CPC+ Care Management Platform

We provide CPC+ practices custom IT and staff solutions to support their path from volume to value. We empower organizations in Track 1 or Track 2 with a formal platform to foster care coordination, a focus on advanced care planning, care transitions, medication reconciliation and a number of other success-driving areas.  We understand the care management of complex populations because we’ve managed them.  We become a trusted partner to client practices and can advise them on all aspects of programatic success: driving quality and achievement within this innovative new practice and payment model.

CPC graphic

 

Core areas of our CPC+ Program include:

  • Care Team assignment
  • Risk Stratification
  • Patient Access and Engagement
  • Portable Care Plans
  • Care Management and Coordination
  • Complete CPC care management clinical staffing available

For further information:

Centers for Medicare & Medicaid Services Comprehensive Primary Care Plus Home

 

Connected Homes / Remote Patient Monitoring

We also can help develop “Connected Homes” for CPC+ patients which can provide tailored physiological monitoring fitted specifically to a patient’s chronic conditions. The remote patient monitoring data, upon practitioner review, is incorporated into the care plan—simultaneously providing direct clinical value to patients and needed chronic disease management support that can help keep patients at home, and out of high cost settings like emergency rooms and hospitals.

Contact us for further information:

info@chroniccaremanagement.com