Humanizing Healthcare
Value-based care is an operational model rising in popularity in the healthcare industry. It is a system based more on quality of service than quantity. It is proving an effective alternative to traditional fee-for-service reimbursement systems, which pays providers retrospectively for services delivered. These models center on patient outcomes, highlighting
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Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.
For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.
CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).