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The Complete Guide to Chronic Care Management How to improve patient care, while generating new, recurring revenue. WHITE PAPER | The Complete Guide to Chronic Care Management
THE PROBLEM
Seven of the top 10 causes of death in 2010 were chronic diseases1. The elderly are more likely to have chronic conditions with over 2/3 of Medicare beneficiaries having 2+ chronic conditions2.
In fact 93% of Medicare dollars spent are on patients with 2 or more chronic conditions2. These chronically ill patients have the highest hospitalization rate, the highest readmissions rate, are the highest utilizers of home health services – the list goes on.
As the number of conditions increase, so do the number of specialists and other providers treating these patients. In fact, 55% of chronically ill patients see 3+ physicians with 11% seeing over 6+ patients3.
Coordinating efforts between various members of the care teams becomes a challenge—poor handoffs can result in redundancy in medications, unclear instructions, fragmented data, and general confusion.
Figure 1: Figure 2: % of Total Medicare Spending ($587B in 2014) Number of Physicians Utilized (% of Patients)