Despite new CMS payments to physician practices for select chronic care management (CCM) services, almost half of healthcare organizations lack a formal chronic care management program, leaving critical reimbursement dollars on the table, according to new market metrics from the Healthcare Intelligence Network (HIN).

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Customized reports, including benchmark results by industry sector, are available upon request.

This white paper is an excerpt from 2015 Healthcare Benchmarks: Chronic Care Management, which captures tools, practices and lessons learned by the healthcare industry related to the management of chronic disease. Click here for more information.

This 40-page report, based on responses from 119 healthcare companies to HIN's industry survey on chronic care management, assembles a wealth of metrics on eligibility requirements, reimbursement trends, promising protocols, challenges and ROI.

Supported with dozens of graphs and tables, these 2015 market metrics document emerging trends in chronic care management, resulting in a comprehensive set of best practices and benchmarks on care coordination for individuals with complex health conditions.

Breaking down findings by high-responding industry sectors, this report includes the following data points:

• Prevalence of programs for chronic care management;
• Criteria for admission to a chronic care management program;
• Tools to identify and risk-stratify individuals for CCM;
• Key components of chronic care management initiatives;
• Primary responsibility for CCM;
• Frequency of CCM patient visits in 12-month period;
• Modalities for CCM interactions;
• Reimbursement trends for CCM, including structure of CCM payments;
• The most successful tools, process or workflows employed in chronic care management, in respondents' own words;
• Challenges and successes resulting from CCM; and
• Impact of CCM on the key metrics of clinical outcomes, care quality, medication adherence, patient experience, hospice use, hospitalizations and readmissions, ER visits, mortality, and reimbursement;
• and much more.