by John Zulaski, President, Practice Management
Practice Management is a participating partner in the Center for Medicare and Medicaid Services (CMS) Connected Care program, promoting the value and benefits of Chronic Care Management (CCM) services. We seek to help bring providers and patients a valuable service. Providers engaging CCM services benefit from significant financial incentives, improved outcomes, and the potential to reduce administrative burdens. Patients benefit thru consistent contact with the care team directing them to needed resources such as their healthcare provider and to direct them away from harm.
As the challenge of providing these additional services in-house has been examined, a strong need for assistance has been identified by many companies specializing in CCM. Challenges include hiring and managing productivity. The biggest challenge is to meet the 20 minute requirement for 90% or more of enrolled patients.
The outsourced CCM is an elegant solution that is being rapidly adopted by healthcare providers large and small. Most companies offer a software solution or a fully staffed CCM team. While many provider organizations feel the best solution is to perform the task in-house, the delay while building and training the CCM team may be costly. Delay means months going by with no service performed, and no revenue. A viable plan that doesn’t leave money on the table might be to start with the full service option and transition to in-house at a comfortable pace.
Costs of these services range from 50-65% of the per patient per month reimbursement with the remainder left as practice profit. Once the program is up and running, there is very little for provider offices to do except to help patients enroll (generally by verbal consent). The financial impact can be substantial given that most Medicare patients meet the requirement of two chronic conditions. A practice with just 10,000 Medicare patients participating monthly (and only performing the basic 20 minute service) would see $140,000 to $200,000 per month after paying the outside CCM service. That’s $1,680,000 to $2,400,000 per year!
CMS continues to roll back barriers to participation in an effort to invest in the savings that CCM is expected to generate. Could CCM benefit your patients?
Primary care physicians spend more than half of their workday at a computer screen performing data entry and other tasks with electronic medical records (EHRs), according to new research from experts at the University of Wisconsin and the American Medical Association (AMA).
Based on data from EHR event logs and confirmed by direct observation data, researchers found that during a typical 11.4-hour workday, primary care physicians spent nearly six hours on data entry and other tasks with EHR systems during and after clinical hours. The study was published today in the Annals of Family Medicine.