How do we know Chronic Care Management improves outcomes and reduces costs?

One Thing, In Two Minutes

The Centers for Medicare & Medicaid Services (CMS) released a retrospective claims analysis of two years worth of data that included every patient in the United States enrolled in a Chronic Care Management program. The data is compelling.

Improved Outcomes

• Hospitalizations reduced by nearly 5%
• Emergency Department visits reduced by 2.3%
• Preventative care E&M Encounters increase by 8%

Reduction of Costs

• Taxpayers save: $74 (gross) and $30 (net), per patient, per month when patients are enrolled for at least a year.
• Revenue for providers: Fee-For-Service + Shared Savings earn $348 per year, per beneficiary.
• 1,000 enrolled patients generate $348k in revenue for a provider!

Sources:

• https://www.mathematica.org/our-publications-and-findings/publications/evaluation-of-the-diffusion-and-impact-of-the-chronic-care-management-ccm-services-final-report
• https://innovation.cms.gov/files/reports/chronic-care-mngmt-finalevalrpt.pdf