Chronic Care Management and Remote Patient Management

May 13, 2022
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According to an article written about chronic care management by Daniel Tashnek for the PrevOUNCE blog,

“Chronic care management (CCM) made its debut in 2015 when it was rolled out by the Centers for Medicare and Medicaid Services (CMS) as a separately paid service under the Medicare fee schedule.”

 CMS recognized that with better care for those suffering from chronic illness, less money is used on treatment, which results in reduced costs overall.

 Essentially, it was created to offer compensation to medical professionals that provided care outside of the traditional office appointment.

This, in turn, resulted in more efficient and proactive patient management and more successful outcomes for patients with chronic health conditions while also lowering the cost of treatment.

What is Chronic Care Management?

 

Chronic care management is a specific service providing coverage for patients with two or more chronic conditions.

It provides a way to have a continuous relationship with their care team. This means that the patient’s care team can bill for services such as remote visits between the patient and the provider,

time spent on constructing an individualized care plan, medication management, and coordination of care between different members of a patient’s care team.

 

Patients can opt in to the program if they have two or more qualifying chronic health conditions that significantly increase their risk of death, acute exacerbation of the conditions,

or functional decline.

 

Chronic care management is beneficial for patients. With more frequent contact, The care team can adjust strategy for medical interventions.

This inevitably results in a reduction in emergency room visits and hospitalizations.

CCM benefits practitioners by improving care coordination, strengthening patient satisfaction and engagement, and increasing revenue.

Medical Malpractice Insurance´╗┐ policies can cover a business run at home or in a health care center.

To affordably facilitate and expand access to chronic care management, providers are utilizing technology that delivers a more intimate virtual visit with clear audio and improved functionality of smartphones, laptops, monitors, and cameras.

CCM leverages technology by enabling remote patient monitoring of conditions that can serve to contain comorbidities and even reduce and eliminate some.

 

The liability associated with chronic care management is inextricably connected to using the internet to manage personal health information securely and increase timely patient consultations.

Indeed, the successful transmission of the data collected at home is becoming increasingly more important.

Data can be collected through wearables or by a medical assistant serving as a host who facilitates the remote patient management consultation sessions with the medical doctor providing this CCM.

 

CCM and RPM policies can protect caregivers through a combination of limits. The policy is underwritten to cover the medical doctor, the business entity, and all allied health care providers working remotely on behalf of the team and those where the doctor is located.

 

What makes the CCM and RPM policies unique is they involve a combination of limits, protecting the professional medical diagnosis provided by the caregivers

and the technology used to deliver the diagnosis and communicate with the patient. It covers the first and third-party liabilities generated by HIPAA regulations that require protection and cyber security.

This includes carriers that provide expert Technical Support and assistance and contact all patients if a breach or cyber extortion occurs.

Additionally, what makes these medical malpractice RPM policies affordable is their ability to scale with you as you take on private equity and venture capital money to expand services.

 

These chronic care management liability policies that include Telemedicine coverage allow organizations easy onboarding of medical professionals.

The ‘provider’ endorsements can make it much easier for you to recruit l. You can assure your new hire physicians and healthcare professionals that  claims are thoroughly and expertly protected.

And finally, as technology expands into products in virtual visits, such as passing important data like pulse levels and breathing information to the website or the patient portal, these policies could include product liability if there is a failure to transmit made by the patient or the host site.

 

The Doctors Insurance Agency studies this niche to help you and your organization manage the risk, the cost, and the stress of malpractice claims and negligence in the event of professional or technical error.

The Doctors Insurance Agency works with a national team of insurance professionals and is ready to consult and grow with you and your organization.