Altruis Blog

Aligning Chronic Care Management and the Revenue Cycle

Jun 27, 2017 9:01:38 AM / by Altruis

Altruis and Orb Health Partnership

[Altruis News: We recently partnered with Orb Health—read the full press release here.]

Chronic care management (CCM) and transition care management (TCM) programs help ensure patients engage with the right provider for the right care at the right time. CCM makes it easier for patients with chronic diseases to understand their conditions and actively participate in their care plans. Just as important, it helps the providers who care for these patients coordinate and collaborate across multiple appointments and separate care settings.

TCM ensures that when patients need a different type of care or depart a specific care setting—a hospital or skilled nursing facility, for example—they know where they need to go next and understand why. On the provider side, TCM ensures these patients are expected at their next point of care. If the patient doesn’t schedule or keep their appointment, a member of the care team knows to reach out.

In the real world, these approaches translate to:

  • Better clinical outcomes.
  • Enhanced patient engagement.
  • Reduced likelihood of avoidable hospital admission or readmission.
  • Fewer unnecessary or redundant tests/appointments.
  • Fewer missed or rescheduled appointments.
  • Happier patients and happier providers—because both parties have a clearer view of the whole picture.

And that’s exactly why we’re excited about our new partnership with Orb Health.

Why we’re connecting revenue cycle management and chronic care management

The truth is, they’re already connected.

The reimbursement models for treating patients with chronic diseases are based on a simple principle: Patients who receive comprehensive, coordinated care experience better outcomes (at a lower cost) than patients who receive fragmented, confusing care. They’re more likely to utilize primary and preventative care services—the services they truly need and that improve their quality of life. And they’re less likely to end up heavily utilizing emergency and urgent care services—care settings that are more expensive, more stressful, and that simply aren’t suited to treating and managing chronic disease.

To drive adoption of improved chronic care management across healthcare, commercial and government payers have shifted (and will continue to shift) reimbursement models to reward more coordinated, collaborative care. Providers who optimize for these changes will see healthier revenue in addition to streamlining care coordination and enhancing patient engagement.

Through our partnership with Orb Health, Altruis clients will be able to implement the right technology and services to strengthen and streamline their chronic care management and transition care management efforts. As always, we’ll ensure our clients receive full, accurate reimbursement for all billable care activities—and fully benefit from revenue enhancement opportunities that grow and support their mission of patient care.

Altruis is Different

Topics: Revenue Cycle Management, Chronic Care Management


Written by Altruis

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