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Chronic Care Management Program: Benefits, Process, and Impact
Chronic Care Management Program: Benefits, Process, and Impact

Time Business News

time3 days ago

  • Health
  • Time Business News

Chronic Care Management Program: Benefits, Process, and Impact

Chronic diseases such as diabetes, hypertension, arthritis, and heart disease have become increasingly prevalent, affecting millions of individuals and placing significant pressure on healthcare systems globally. In response to this growing concern, healthcare authorities have introduced structured care models to improve outcomes, among which the Chronic Care Management (CCM) Program has gained prominence. Launched by the Centers for Medicare & Medicaid Services (CMS), this initiative provides continuous care coordination for patients with two or more chronic conditions. The program not only improves quality of care but also reduces hospital readmissions and healthcare costs. The Chronic Care Management (CCM) Program is a Medicare-supported initiative that focuses on providing comprehensive and continuous care to patients with multiple chronic conditions. These conditions must be expected to last at least 12 months or until the patient's death and significantly impact the patient's health or daily functioning. The program involves non-face-to-face services provided outside of the traditional office visit, such as: Coordinating care across providers and settings Medication management and reconciliation Developing and updating a personalized care plan Regular communication with patients through phone calls or digital platforms 24/7 access to clinical staff To qualify for CCM services, patients must: Be enrolled in Medicare Part B. Have at least two or more chronic conditions that are expected to last 12 months or more. Provide written or verbal consent to receive CCM services. Once enrolled, the patient can receive services from their primary care provider or a care management team coordinated by the provider. 1. Comprehensive Care Plan A personalized, electronic care plan is created for each patient outlining the management of their chronic conditions. This plan is accessible to all healthcare providers involved in the patient's care. 2. Continuity and Coordination of Care Care coordination is central to CCM. The program ensures that all healthcare providers are aware of the patient's medical history, current treatments, and future care plans, which helps prevent duplication of tests or conflicting treatments. 3. Enhanced Communication Patients have access to their care team around the clock. Whether it's a question about medications or a health concern during the night, help is available 24/7. 4. Non-Face-to-Face Services The program includes at least 20 minutes of clinical staff time each month that may consist of phone consultations, chart reviews, patient education, and follow-ups. 1. Improved Health Outcomes Regular monitoring and early intervention help in preventing complications, ensuring better disease management, and reducing hospital admissions and emergency room visits. 2. Patient Empowerment Patients are more engaged in their healthcare with ongoing education and support, which helps them better understand and manage their conditions. 3. Reduced Healthcare Costs By preventing complications and avoiding unnecessary hospital visits, CCM can lead to significant cost savings for both patients and the healthcare system. 4. Better Quality of Life Continuous support improves the patient's daily life by reducing symptoms, managing medications efficiently, and offering mental and emotional support. 5. Provider Reimbursement For healthcare providers, CCM presents an opportunity to receive monthly reimbursement for care management services, ensuring sustainable, value-based care delivery. Technology plays a pivotal role in the success of CCM programs: Electronic Health Records (EHRs): Streamline documentation and access to patient data. Streamline documentation and access to patient data. Patient Portals and Apps: Allow real-time communication and monitoring. Allow real-time communication and monitoring. Remote Patient Monitoring (RPM): Enables care teams to track vital signs such as blood pressure and glucose levels from a distance. Enables care teams to track vital signs such as blood pressure and glucose levels from a distance. Secure Messaging and Telehealth: Enhance communication between patients and providers without needing in-person visits. Challenge 1: Patient EngagementSome patients may not fully understand the benefits of CCM or be hesitant to consent. Solution: Educate patients through detailed orientation, testimonials, and informational materials. Challenge 2: Staffing and Time ConstraintsManaging a CCM program can be time-consuming. Solution: Employ dedicated care coordinators or partner with CCM service vendors to streamline workflows. Challenge 3: Compliance and DocumentationMaintaining accurate documentation is crucial for billing and care continuity. Solution: Utilize EHR-integrated tools and automated tracking systems to ensure accuracy. The Chronic Care Management program aligns seamlessly with the goals of value-based care, which emphasizes outcomes and cost-efficiency rather than volume. CCM helps practices transition from traditional fee-for-service models to more patient-centered, proactive care approaches. The program encourages practices to focus on preventive care, long-term management, and patient satisfaction—core pillars of modern healthcare. Assess Patient Eligibility: Use EHR tools to identify patients with qualifying chronic conditions. Obtain Consent: Educate patients and obtain the necessary verbal or written consent. Develop a Care Plan: Create a comprehensive plan tailored to each patient's specific conditions and needs. Provide Monthly Services: Ensure that at least 20 minutes of non-face-to-face services are provided monthly. Document Everything: Keep detailed records of all services provided for compliance and billing purposes. Bill Medicare Appropriately: Use the proper CPT codes (99490, 99491, 99487, etc.) to ensure timely reimbursement. The Chronic Care Management Program is a vital innovation in the evolving landscape of healthcare. It provides a structured, patient-centric approach to managing long-term conditions, resulting in better outcomes, improved patient satisfaction, and reduced healthcare costs. For healthcare providers, it offers an opportunity to deliver high-quality care while being reimbursed for their time and effort. For patients, it means having a partner in their healthcare journey—one that's available, engaged, and proactive. With the support of technology, proper implementation, and a dedicated team, CCM can significantly transform how chronic diseases are managed, paving the way toward a healthier, more resilient population. TIME BUSINESS NEWS

WCM-Q clinician scientist ranked number one medical researcher in Qatar for 3rd year running
WCM-Q clinician scientist ranked number one medical researcher in Qatar for 3rd year running

Qatar Tribune

time3 days ago

  • Health
  • Qatar Tribune

WCM-Q clinician scientist ranked number one medical researcher in Qatar for 3rd year running

Tribune News Network Doha Dr. Rayaz Malik, professor of medicine and assistant dean for clinical research partnerships at Weill Cornell Medicine-Qatar (WCM-Q) and senior consultant physician in endocrinology and diabetes at Hamad Medical Corporation, has been ranked the number one researcher in medicine in Qatar for the third year in a row by an independent research portal that compiles a global list of high-achieving scientists each year. The list also ranked Dr. Malik among the top 10,000 researchers in medicine in the world, placing him at number 8,350. The ranking is based on an analysis of the number of influential pieces of research authored by the scientist, combined with awards, fellowships and academic recognition they have received from leading research institutions and government agencies. To date, Dr Malik has published 729 scientific papers, and his work has been cited 40,188 times. The majority of his research (over 350 papers) has been published since he joined WCM-Q from the University of Manchester, UK in June 2014. Dr. Malik said: 'Our clinical research programme is now recognized internationally, with Qatar ranking second in the world for publications in diabetic neuropathy, with a Relative Publication Output per capita (RPOP) of 18.01 publications per inhabitant. I am very grateful for the support from WCM-Q and the investment in research infrastructure made by Qatar Foundation and the Ministry of Public Health.' Dr. Malik added: 'According to the Global Burden of Disease study published in Lancet Neurology in 2024, neurodegenerative diseases affect 3.4 billion people across the world and diabetic neuropathy, characterized by pain, numbness and ulcers with lower leg amputation, has witnessed the biggest increase (92%) in disability-adjusted life years (DALYs) from 1990 to 2021. The key to improving patient's lives with neurodegenerative diseases is earlier diagnosis and treatment.' With this as a key focus, Dr. Malik and his team have pioneered use of the Corneal Confocal Microscope (CCM), a rapid eye scan to diagnose and predict progression of diabetic neuropathy, Parkinson's disease, multiple sclerosis, dementia, schizophrenia and autism, among other conditions. Dr. Malik also said: 'Our clinical research program could not have been so successful without our very positive collaborations with clinicians and researchers in major healthcare institutions across Qatar, including diabetes and endocrinology and neurology and the Clinical Trials Unit in Hamad Medical Corporation; endocrinology and gastroenterology in Sidra Medicine and several key departments in Hamad Bin Khalifa University and Qatar University.'

CareAtlas Transitional Care Management and Remote Monitoring Now Available at Hendrick Health
CareAtlas Transitional Care Management and Remote Monitoring Now Available at Hendrick Health

Yahoo

time10-07-2025

  • Health
  • Yahoo

CareAtlas Transitional Care Management and Remote Monitoring Now Available at Hendrick Health

AUSTIN, Texas, July 10, 2025 /PRNewswire/ -- CareAtlas (formerly known as 1 True Health – Care Management), a leader in Patient Relationship Management (PRM), has partnered with Hendrick Health to provide Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and assist in the coordination of Transitional Care Management (TCM) services for discharged patients. Transitional Care Management (TCM) helps patients navigate the critical adjustment from hospital to home by providing consistent guidance, medication oversight, and care coordination. Care Navigators coordinate with patients, caregivers, and authorized providers using phone, text, email, video chat, or mail. The timing and method of each contact are tailored to the patient's needs. With secure connected devices, Remote Patient Monitoring (RPM) provides real-time insight into patients' health status, connecting care providers outside of traditional office settings and allowing for early detection and faster intervention if issues arise. "We're excited to offer this extension of our care through CareAtlas for patients after they are discharged from the hospital," said Hendrick Health's Assistant Chief Medical Information Officer Joshua Reed, DO. "Through this partnership, we're able to help ensure our patients and their loved ones have the necessary support and resources after a hospital stay." CareAtlas focuses on patients with chronic conditions and those being discharged from an acute- care facility. CareAtlas and Hendrick Health's goals are to communicate with and work alongside providers to ensure patients receive the best possible outcomes, reduce hospital readmissions, and facilitate rapid and complete patient recovery. "As we launch this partnership with Hendrick Health, CareAtlas is proud to bring our virtual-first preventative care platform—including remote physiological monitoring and comprehensive chronic care management—to support patients as they transition home," said Travis Owen, the CEO of CareAtlas. "Our shared commitment to delivering compassionate, timely and personalized care ensures that every individual receives the support they need for a smooth recovery and lasting health. We look forward to working closely with the Hendrick Health team to set a new standard for patient experience and outcomes in transitional care." About Us: CareAtlas is a leader in Patient Relationship Management, offering 24/7/365 chronic care management and remote patient monitoring services in California and Texas. Formerly known as 1 True Health – Care Management, CareAtlas delivers personalized, technology-enabled care for patients with chronic conditions and those transitioning from acute care settings. Our human- first approach combines compassionate Care Navigators with AI-driven insights to improve health outcomes, reduce hospital readmissions, and empower patients to thrive at home. Visit our website to learn more at For media inquiries, please contact: Travis Owen, CEO, travis@ 500 E. 4th Street #455, Austin, Texas 78701 (833) 313-9509 View original content to download multimedia: SOURCE CareAtlas Inc Sign in to access your portfolio

Tanzanian PM to step down in surprise move
Tanzanian PM to step down in surprise move

Yahoo

time03-07-2025

  • Politics
  • Yahoo

Tanzanian PM to step down in surprise move

Tanzania's Prime Minister Kassim Majaliwa has announced that he will not seek re-election in the forthcoming parliamentary elections, effectively preventing him from being re-appointed. Majaliwa had earlier said that he would defend his legislative seat for a fourth time in October before making the surprise announcement on Wednesday. The 64-year-old was appointed prime minister in 2015 and was seen as a possible successor of the late President John Magufuli after his death in 2021. He has continued to hold the position under President Samia Suluhu Hassan, who is seeking to retain the presidency under the ruling Chama Cha Mapinduzi (CCM). Majaliwa, who has represented the coastal Ruangwa region since 2010, said his decision was guided by God and he had made it "in good faith". "It is time to give others the opportunity to unite and build on the development foundation we've established," said Majaliwa, without elaborating on his reasons to pull out from the elections. It comes just a week after Majaliwa said that he would seek another term in parliament. Why Samia's hesitant reforms are fuelling Tanzanian political anger Could this be the end of the road for Tanzania's great survivor? He also told Ruangwa residents last September that he would run again, with his unexpected withdrawal sparking speculation of a power struggle within the ruling party. Majaliwa said he would continue serving as a senior CCM official and support Samia's presidential bid. In Tanzania, the prime minister leads the government business in parliament and is appointed by the president from among the elected MPs. Seen as a quiet but firm leader, Majaliwa is credited with ensuring a smooth and calm political transition after Magufuli's death. The former teacher rose to become an influential figure within the CCM party, which has governed Tanzania since 1977. He served as a junior minister under former President Jakaya Kikwete. His exit follows that of Vice-President Philip Mpango, who in May announced his retirement from politics. Analysts say the withdrawal of the two senior politicians gives President Samia space to consolidate her control of CCM and craft her second-term leadership line-up. The country is due to vote in parliamentary and presidential elections, with CCM expected to retain power. The main opposition party, Chadema, has been banned for refusing to sign up to a code of ethics because it wants a series of electoral reforms. Initially praised for easing the restrictions Magufuli had imposed on the opposition and the media, Samia has been criticised for what rights groups see as renewed repression. She took up power in 2021 after Magufuli's death, becoming the country's first female president. Senior Chadema politicians have been arrested and several opposition figures abducted and murdered. Samia's government defends the crackdown on opposition as a move to ensure peace in the country. Additional reporting by Alfred Lasteck in Dar es Salaam Are East African governments uniting to silence dissent? 'Struggling to be alive': Kenyan activist speaks of 'sexual torture' in Tanzania Kenyan president apologises to Tanzania over deportation row 'Manhandled and choked' - Tanzanian activist recounts abduction Go to for more news from the African continent. Follow us on Twitter @BBCAfrica, on Facebook at BBC Africa or on Instagram at bbcafrica Africa Daily Focus on Africa

Kassim Majaliwa: Tanzanian prime minister steps down from October elections
Kassim Majaliwa: Tanzanian prime minister steps down from October elections

BBC News

time03-07-2025

  • Politics
  • BBC News

Kassim Majaliwa: Tanzanian prime minister steps down from October elections

Tanzania's Prime Minister Kassim Majaliwa has announced that he will not seek re-election in the forthcoming parliamentary elections, effectively preventing him from being re-appointed. Majaliwa had earlier said that he would defend his legislative seat for a fourth time in October before making the surprise announcement on Wednesday. The 64-year-old was appointed prime minister in 2015 and was seen as a possible successor of the late President John Magufuli after his death in 2021. He has continued to hold the position under President Samia Suluhu Hassan, who is seeking to retain the presidency under the ruling Chama Cha Mapinduzi (CCM). Majaliwa, who has represented the coastal Ruangwa region since 2010, said his decision was guided by God and he had made it "in good faith". "It is time to give others the opportunity to unite and build on the development foundation we've established," said Majaliwa, without elaborating on his reasons to pull out from the elections. It comes just a week after Majaliwa said that he would seek another term in parliament. Why Samia's hesitant reforms are fuelling Tanzanian political angerCould this be the end of the road for Tanzania's great survivor?He also told Ruangwa residents last September that he would run again, with his unexpected withdrawal sparking speculation of a power struggle within the ruling party. Majaliwa said he would continue serving as a senior CCM official and support Samia's presidential bid. In Tanzania, the prime minister leads the government business in parliament and is appointed by the president from among the elected MPs. Seen as a quiet but firm leader, Majaliwa is credited with ensuring a smooth and calm political transition after Magufuli's death. The former teacher rose to become an influential figure within the CCM party, which has governed Tanzania since 1977. He served as a junior minister under former President Jakaya exit follows that of Vice-President Philip Mpango, who in May announced his retirement from politics. Analysts say the withdrawal of the two senior politicians gives President Samia space to consolidate her control of CCM and craft her second-term leadership country is due to vote in parliamentary and presidential elections, with CCM expected to retain power. The main opposition party, Chadema, has been banned for refusing to sign up to a code of ethics because it wants a series of electoral reforms. Initially praised for easing the restrictions Magufuli had imposed on the opposition and the media, Samia has been criticised for what rights groups see as renewed repression. She took up power in 2021 after Magufuli's death, becoming the country's first female president. Senior Chadema politicians have been arrested and several opposition figures abducted and murdered. Samia's government defends the crackdown on opposition as a move to ensure peace in the country. Additional reporting by Alfred Lasteck in Dar es Salaam You may also be interested in: Are East African governments uniting to silence dissent?'Struggling to be alive': Kenyan activist speaks of 'sexual torture' in TanzaniaKenyan president apologises to Tanzania over deportation row'Manhandled and choked' - Tanzanian activist recounts abduction Go to for more news from the African us on Twitter @BBCAfrica, on Facebook at BBC Africa or on Instagram at bbcafrica

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