Getting Paid for Transitional Care Management (TCM)
Medicare adopted transitional care management (TCM) payment codes in 2013 to encourage clinicians to provide TCM services after beneficiaries were discharged to the community from medical facilities. As a result, Medicare spending on TCM services increased over 200 percent between 2013 and 2016, and studies show that these services significantly reduced cost and mortality in […]
Shared Services Model – An Option for Small Physician Practices to Transition to Value-Based Care
Shared service providers help small physician practices transition to a value-based care environment. These organizations [i.e. Clinically Integrated Networks (CINs), Independent Practice Associations (IPAs), payers and/or private health care firms] also allow physicians the option to remain independent. Small practices can form groups or “pods” that contract with shared service organizations to share and manage […]
The Benefits of Clinically Integrated Networks for Physicians
There is a trend in the local and national health care markets towards value-based contracting. This requires a focus on improving a practice’s quality score and reducing the cost of care. Clinically integrated networks (CINs) are integrated systems of physicians, hospitals, and other medical facilities that collaborate to improve quality, patient satisfaction and efficiency of […]
