Pharmacy Benefit Management

Because of chronic situations are rising continuously and also possibilities of rapid growth in upcoming years, specialties are converting their expertise towards Chronic Care Management (CCM) practices to grow treatment revenue and get patient recover quickly. We can explain here that CCM can be conducted by analyzing your practice method.

There are some studies that says the number of resident of United States with multiple chronic situation is going to increase from 1.41 billion in 2011 to 1.71 billion by end of year 2030. That clearly indicates that half of the American population is going to suffer from chronic disease in near future. Not only number of patients are going to suffer from chronic disease but also total beneficiaries are now 0.553 billion and that figure has reached 0.80 billion by 2015 says CMS statistics says.

Before a clinic takes any decision over giving effect to CCM program, it becomes understandable that one want to analyze and know the outcome and possibilities of victorious Chronic Care Management (CCM).

What is Chronic Care Management?

There was a program launched named Chronic Care Management by Medicare company in 2015 to combination with Connected Care initiative. CMS says that Chronic Care Management is a combination services provided after regular clinic visit time. This is available for patients with more than two chronic problems that are assumed to carry at least 12 months or till the patient dies. It helps the patient to intense exacerbation or operative downfall. For these services particular practitioners can bill for minimum 20 minutes for providing care coordination every month.

Chronic Care Management services also contain:

1. Minimum of 20 minutes monthly CCM services
2. Personalized services from a health care expert who coordinates with patients to make a proper care routine
3. A combination of patients doctors, medical pharmacy, testing labs, clinics will co-ordinate
4. A health care expert will be ready to serve 24x7
5. Professional guidance to prepare and achieve patient’s health related targets.

What are advantages of Chronic Care Management?

When a patient is in multiple chronic situation, Care Management provides so many advantages against the problems he or she is facing. When patient uses CCM, they get advantage of less hospital bills, reduce replication of tests, manage care and also improves self-control.

For those who do practices, CCM opens a new door of earnings, increase involvement with patients and can be an expert who provides difference in services in compare with other who are not using Chronic Care Management. A study says that patients trusts the clinic who uses CCM in compare of non CCM users.