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CCM Is A Comprehensive Approach To Managing Chronic Health Conditions Like Hypertension, Diabetes, Heart Failure Etc, Aiming To Improve Patient Outcomes And Reduce Healthcare Costs
CCM services offer non-face-to-face care to Medicare beneficiaries with two or more long-term chronic conditions, lasting at least 12 months or until the patient's death. These services are designed to improve the management and quality of care for these individuals.
● Alzheimer’s disease and related dementia
● Arthritis (osteoarthritis and rheumatoid)
● Asthma
● Atrial fibrillation
● Autism spectrum disorders
● Cancer
● Cardiovascular
disease
● Chronic Obstructive Pulmonary Disease (COPD)
● Depression
● Diabetes
● Hypertension
● Infectious diseases like HIV
and AIDS
CCM proactively manages chronic conditions, leading to better health outcomes and reduced hospitalizations.
CCM fosters patient-provider relationships, promoting treatment plan adherence.
CCM prevents complications, lowering healthcare costs for both patients and systems.
CCM ensures well-coordinated care, addressing physical, mental, and social health needs.
CCM aligns with value-based care models, emphasizing quality, patient-centered care, and preventive measures.
Remote patient monitoring (RPM) is a form of telehealth where healthcare providers track patients' health using digital medical devices like weight scales, blood pressure monitors, and pulse oximeters outside traditional care settings. This technology enhances healthcare delivery and keeps patients connected to their providers.
Patients eligible:
✓ HTN ✓ DM2 ✓ CHF ✓ COPD
✓ Chronic respiratory failure
Remote Cellular Enabled devices used:
✓ BP monitors ✓ Pulse oximeters ✓ Weigh Scales ✓ Blood glucose monitors
Remote patient monitoring allows continuous tracking of patient health data, improving disease management.
It enables early detection of issues, enabling timely interventions to prevent complications.
Patients are more engaged in their healthcare, leading to better self-management and adherence to treatment plans.
Reduced hospitalizations and ER visits lead to cost savings for both patients and healthcare systems
Patients have 24/7 access to care, promoting convenience and reducing healthcare disparities.
Remote patient monitoring allows continuous tracking of patient health data, improving disease management.
It enables early detection of issues, enabling timely interventions to prevent complications.
Patients are more engaged in their healthcare, leading to better self-management and adherence to treatment plans.
Reduced hospitalizations and ER visits lead to cost savings for both patients and healthcare systems
Patients have 24/7 access to care, promoting convenience and reducing healthcare disparities.
BHI combines mental health and primary care, addressing both physical and mental health needs in one setting.
It allows for early identification and management of behavioral health issues, reducing long-term complications.
Patients have easier access to mental health services, reducing stigma and barriers to care.
BHI promotes collaboration among healthcare providers, leading to comprehensive and well-coordinated patient care.
BHI emphasizes personalized care plans, focusing on the unique needs and preferences of individual patients.
