Primary Care Practice Management

What does primary care management services offer? There are 2 options for stressed primary care practices to survive the current environment.

Our management services can take over the entire operation or certain areas to relieve the stress of the provider for a nominal fee without costing their current financial situation, but to increase return.

To be a part of our sister company as a DBA to earn the benefit of all our current contracts and structure to improve the quality, efficiency and profits.

Chronic Care Management Services for Primary Care Practices

We offer concierge service and solutions to seniors through Medicare or Medicare HMO’s or some commercial insurances as a contracted team for your practice.

It allows the office to bill for chronic care management – like disease education, care coordination, referral management, handholding, getting social needs support, prior authorizations and patient assistance programs and more.

Coordinated care between office, referral sources, facilities, pharmacy, home health agency and family.

Quarterly pain and risk assessment for falls, depression, hospitalization, mortality, etc.

Care transition follow up with specialists, rehab, hospital, transfers, etc.

HEDIS measures / ACO goals review with patients monthly as needed

Biannual MRA assessment

Services for you and your senior patients with no additional cost to you:

Assess med effectiveness, adverse effects and continued need

Facilitate treatment such as psychotherapy, pharmacotherapy, etc.

Remote Patient Monitoring of blood pressure, pulse, oximetry, weight, blood glucose monitoring, etc.

HEDIS/ACO/MSO capture to ensure completions, record tracking and quality

Identify all the conditions that can be prevented from progressing to sustain value based contracts and cost savings

Transition Care Management – TCM through our assigned care managers or partners

Person Centered Medical home services through our care managers and integrated technology

Expand senior patient services while increasing revenue and reducing staff workload.

We do the heavy lifting by providing you and your senior patients….

Annual wellness exams and Cognitive care assessment and care plan

Assigned care coach to coordinate care among the attending, the facility, pharmacy, home health agency and Family, also provide at least monthly pain assessment, fall risk

Depression score, hospitalization risk & Mortality assessment

Care transition follow up at all levels including specialists, rehab, hospital or any pertinent transfers Resources access like educational materials, disease education, smoking

cessation and other community services access

Remote patient monitoring

Medicare patients will be billed through Medicare – Non-Medicare patients can buy these services for 50 dollars per month / CCM and 50 dollars per month / RPM

We manage referrals after it is sent by office

Monthly POA call on your behalf

Help you with patient assistance / prior auth’s

Patient education

Support for Value-Based Cost-Saving Contracts:

Improve provider network contract performance

Increase person centered in-network, coordinated care

Diversifying revenue across service locations and

Delivering improved patient and provider experiences

Proactively solve many of your day to day problems

Optimize office and ACO/MSO to increase revenue while reducing staff workload.

Proactively solve many of your day to day problems

Capture $20,000 – $40,000 annually to your practice for every 100 patients

Improve your MRA scores and boost overall bonuses and ACO shared savings