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 so many providers to be overwhelmed, hurting their ability to care for sick ones.

That said, if you are interested in offering value-based care and succeeding in it, it isn’t impossible. You just need to offer what is called a Chronic Care Management Program:

What Is a Chronic Care Management Program?

According to the American Academy of Family Physicians, a Chronic Care Management Program (CCM) is a service that a member of your healthcare organization can offer to a patient to help them manage their disease more effectively. The service is to be provided by a healthcare professional in your organization.

The program is focused on improving the quality of life for people living with chronic illnesses (e.g., asthma, diabetes, etc.). Therefore, it’s often offered to those with one or more chronic illnesses. The program is also focused on providing the organization with plenty of revenue, making it a must-have program for any organization looking to offer value-based care.

Does Your Healthcare Organization Need to Offer CCM?

If you are a healthcare organization and you have a patient with a chronic disease, it might be a good idea to offer a CCM. This is true because CCM is focused on chronic care, and by enrolling your patients in it, you offer them a solution that can help manage their health problems. What’s more, when this is done, you can prove that you are caring for the patient and trying to improve their quality of life, all the while making it easier for you to offer value-based care.

What Benefits Can I Get from Offering a Chronic Care Management Program?

In addition to being able to offer CCM, there are a number of benefits that your healthcare organization can enjoy. For example:

Helps the patient improve their quality of life

Helps your organization improve the quality of life for the patient

Helps your organization receive additional revenue from the patient

Allows your organization to show how caring it is by improving the quality of life for patients

Increases your healthcare organization’s reputation as a place that cares and is proactive

Really, there are a lot of benefits you can get out of offering a Chronic Care Management program. While there will be some friction in trying to bring your patients on board with a remote solution, it is definitely worth the time and effort to do so.


If you are a healthcare organization and you are looking to offer value-based care to your patients, a Chronic Care Management Program might be right for you. It offers a ton of benefits not only for your patients but to you as an organization. So, if you’re struggling to run a value-based healthcare organization, don’t hesitate to give CCM ago. It’ll help steer you towards success in not only providing yourself with the resources needed to care for your patients but the care your patients deserve to address their chronic illnesses.

Medistics Health offers a remote patient monitoring system to help organizations keep their patient’s health in check even while at home. If you are looking to offer CCM, reach out to us today!

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).