SmartCCM issues results of a survey of 500 primary care physicians regarding challenges in caring for Medicare beneficiaries with multiple chronic conditions. (SmartCCM Report) The survey was conducted in the context of the new Medicare reimbursement for care management activities. The physicians were asked first about the biggest challenges they face in caring for these patients. 63% said it was the lack of time to work with patients to help them understand what the patient needs to do to maximize the outcomes of their treatment plan. 56% said it was the complexity of managing multiple chronic conditions, where there can often be conflicting treatment needs for different diseases. 32% said patients’ failure to follow treatment plans and medication schedules. Half of the doctors were not yet aware that Medicare now reimburses for even non-face-to-face time in managing chronic care patients, which must reflect just how hectic primary care physicians’ schedules are. 38% said they do not routinely contact this cohort of patients between visits. Of those who do, 24% do so personally and 37% have an office staff member check on the patient. For this group of patients, less than 50% of doctors say that a caregiver is present during patient visits even half the time, suggesting that there often are not people other than the patient who can help monitor compliance with care plans. Physicians say that about 75% of their patients with two or more chronic diseases are somewhat compliant with their care plan. Only 5% are extremely compliant. The results suggest that there is ample room to improve the efficacy of care plans and that physicians’ may not be taking full advantage of the additional reimbursement available to them if they spend more time working with patients on these issues.
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
Mental health company Headway makes, well, headway, by raising an impressive $125 million round of new capital. The company connects patients with mental health providers and facilitates providers working with...
October 11, 2023
Two health care firms owned by private equity firms are merging in a transaction supposedly valued at $3 billion. HealthComp administers self-funded plans for employers and other groups and Virgin...
September 27, 2023
NextGen, an electronic medical records firm, is being put out of its public company misery, as a PE firm will pay $1.6 billion for the one-time high-flier.
September 7, 2023
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace