Though implementing value-based care in traditional practices is quite difficult, in the modern era where digitization of healthcare practices is on a swing, chronic care management (CCM) software can be the ideal solution.
The Value-based Care Challenges
A Comprehensive Guide to Maximize Reimbursement for Value-based Care
Free DownloadChronic Care Management - The Catalyst in Your Value-based Care Equation
Implementing a Successful CCM Program
1. Program Preparation: The first step to implement CCM program is to understand the CCM program landscape and the conditions the CMS have put in placincreasing patient engagement with CCMe for success value-based reimbursements. After that you need to have a CCM care team in place to start providing value-based care services and align your clinical workflow with the chronic care management software and other technological landscape.
2. Patient Identification & Enrollment: Once the preparations for the program are completed, the next step is to identify patients who are eligible to be enrolled in this program. For this the CMS requires a patient with at least two chronic conditions which are likely to last at least a year or lifetime. Once that is done, you need to educate patients about the program and get their consent to start providing value-based care.
3. Provide Value-based Care: After the patients are enrolled into your CCM program, develop personalized care plans for each patient with goals, interventions and communication strategies. Along with that, you should also train your team with proper protocols and other necessary things which are usually involved in providing value-based care.
4. Patient Engagement and Care Delivery: Maintain regular communication with the patients through calls, telehealth consultations, secure messaging and remote monitoring of patient health condition. Along with that, develop and implement strategies to keep the patient engaged in their care journey through patient education and other self-monitoring tools.
5. Billing & Value-based Reimbursements: Last but not the least, follow the coding and billing procedures for CCM services according to payers guidelines and develop a system to track and manage program revenue for your practice.
Ways CCM can Enable Value-based Care Success
1. Improve Patient Satisfaction & Engagement: Increasing patient engagement with CCM is one of the core USPs of the chronic care management program. Through education material, secure communication challenges and tracking of patient health CCM programs can help you in improving patient satisfaction rate and also patient engagement in their care journey.
2. Enable Better Patient Health: The CCM program is designed in such a way that enables providers to not only provide better health services but also keep a track of their health for proactive care and improve their health outcomes.
3. Maximize Clinical Efficiency: One of the major benefits of CCM for value-based care is that it enables the clinic to function at maximum efficiency with a dedicated care team looking after patients enrolled in the CCM program and other staff looking after the day-to-day functioning of the clinic.
Conclusion
In a nutshell, the chronic care management program enables providers to adopt a holistic way of care which helps them in delivering better quality of care and focus more on patient outcomes rather than just on service. Taking the traditional healthcare service away from the fee-for-service model, it enables value-based care for patients and creates a win-win situation in this complicated healthcare landscape.
Frequently Asked Question’s
Some of the challenges you might face when transitioning to value-based chronic care are:
- Data limitations and interoperability
- Financial risk and incentives
- Workflow integration and technology adoption
- Administrative burden and reporting requirements
- Lack of collaboration and care coordination
However, the best way to address these challenges is to provide effective training to your staff and choose the right CCM software for the successful implementation of the program.