Chronic Care Management (CCM)
A Partnership Between Diabetes Educators and Primary Care
Did you know that primary care organizations can be paid for patient support work performed by their Diabetes Educator (CDE)? Patients with Medicare Part B coverage who have two or more chronic conditions (eg, diabetes + hypertension) may be eligible to enroll in Medicare's Chronic Care Management (CCM). Those patients can then receive CCM services , which can include things like care coordination, follow-ups, coaching and education.
If the amount totals 20 minutes or more within a given month, the primary care provider is eligible for reimbursement. Higher reimbursement of $100 or more is possible depending upon the actual type and amount of work completed.
The Saturn Care CCM Playbook
Using CDMP, primary care can work collaboratively with CDEs to generate CCM revenues and improve patient outcomes and satisfaction. Contact us to learn more about how others are doing it and to receive our CCM Playbook.
Are You Ready for MACRA and MIPS?
January 1, 2017 was the official start of the first measure year for Medicare eligible providers under the new Medicare Incentive Payment System enacted as part of the bipartisan 2015 MACRA legislation. While CMS has made some allowances for how providers report, payments in years 2019 and beyond will be tied to performance in each of the corresponding measure years (i.e., 2020 Medicare payment can be adjusted up or down based on 2018 actions – or inaction).
How CDMP Helps Providers Achieve More Under MIPS
We are less than a year from 2019 when MIPS payment adjustments take effect, many providers have not yet made the kinds of process changes to their practices that will typically result in the greatest payments. Nearly all providers who are not part of an approved Advanced Payment Model are subject to MIPS adjustments.
Talk to Saturn Care about how CDMP can be implemented to improve quality and patient outcomes for diabetes patients and make providers more efficient under MIPS
Is Your Practice Part of CPC+?
CPC+ is a new multi-payer program specifically designed to help primary care practices make the transition to a ‘medical home’, team-based model of care that emphasizes wellness and prevention. This new approach empowers primary care to take more responsibility for managing their patient population, but also holds providers financially accountable for quality and cost outcomes.
How CDMP Helps Practices Succeed in CPC+
Saturn Care’s CDMP Comprehensive data-driven services augment the capabilities and capacity of existing care teams and act like an extension of the practice. For practices that prefer not to purchase outside services, Standard CDMP provides just the technology platform. Both CDMP Comprehensive and Standard CDMP are available on a per-patient, per-month subscription basis.
CDMP Comprehensive has been clinically shown to lower HbA1c and Diabetes Distress (link) and integrates with the practice’s electronic health record to help achieve the goals of CPC+ and maximize payments to physicians.
Saturn Care supports Track 1 and is a Track 2 registered vendor. Our global Letter of Support can be downloaded here --