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Date of download: 5/28/2016 From: Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study Ann Intern.

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Presentation on theme: "Date of download: 5/28/2016 From: Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study Ann Intern."— Presentation transcript:

1 Date of download: 5/28/2016 From: Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study Ann Intern Med. 2015;163(8):580-588. doi:10.7326/M14-2677 Alternative CCM delivery strategies. CCM = chronic care management; LPN = licensed practical nurse; RN = registered nurse. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

2 Date of download: 5/28/2016 From: Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study Ann Intern Med. 2015;163(8):580-588. doi:10.7326/M14-2677 Model validation: clinic-level cost and revenue per FTE physician. Annual estimated practice revenue (top) and costs (bottom) per FTE physician across practice sizes are displayed. Revenue and costs were estimated by the model using input data from a survey of 2518 primary care practices across the country and are plotted against actual revenue and cost estimates derived from the clinics' self-reports (12). See Appendix Table 2 for validation of primary care use and revenue outcomes against alternative national data sets of primary care use. We also compared the model's estimates of primary care use with data from the National Center for Health Statistics (14) as part of its National Ambulatory Medical Care Survey (n = 31 229 patients), organized by age, sex, and race/ethnicity (as shown in Appendix Table 1). FTE = full-time equivalent. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

3 Date of download: 5/28/2016 From: Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study Ann Intern Med. 2015;163(8):580-588. doi:10.7326/M14-2677 Minimum number of eligible Medicare patients required to enroll in the CCM program to fund a full-time RN or LPN and pay for other CCM expenditures for a primary care clinic. CCM = chronic care management; LPN = licensed practical nurse; RN = registered nurse. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

4 Date of download: 5/28/2016 From: Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices: A Modeling Study Ann Intern Med. 2015;163(8):580-588. doi:10.7326/M14-2677 Model diagram. See Table 2 and Appendix Table 4 for data sources and references. AHRQ = Agency for Healthcare Research and Quality; ICD-9 = International Classification of Diseases, Ninth Revision; IT = information technology; MGMA = Medical Group Management Association. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians


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