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September 28, 2020

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Blog

Case Management & Value-Based Healthcare—Why It’s Essential Today

In today’s age, the term “value-based” healthcare is continually gaining traction—but the implementation is far from perfect. Through it, healthcare treatments aren’t solely focused on providing treatments for profit; healthcare practitioners are becoming more mindful of the results for an overall better quality of life for the patient. Helping further

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Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.

For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.

CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).