January 23, 2025 – Jacksonville, FL
The Centers for Medicare & Medicaid Services (CMS) has unveiled a strategic five-year framework aimed at transforming healthcare delivery and enhancing care experience. This comprehensive approach addresses administrative burden while promoting efficient, high-quality care delivery. As healthcare professionals strive to make this framework a reality in their organizations, Chronic Care Management (CCM) services have proven to be an essential component for implementing these changes effectively.
Getting to Know the Strategic Framework
APCM is a new care management model that introduces three risk-stratified billing codes, fundamentally different from existing Chronic Care Management (CCM) and Principal Care Management (PCM) programs. Unlike its predecessors, APCM focuses on comprehensive, patient-centered care without strict time-based requirements.
CMS’s framework centers on seven key priorities. At its core, the strategy emphasizes integrating patient and caregiver voices to increase care access equity. These priorities reflect a fundamental shift toward patient-centered care delivery that demands new approaches to chronic condition management and care coordination.
7 Key Priorities
With each of the above priorities playing a role, CMS’s new framework ensures alignment with the six overall strategic pillars of CMS: Advance Equity, Engage Partners, Protect Programs, Expand Access, Drive Innovation, and Foster Excellence. As the new framework continues to evolve through policies, programs, and new initiatives, CMS will continue its actualization with specifically defined metrics to measure framework success in healthcare organizations.
What is Chronic Care Management (CCM)?
Chronic care management is the care coordination and resources provided to Medicare beneficiaries with two or more chronic conditions (lasting at least 12 months) that limit quality of life and put their health at risk. When administered correctly, CCM combines three key elements to help patients engage and invest in their long-term health concerns: between visit care, preventative care, and remote care to help patients stay connected, informed, and well.
Addressing Priorities with Wellbox CCM
While primarily designed for primary care specialties like family medicine, internal medicine, and geriatric medicine, the program is open to specialists managing primary care for complex patients. The critical requirement is serving as the primary coordination point for all patient healthcare needs.
At Wellbox, it is recognized that tackling this challenge requires collective effort—no individual or organization can address it alone. With 4 in 10 Americans living with at least two or more chronic conditions, it is no wonder that 60% of physicians frequently experience burnout, according to the 2024 Physicians Foundation survey. Partnering with a CCM provider like Wellbox, which can act as a seamless extension of your practice, can be a valuable resource for you in addressing CMS’s framework priorities while increasing patient satisfaction and here is why:
Wellbox CCM directly and uniquely addresses these priorities by offering a comprehensive patient engagement model that drives measurable improvements in both patient outcomes and satisfaction. With dedicated care managers who provide personalized support, Wellbox reduces emergency care and in-patient visits by up to 70%, ensuring proactive outreach to patients. Wellbox drives real outcomes that not only align with CMS’s vision for improved care but also generate additional revenue for practices through Medicare reimbursement, delivering both clinical and financial benefits.
What sets Wellbox apart is our ability to implement solutions without adding complexity or increasing administrative burdens. We do this by documenting patient interactions directly into your practice EHR. With turnkey workflows requiring no technology integration, handling all aspects of CCM implementation, from patient enrollment to engagement, Wellbox is the only CCM provider that can handle CCM from start to finish without requiring a yet another app to be installed. This allows healthcare providers to focus on delivering patient care while still meeting CMS’s rigorous care coordination and patient safety standards. With Wellbox, practices can reduce physician burnout and improve work-life balance by offloading routine monitoring and care coordination tasks to an experienced team of health care professionals and registered nurses performing care management services 7 days a week. Our solution is cost-effective, with zero upfront costs and no financial risk to the practice, positioning it as the ideal partner for healthcare organizations looking to meet CMS’s strategic objectives while maintaining high-quality care and operational efficiency.
At Wellbox, we deliver innovative healthcare solutions that drive better outcomes. Contact us to learn how our CCM services can help your practice implement CMS’s framework seamlessly while enhancing patient care quality.
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