What is a CCM Program?
Chronic Care Management (CCM) is a program designed to coordinate all patients’ health care needs and resources proactively. The goal of the CCM program is to ensure that patients receive the proper care, at the right time, in the right setting. A CCM program may integrate information technology systems and business processes, clinical services, risk management, provider networks, and other vital functions to help people work together to achieve an optimal level of care.
What does a CCM Program Entail?
1. Tracking and monitoring the patient’s progress
It allows for monitoring and evaluating each patient regularly with complete documentation of the entire process to identify any significant changes in their condition.
2. Anticipate any problems and put measures in place to prevent problems
CCM Program helps patients and members anticipate possible health care issues before they arise. This is achieved by encouraging preventive care and coordinating resources with the patient.
3. Coordinate care between the patient and other providers
CCM program connects patients to a network of providers who dedicate themselves to providing coordinated and collaborative care.
4. Communication between the patient and the other healthcare professionals involved in their care
All the healthcare team members connect via the CCM platform. All communications about the patient’s progress are stored in one place for future reference.
5. Monitoring and managing the patient’s medical cost
CCM serves the medical cost management task. CCM serves a regular and ongoing contact to ensure that there is a complete understanding of the medical conditions being administered, drug prescriptions, and medical devices prescribed. This saves costs on every level by reducing unnecessary visits, unnecessary prescriptions, etc.
6. Promote health awareness
CCM helps patients understand their own bodies better by educating them, which could, in turn, lead to better care of themselves.
7. Health insurance coverage
CCM promotes health insurance coverage for everyone involved in the process. CCM is a great tool to help patients with lower incomes maintain their healthcare coverage which helps to reduce the cost of healthcare.
8. Connecting the patient and the healthcare professionals
CCM creates a patient-care team that is dedicated to monitoring and managing their health care. CCM works for each patient with their provider, specialists, therapists, caregivers, and other connected professionals.
9. A care plan that outlines the specific care and services that the patient will receive
CCM provides a care plan for the patient. This care plan outlines all of their treatments in detail so that it is clear for both the patient and their medical team. CCM also allows direct communication between the patient and their medical team. Practitioners use the goal-setting tool to help patients set realistic goals regarding treatment and advice regarding lifestyle changes that they can make to improve their health.
Benefits of a Chronic Care Management Program for Patients
A chronic care management program is a comprehensive program that helps patients and clinics achieve the greatest possible control of their healthcare costs. The following benefits are some of the most significant benefits of CCM programs:
1. Improved health outcomes
A chronic care management program aims to improve the quality and length of hospital stays. A major benefit of a Chronic Care Management Program is that it helps patients improve their own health by actively managing their condition before an expensive and costly admission to the hospital is required.
2. Fewer hospitalizations and ED visits
As mentioned above, patients who participate in a CCM program often experience fewer hospitalizations and ED visits. This is due to the fact that CCM programs proactively coordinate care and help to prevent potentially serious health problems from developing.
3. Reduced health care costs
The improved health outcomes and reduced hospitalizations and ED visits that are associated with CCM programs lead to reduced health care costs. One study found that patients who participated in a CCM program had medical cost savings of $946 per year. Another study found that, for every dollar spent on a CCM program, there was a $3.27 return on investment.
4. Improved patient satisfaction
Patients who participate in a CCM program often report higher levels of satisfaction with their care. Patients have more control over their healthcare. They have access to a team dedicated to keeping them informed and well-informed on the latest treatment and prevention advances.
5. Increased access to care
CCM programs often provide patients with increased access to care. This is due to the fact that CCM programs typically include regular communication between the care coordinator and the patient. This regular communication allows for timely provision of care and services.
Related article: How to Implement an In-house CCM Program
Benefits of a Chronic Care Management Program for Clinics
A Chronic Care Management Program also has many benefits for clinics. The following are some of the major benefits for providers:
1. Increase Revenue
By providing the patient with a well-rounded healthcare plan, providers can offer a high-quality service that will increase revenue. It’s also suitable for patients because they can save money by avoiding unnecessary procedures and medications.
2. Enhanced Care Expectation
The patient will receive more care as they feel comfortable with their health care team, ultimately leading to better treatment of patients.
3. Improved Quality of Service
A comprehensive and consistent approach to patients’ care leads to better patient outcomes and lower healthcare costs. The program also provides effective communication between the patient and their medical team and the sharing of important information about disease management and treatment options.
4. Improved care coordination.
CCM programs improve care coordination by providing a system for tracking and monitoring the patient’s progress and by ensuring regular communication between the care coordinator and the patient (and, as needed, the patient’s family or caregivers).
5. Increased efficiency.
The improved care coordination that is associated with CCM programs often leads to increased efficiency in the delivery of care. This is because CCM programs help prevent potentially serious health problems from developing and help ensure that patients receive the care and services they need in a timely manner.
Is Chronic Care Management Program Worth it?
Yes, giving patients with chronic health conditions a case manager to help coordinate their care can save the health care system millions of dollars. CCM programs are beneficial for both providers and patients. their benefits easily offset their cost.
Conclusion
CCM programs have become increasingly popular over the last decade as patients have become less likely to see doctors regularly. Instead, they are more likely to take prescription medications. The reason for the surge in popularity of CCM programs is that they have proven to be beneficial, cost-savings measures for both patients and clinics.
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