Many hospitals and healthcare systems are implementing chronic care management (CCM) programs as a result of the rise in chronic diseases in high-risk populations, growing healthcare costs, and the need to effectively manage Medicare patients with long-term, chronic ailments.
There are great benefits to using CCM programs in healthcare systems, like improvements in patient care, increased satisfaction, the elimination of the workload on staff, better longitudinal patient data monitoring, and increased financial performance.
This is especially the case given that healthcare treatment is progressively moving towards a value-based care model. Healthcare organizations can deliver individualized care plans with patients’ necessities in mind and receive fair payment for this with the help of a CCM program.
How effective is Chronic Care Management?
There is plenty of evidence that this does work for chronic care management. Research indicates that the status of patients with diabetes was enhanced through receiving care outside of face-to-face care. The patient’s engagement and follow-up helped lower the glucose and blood pressure levels. Patients with cardiovascular diseases who were under chronic care management services have lower readmission rates to the hospital than those who received routine care. Overall, the CCM program has been described as significantly decreasing mortality, based on research findings. It also has a favorable impact on the admission rate to hospitals and enhances the life experience.
Why should hospitals and healthcare providers outsource CCM services?
The CCM program is a labor-intensive process. It requires
- Certified staff recruitment and training
- Electronic health record systems to monitor care plans
- Follow up and record monthly calls
- Ensuring that the staff is available to the patients 24/7
- More office space
To avoid these challenges, hospitals and healthcare professionals must outsource CCM services.
Benefits Of Outsourcing Chronic Care Management Services
New Stream of Revenue
Practices can easily earn up to $85,000 per billing provider in a year within their company, but again, it all depends on the ways that you use to ensure success. You can optimize the revenue generated from the program by outsourcing the chronic care management services.
Reduced Staff Cost with CCM Services
The implementation of in-house operational services can be very costly. Furthermore, it also increases the administrative load within your company. Your clinic may not be ready to handle the significant time investment that is required to implement an effective chronic care management program. You may decrease this load and get all the advantages by contracting out CCM services to a certified vendor. Expert suppliers can assist you in running a successful program because they understand what it takes. This will lower the program’s staffing costs and safeguard your financial line.
Increased Patient Coverage
Chronic diseases have become a major problem in the United States, where more than half of all adult Americans have at least one chronic condition. Since Medicare continues to expand its coverage to more and more patients, it is high time to introduce a high-quality CCM program. This increase in patient coverage means more of your patients are eligible than you may realize. It means more reimbursement for your organization and the growth of your bottom line when you implement a program.
Reduced hospitalizations
A CCM program is beneficial to patients with chronic diseases, as they exhibit significant improvement in the management of their diseases compared to those who are not in the program.
A specific Accountable Care Organization (ACO) noticed a 20% reduction in hospitalizations and a 13% reduction in emergency room encounters for CCM patients. According to the survey, 71 healthcare professionals stated that reduced hospitalizations and emergency department (ED) visits were beneficial to CCM.
Patient Care Coordination
Care coordination is in the process of making the lives of patients better. It involves scheduling monthly check-ins, and consistent patient communication helps them manage their health conditions more effectively. This is making it easier for patients all over the world to not be swallowed up by their intricate treatment plans.
Medication Reconciliation
People living with multiple chronic conditions are usually faced with situations where they have to take drugs that may have opposing effects or receive treatment that may be incompatible with another one if from different doctors. CCM vendors assist in the clearing of any gaps and inconsistencies in a patient’s care so that they are always on the right track.
Improved Patient Health Outcomes
Patients who engage in chronic care management have better results as compared to those who do not. The patients understand their treatment regimens, follow them, and receive better results than if they were not involved.
Community Assistance
CCM services can benefit your patients in many other ways beyond your practice if you outsource them. A competent CCM vendor will engage the patients and help them get other services and products in the community, such as cheaper drugs, among others. Your patient is likely to be more involved with both their provider and their community, which can improve their results.
Outsourcing is a practical and recommended route if you’d like to implement a CCM program. By partnering with Gen-By-Gen Health healthcare organizations gain access to a team of professionals dedicated to providing high-quality chronic care management services.
