CHRONIC CARE
MANAGEMENT
What is CCM?
Effective January 1, 2015 CPT
99490
CMS reimburses providers approximately
$42/month to deliver 20+ minutes of...
CCM Requirements
2+ chronic conditions
expected to last at
least 12 months or
until the death of the
patient
Approximately...
* Agency for Healthcare Research and Quality, 2010
Major Opportunity for Providers
There are over 209,000 practicing prima...
Benefits of CCM
1.  Improve patient outcomes and quality of care
2.  Pathway to value-based medicine (i.e. MACRA)
3.  Reven...
(1) What’s in it for the Patients?
•  Aggregation of all medical records
and health information in one place
and always ac...
(2) What’s in it for the Physician?
•  Access to concise and comprehensive patient
summaries allows gaps in care to be man...
(3) New Revenue Opportunity for Providers
Annual number of unique patients
U.S. average per family medicine provider: 3279...
CareSync Overview
•  Proven Concept – CareSync is a leader in care coordination and
currently has with CCM programs with p...
PAT LICATA
Strategic Partner
pat@patlicata.com
CONTACT
@patlicata www.caresync.com/ccm
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JOIN US Thursday, Nov 17, 2016 1:30 PM - 2:30 PM EST to learn about the 1099 Chronic Care Medical Sales Opportunity with CareSync, the leading provider of technology & services for care coordination & chronic disease management. Platform provides in combination with our 24/7 nursing services facilitates care coordination for patients, their providers, family,& caregivers.
Check out the CareSync Slideshare to learn more about chronic care management. J
Join the Conference Call THURSDAY , Nov 17th 1:30 pm ( ET)
Call (213) 929-4232
Access Code: 226-975-231

Please send your questions, comments & feedback to: Pat@patlicata.com

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Care sync pla_slideshare

  1. 1. CHRONIC CARE MANAGEMENT
  2. 2. What is CCM? Effective January 1, 2015 CPT 99490 CMS reimburses providers approximately $42/month to deliver 20+ minutes of non face-to-face care coordination for Medicare beneficiaries with 2 or more chronic conditions.
  3. 3. CCM Requirements 2+ chronic conditions expected to last at least 12 months or until the death of the patient Approximately 33 million Medicare beneficiaries are eligible for CCM Market Quantified
  4. 4. * Agency for Healthcare Research and Quality, 2010 Major Opportunity for Providers There are over 209,000 practicing primary care physicians in the United States. Each of them need to be prepared to transition to value based care. Also targeting: Multi-Specialty Groups, ACOs, FQHCs & Health Systems
  5. 5. Benefits of CCM 1.  Improve patient outcomes and quality of care 2.  Pathway to value-based medicine (i.e. MACRA) 3.  Revenue opportunity
  6. 6. (1) What’s in it for the Patients? •  Aggregation of all medical records and health information in one place and always accessible •  Expanded support system to include family and 24/7 access to Clinical Health Assistants •  Easy-to-use web and mobile apps to access and share health information •  Proactive outreach to coordinate care across all providers •  Confirm accuracy of medical records •  Medication reconciliation
  7. 7. (2) What’s in it for the Physician? •  Access to concise and comprehensive patient summaries allows gaps in care to be managed •  Medication reconciliation and treatment adherence •  Access to other doctors’ visits, labs, tests and medication lists •  Comprehensive, compliant, billable Chronic Care Management •  •  Create patient “stickiness” and provider loyalty •  Pathway to value based care
  8. 8. (3) New Revenue Opportunity for Providers Annual number of unique patients U.S. average per family medicine provider: 3279 1 3279 Percent of patients covered by Medicare U.S. average 21.85% 21.85% Annual number of unique Medicare patients 716 Percent with 2 or more chronic conditions U.S. average 68.6% 2 68.6% Annual number of unique CCM patients 491 CCM monthly payment U.S. average: $42.253 $42.254 Estimated annual net revenue for family medicine physician $83,953 1 Per the MGMA Cost Survey for Single Specialty Practices: 2013 Report Based on 2012 Data specific to the specialty of family medicine. Includes Medicare A/B and Medicare Advantage. 2 CMS.gov - County Level Multiple Chronic Conditions (MCC) Table: 2012 Prevalence, National Average. 3  Reimbursement amount from the CY 2017 Physician Fee Service. 4  Annual net revenue = $42.25 - $28.00 (CareSync standard full service fees)
  9. 9. CareSync Overview •  Proven Concept – CareSync is a leader in care coordination and currently has with CCM programs with providers in 30 states. CareSync technology and services are unique and designed to scale. •  Experienced Team with Proven Track Record – The CareSync team built the first browser-based EMR, sold it to Eclipsys for $45M+ in 2008. •  Strong Financial Growth – We raised two rounds of funding ($23M, total) in the past 18 months and have grown to over 300 employees.
  10. 10. PAT LICATA Strategic Partner pat@patlicata.com CONTACT @patlicata www.caresync.com/ccm

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