Kryptiq Survey: Nine of Ten Providers Plan to Pursue Medicare's Chronic Care Management Program

Medicare chronic care management reimbursement provides financial bridge to value-based care

Feb 24, 2015, 12:00 ET from Kryptiq Corporation

BEAVERTON, Ore., Feb. 24, 2015 /PRNewswire/ -- Kryptiq, a market leader in population health management, today released the initial results of a benchmarking survey it fielded to gauge healthcare providers' pursuit of newly-available payments for delivering chronic care management (CCM) services.   

Beginning January 1st, the Centers for Medicare and Medicaid Services started reimbursing providers who actively manage care delivery for Medicare patients who have two or more chronic conditions. Providers are required to use a certified EHR, obtain and manage patient consent, deliver five core care management services, and provide at least 20 minutes of follow-up outside of the office (i.e. non-face time care) in conjunction with the CCM program.

More than 90 Percent of Providers to Offer CCM Services  

The vast majority of survey respondents (76 percent) indicated they would organize and structure to meet chronic care management program requirements within the next six months. When the implementation horizon was stretched to 12 months, 92 percent stated they intend to deliver reimbursable CCM services to eligible Medicare beneficiaries.  

"The survey results provide additional evidence that the transition from volume to value is underway," noted Cynthia Burghard, Research Director at IDC Health Insights. "For the first time, the Department of Health and Human Services has developed a timetable with specific milestones and thresholds detailing Medicare's shift toward new value-based payment models. The CCM program serves as an extension of health policy and complements ongoing changes to provider reimbursement."

Providers Concerned by Resource Requirements and Health IT Challenges

While the majority of providers intend to pursue Medicare's chronic care management program, many (43 percent) do not believe they currently have the required staff or resources to effectively implement CCM. Another 26 percent indicated they are currently focused on other competing health IT initiatives and about 15 percent are concerned that they do not have the right mix of technology in place.

"It can be tough to hear that your EHR implementation, the result of much organizational blood, sweat, and tears, is inadequate for emerging models of value-based care such as chronic care management," stated Malcolm Costello, General Manager of Population Health at Kryptiq. "Fortunately, many providers are already extending their staff into care coordination activities in pursuit of other value-based initiatives such as pay for performance or patient-centered medical home. We are committed to providing them with purpose-built, affordable health IT that extends their EHR investment, leverages existing staff and outreach activities, and ensures the reimbursement requirements are met to enable program billing."

The "CCM Provider Readiness Survey" took place during a webcast delivered by Kryptiq in January 2015. The survey consolidates the feedback of nearly 200 webcast attendees drawn from independent practices, integrated delivery systems, and clinically integrated network organizations throughout the United States. Kryptiq expects to release the results of their national survey in April of this year.

About Kryptiq

Kryptiq develops solutions for population health and patient relationship management, enabling providers to identify care opportunities informed by clinical and financial data at the point of care. By unifying care teams and connecting provider organizations to the Surescripts Health Information Network, we help healthcare delivery organizations improve patient care quality, practice efficiency, and accountability. 


SOURCE Kryptiq Corporation