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Insurance, Healthcare Delivery, Risk

Chronic Care Management, RPM, & population healtht
By David H Levien
Posted: 2022-04-02T14:00:00Z

Our American College of Healthcare Trustees Fellow, Stan Gutkin, shares insights on remote patient monitoring and chronic care management in this video. Chronic care management includes any care provided by medical professionals to patients who have chronic diseases and conditions. A disease or condition is chronic when it lasts a year or more, requires ongoing medical attention. CCM health partners with physicians to deliver virtual care programs for at risk population. A typical physician can earn additional revenue while offering remote monitoring programs that can improve patient health. Chronic care management includes any care provided by medical professionals to patients who have chronic diseases and conditions. A disease or condition is chronic when it lasts a year or more, requires ongoing medical attention or limits the activities of daily life. It includes physical conditions like diabetes or mental conditions, like depression.

In the United States, chronic care management (CCM) refers to the chronic care services provided to Medicare beneficiaries with more than one chronic condition. Services include not only in person, face-to-face visits but also communication and the coordination of care related to the chronic conditions that a patient faces. Book a meeting with CCM to help your patients and help your practice remain financially viable.

Chronic care management involves a comprehensive care plan that includes:

  • A record of the patient’s chronic conditions
  • Personal Information
  • Goals
  • Health Care Providers
  • Medications
  • Any other services needed to manage their condition.

The comprehensive care plan explains to a patient the details and coordination of their care.

Recently, Medicare expanded to pay, in part or in full, for a patient’s CCM if they have two or more chronic conditions that are expected to last at least a year. Imagine being able to observe, report, and analyze your patients’ acute or chronic conditions no matter where they are in the world. Remote patient monitoring devices make that possible for both clinicians and program directors in real-time.

Are you treating a patient with diabetes, high blood pressure, atrial fibrillation, or dementia? Monitoring a pregnancy or weight loss protocol? Remote patient monitoring devices enable your patients to share updates on their vitals and their environment from the convenience and comfort of home—or even at the office.

Whether it’s Fitbits, wearable heart monitors, Bluetooth-enabled scales, glucose monitors, skin patches, shoes, belts, or maternity care trackers, these non-invasive devices acquire, transmit, process, and store patient data—so your clinicians can retrieve it right when they need it.

Remote patient monitoring devices take the stress and scramble out of healthcare for a wide range of patients, and can help all kinds of specialists do their job more effectively and efficiently—and ultimately, more joyfully. This form of telehealth can also provide comfort and reassurance for the families of patients who are at a higher risk of falls or accidents using sensors that send alerts to both family members and medical providers.

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