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Exploring the Value-Based Care Model and Its Benefits in 2020

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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Case Management & Value-Based Healthcare—Why It’s Essential Today

In today’s age, the term “value-based” healthcare is continually gaining traction—but the implementation is far from perfect. Through it, healthcare treatments aren’t solely focused on providing treatments for profit; healthcare practitioners are becoming more mindful of the results for an overall better quality of life for the patient. Helping further

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Benefits of Annual Medical Wellness Visits for Your Clinic

A primary care provider can offer yearly appointments to their patients through the Annual Wellness Visit or AWV. Medicare Annual Wellness Visits let practices improve a patient’s health, increase a clinic’s revenue, and improve their quality scores through value-based reimbursement programs.  This service helps providers create a personalized prevention plan

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3 Types of In-Home Services for Safer Elderly Care Amid COVID-19

In American healthcare, the senior care sector is one of the fastest-rising sectors as more and more service providers continue to step up in terms of the quality they provide.  From online patient monitoring and remote care alternatives, the advancement of technology has allowed providers to render high-quality caretaking experiences,

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Transitional Care Management: How It Provides Better Patient Care

Patients who come out of confinement often require follow-up care. In light of this, it paved the way for the Transitional Care Management (TCM) concept. TCM is for doctors, specialists, and non-qualifying medical practitioners to provide care to patients who have been discharged from hospitals or other CMS (Centers for

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The Importance of Going Virtual With Chronic Care Management

With lockdowns and social distancing implemented around the world, it comes as no surprise that businesses are now offering their services online to reach out to their customers. The same is true for healthcare providers, who have now resorted to telemedicine, remote consultations, and other online means of providing the

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3 Things That Impede Integration of Behavioral Health Practices

With behavioral health integration gaining ground in recent years, more and more patients are now able to enjoy the benefits of a more well-rounded approach to their health and wellness. However, adopting such practices is mainly up to doctors and health practitioners, who must put it upon themselves to reorganize

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All About Value-Based Care: What You Need to Know

To ensure that employees are healthy, happy, and well-taken care of, it is vital that employers implement a reliable program that cares for the health and safety of their workers at an affordable cost. One effective way to do that is through value-based programs. What Is Value-Based Care? Value-Based Care

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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).