Worried about the RTA for CKCC? FFS programs can help bridge the gap

Roughly half of the nephrologists practicing in the United States participate in Medicare’s Chronic Kidney Care Contracting (CKCC) value-based payment model. With CKCC, CMS took a major step forward in partnering with nephrologists to improve the cost and quality of kidney care. But participating providers face unexpected financial losses this year…
What conditions qualify for Medicare Chronic Care Management (CCM?)

Many physicians — especially specialists — have questions about which chronic conditions are eligible for between-visit care under Medicare’s Chronic Care Management (CCM) program and what criteria patients must meet to be eligible…
Dent Live Q&A

Katie Ross, the Director of Clinic Operations at DENT Neurologic Institute, took questions from other neurology practice leaders about how DENT launched their Chronic Care Management (CCM) program with Phamily.
The Bridge to Value for Kidney Care

Which fee-for-service programs can help your practice fund the transition to value-based care, while building the operational and clinical muscles you’ll need for success?
Stop doing between-visit work for free

Are your physicians burnt out? In February 2024, athenahealth released the results of their third annual Physician Sentiment Survey, conducted by Harris Poll. The findings were both disturbing and (sadly) expected…
Population-scale care management is impossible – or is it?

Last week, I wrote about benchmarking a Chronic Care Management (CCM) program. Because Medicare’s CCM program is severely underpenetrated – only 3% of applicable providers are participating – many medical groups have never had the opportunity to see a scalable, financially sustainable program at work…
How to benchmark your Chronic Care Management (CCM) program

Less than 3% of providers participate in Medicare’s Chronic Care Management (CCM) program — even though Medicare increased reimbursement by 54% in 2022. CCM compensates providers for all the between-visit care they currently provide for free to their patients with multiple chronic conditions. So why don’t more providers run CCM programs? It’s a question of scale…
Balancing Kidney Care

Jennifer Huneycutt, CPA, CMPE explains how to match patients to programs for success in FFS and VBC.
Neurologists have practice management on the brain (sorry, we had to)

Coming out of the NeuroNet Summit 2024 last week, one thing is clear: neurology leaders are actively seeking solutions to the industry-wide challenges putting their practices at risk…
Are these 3 barriers keeping you from delivering better between-visit care?

Chronic Care Management can help medical groups deliver better care while creating a durable and profitable revenue stream — here’s how to overcome the most common barriers…
Chronic Care Management (CCM) For Neurology

Neurologists provide extensive between-visit care to their patients with chronic conditions – but only 0.37% are earning fair compensation for that care through Medicare’s Chronic Care Management (CCM) Program…
Combating Margin Compression

How wilI your practice beat margin compression? Experts at Pinnacle and Phamily will help you understand margin pressures and identify, prioritize, and invest in margin expansion opportunities that can enhance your profitability in 2024 and beyond.