The desire to improve health outcomes for individuals with serious illness coupled with opportunities to generate additional revenue have prompted healthcare providers to step up chronic care management initiatives.
The Centers for Medicare and Medicaid Services now reimburses physician practices for select chronic care management (CCM) services for Medicare beneficiaries, with more private payors likely to follow suit.
2015 Healthcare Benchmarks: Chronic Care Management captures tools, practices and lessons learned by the healthcare industry related to the management of chronic disease.
This 40-page report, based on responses from more than one hundred healthcare companies to HIN's inaugural industry survey on chronic care management, assembles a wealth of metrics on eligibility requirements, reimbursement trends, promising protocols, challenges and ROI.
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This benchmark report is designed to meet business and planning needs of health plans, employers, health coaching and disease management, case management managed care organizations, physician organizations, health systems, health IT companies and others by providing critical benchmarks in care coordination of patients with chronic illness.
Supported with dozens of graphs and tables, these 2015 market metrics document emerging trends in chronic care management, resulting in a comprehensive set of best practices and benchmarks on care coordination for individuals with complex health conditions.
Breaking down findings by high-responding industry sectors, this report includes the following data points:
and much more.
Prevalence of programs for chronic care management;
Criteria for admission to a chronic care management program;
Tools to identify and risk-stratify individuals for CCM;
Key components of chronic care management initiatives;
Primary responsibility for CCM;
Frequency of CCM patient visits in 12-month period;
Modalities for CCM interactions;
Reimbursement trends for CCM, including structure of CCM payments;
The most successful tools, process or workflows employed in chronic care management, in respondents' own words;
Challenges and successes resulting from CCM; and
Impact of CCM on the key metrics of clinical outcomes, care quality, medication adherence, patient experience, hospice use, hospitalizations and readmissions, ER visits, mortality, and reimbursement;
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This report is part of the HIN Healthcare Benchmarking series, which provides continuous qualitative data on industry trends to empower healthcare companies to assess strengths, weaknesses and opportunities to improve by comparing organizational performance to reported metrics.
Available in Single or Multi-User Licenses
A multi-user license will provide you with the right to install and use this information on
your company's computer network for an unlimited number of additional workstations within
your organization for a one-time fee. To have this valuable resource on your network,
or to inquire about ordering bulk copies in print or Adobe PDF, please e-mail firstname.lastname@example.org or call 888-446-3530.
P.S. -- You may also be interested in these chronic care management resources: