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June 1, 2022

Care Provider
Blog

Why Value-Based Care Providers Need a CCM Program

While many people were looking forward to value-based care, the slow shift towards it may have disappointed some. Regardless, many healthcare organizations still try to offer it at their best. Unfortunately, they’re squeezed out of time and resources due to the large number of patients requiring attention. This has caused

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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).