An Ounce of Prevention
Medicare's annual wellness visit (AWV) has had a rocky ride since its introduction in 2010 and started in 2011 as part of the Affordable Care Act. As with many big healthcare changes, the new service was met with resistance and steeped in confusion, leading to terribly slow uptake and obstacles that still unjustly plague the service more than a decade later. When Medicare beneficiaries do not receive their AWV, this is not only a disservice to these patients, but practices and the healthcare system as a whole lose out on important and impactful benefits.
Q&A With Dr. Arun Chandra Earlier in the year, Arun Chandra, MD, joined Prevounce as the company's clinical lead. In this interview, he explains why he is passionate about chronic care management and healthcare technology, the role he believes healthcare technology should be playing in supporting patients with chronic conditions, and why he welcomed the opportunity to join Prevounce.
Considering establishing chronic care management (CCM) program? Read on to gain a better understanding of CCM as a concept, the value of chronic care management and the steps you take that will better ensure you develop a strong CCM program that meets your patients' and organization's short- and long-term needs.
As a practitioner, you understand how beneficial a cardiovascular risk assessment is for your patients. While assessing and treating your patient's cardiac risk factors is beneficial, it can eat up one of your most valuable resources: time. Finding time-saving tools that you can trust and rely on forcompliance and accuracy is almost as important as performing the risk assessment itself.
Diabetes is quickly becoming one of the more prolific chronic diseases in the United States. Statistics from the Centers for Disease Control and Prevention (CDC) indicate that diabetes has climbed up the cause of death rankings in recent years and is now the number seven most common cause of death. Diabetes affects more than 37 million Americans. This translates to about 11% of the U.S. population who need to deal with the health-related fallout of diabetes, costing them both health and life longevity as well as billions of dollars.
I'm sure we're all aware of the American way of life — the one where many of us actively partake in regular bad habits like smoking, drinking, consuming unhealthy foods, and look past our largely inactive lifestyles where only about 23% of us actually get the recommended 150 minutes of aerobic and muscle-strengthening exercise per week. While the impact of these not-so-great choices may be out of sight and therefore out of mind for younger people, the reality is that the delayed effects are just a ticking time-bomb of chronic disease waiting to happen.
CMS recently released its 2023 Medicare physician fee schedule proposed rule. There are some noteworthy, proposed additions and changes that, if approved, would significantly affect the delivery, coding, and billing of preventive services, remote care management — including remote therapeutic monitoring (RTM) — and telehealth.
Part two in a two-part series (access part one) Imagine calling your chronic care case management patient for their weekly check-in only to find out that they haven't taken their blood pressure medication in four days. While the direct effect of the missed medication is worrisome, even more concerning might be the reason why the patient is skipping doses in the first place. Within chronic care management programs, it's not uncommon to run into these types of patient problems, and these situations probably arise more often than we like, or we'd like to admit. Often, the cause or a significant contributing factor to patient non-adherence with a chronic care management program is social determinants of health (SDoH).
Part one in a two-part series It's been well-documented that social determinants impact the health and wellness of patients in numerous ways, but how do we more effectively address those issues that impact patients negatively? One path provider organizations are increasingly taking to help them overcome social determinants of health (SDoH) challenges is through the addition of chronic care management solutions.
The results of a survey suggest that upwards of about 85% of Medicare annual wellness visits (AWV) may fail to meet compliance requirements set forth by the Centers for Medicare & Medicaid Services (CMS). The results should motivate providers to verify that the tools they are using during AWVs for Medicare patients effectively prompts them to ensure no required components are missed. If a required element is missed, the AWV can be considered non-compliant by an auditor, potentially leading to clawbacks and other penalties. In egregious and willful cases, a non-compliant practice could even face exclusion from Medicare or criminal liability.