Nearly half of US adults have at least one chronic disease, accounting for over half of Medicare spending. The Chronic Care Management (CCM) program aims to control costs by promoting proactive, long-term care for patients with multiple chronic conditions. CCM shifts care beyond hospitals to a holistic, technology-enabled approach that reduces readmissions and improves health outcomes through regular patient contact and monitoring.

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Why Care About Chronic Care Management
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Almost half of the adult population in the US is affected by at least one chronic disease and more
than half of Medicare reimbursements are spent on senior patients with more than one chronic
conditions. These are not pretty statistics nor is this financially or socially sustainable.
As a response, albeit late response to this rise in cost and fall in population health statistics, CMS
has devised a program to control the epidemic. The CMC Chronic Care Management program was
designed to promote a ‘healthy’ and sustainable long-term care delivery model which will incentivize
providers for providing care above and beyond traditional. The program will identify patients with
more than one chronic condition as it is defined by CMS and will provide care as these patients have
the most risk and thus the most expensive to treat.
Why Care About Chronic Care Management?

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It has been little more than a year and a half since this new program was introduced and yes, it is
too early to evaluate. But as far as we can see the take away from the program is largely positive.
Reports state that the program has been successful in increasing the patient’s participation in their
health, improving patient-provider relationship and overall health outcome. Yet this might not be the
right way of evaluating a program. The better way to look at this is to look at the overall picture of
what the program promises not just for patients but for all stakeholders.
Chronic care management is proposed to set a new approach to healthcare and its expenditure,
value-based model is taking over the fee-for-service model and is connected to provider
reimbursement.
Why Care About Chronic Care Management?

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● Reactionary care to proactive care
● Beyond the four walls of a care facility
● Reduce readmission chances
● Promotes the use of telehealth technology
● Holistic approach
Some ‘‘other’’ benefits of CCM are as below

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Reactive care to proactive care:
The use of medicine has always been more or less reactionary, healthcare did
not actively participate in eliminating the chances of getting a disease or
condition but always reacted to the symptoms resulting out of these diseases as
it is explained by patients or observed by the healthcare professionals.
Those with multiple chronic conditions are at a greater risk of accumulating
other health concerns as time progresses. Chronic care management aims to
highlight this factor by looking at the overall health of the patients.

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Beyond the Four Walls of Care Facility
Chronic care management forces providers to look and reach beyond their office walls
and provide care. It’s a conventional idea but in practice, this is rather a new concept.
For example, CCM program elements highlight that the provider or a qualified staff must
contact the patient regularly for at least 20min of face-to-face care over a period of one
calendar month. This is a new manner of engaging with patients for many physicians
allowing them not only to look at the symptoms but sometimes be actively participating
and engaging along the recovery period of the patients.

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Reduce Readmission Chances
Patients with more than one chronic conditions have a higher chance of getting admitted
to a hospital than a healthy patient. For a chronic patient it is a never-ending journey to the
hospital and from the hospital, not being able to put the constant shift, it gets hard to
settle down post discharge. Continuous contact and monitoring of patient condition help
in avoiding unnecessary readmission which not only affects the patient financially but
also their morale.

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Promotes the Use of Telehealth Technology
Telehealth means the use of various information technology tools to connect and
contact with patients when they are geographically separated from the location of the
provider or the facility. Chronic care management program promotes the use of such
technologies, it has shown that such technology can improve the patient health
outcomes. Such technologies need not be limited only to CCM program but can be
successfully used for achieving better results with other patients in general.

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Holistic Approach
This is the whole point of the exercise, to have a holistic approach towards healthcare.
CCM program aims to look at a patient as a whole rather than a list of conditions and
complications. Our healthcare professionals have been doing a great job within the
bounds of what they could do but with the introduction of CCM providers being
incentivized to do the best they can for the health and welfare of their patients.

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So, why should we care about CCM after the many acronyms that have come out before?
Acronyms proposed by many new laws and out of many agencies and they all came short of what
was promised.
We should care about CCM because it is a new idea which came out of a new way of thinking, which
if everything goes as well as it does on paper can positively impact the lives of many people who
are forced to choose between health and financial well-being, having to watch their loved ones
suffer helplessly; between pursuit of hospital bed and pursuit of happiness.
Why Care About Chronic Care Management?

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Features of HealthViewX CCM Software

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1 Automated call log feature
After a call, care plan creation or any action related to CCM health services,
the system automatically adds call logs. It reduces the physician’s manual
effort is logging the call logs.

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Preventive Care Plans
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HealthViewX solution supports care plans for the Chronic Care Management
service for a patient. The physician can create a care plan depending on the
patient’s health report. It helps in monitoring the patient’s vitals.

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Chronic Care Management
Analytics3
Dashboards with intuitive charts and tables give complete analytics of the
Chronic Care Management services. It provides a clear picture of the revenue
perspective

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4 Consolidated Reports
The physician can generate a consolidated report of the Chronic Care
Management services given for a particular period. This makes it easy for
the billing practitioner for getting the Medicare reimbursements.

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HIPAA Compliance
5
HealthViewX Chronic Care Management is HIPAA compliant. It facilitates
secure data exchange. The solution manages all patient-related documents
securely.

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HealthViewX Care Management and Chronic Care
Management solutions have features that suit
healthcare organizations best.
To know more about our solutions, schedule a
demo at www.healthviewx.com
Schedule a Demo with HealthViewX

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