient and provider data

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Data interoperability for an inclusive patient picture

Bi-directional interoperability captures data from EHRs, HIEs, remote monitoring devices, advance care directives, and a mobile app to inform personalized care decisions.

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Visualize and interpret data with ThoroughCare Analytics

Track and report performance with data aggregated from across clinical sites. Analytics can help inform decision makers with operational metrics.

Learn more about Chronic Care Management

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Rules and requirements
of a CCM program

Understand provider expectations, service requirements, and the billing process for a successful program.

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Payor-enabled, provider-driven chronic care management

Learn about CCM's growing value to collaborative care models that pair health plans with providers.

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Pharmacy partnerships
expand care access

Explore how partnerships with pharmacies can further streamline care delivery and support patient satisfaction.