PROGRAMS Provider-Delivered Care Management
PCMH-designated practices provide personalized care management services for patients with chronic conditions or multiple, ongoing health needs.
Patient care teams are assembled according to each patient’s needs, and may include nurses, nutritionists, counselors, psychologists, respiratory therapists, asthma educators, certified diabetes educators, social workers, pharmacists and community health workers. Services are coordinated with the care patients are already receiving from their doctor.
In addition, Blue Cross has partnered with the University of Michigan on the Michigan Institute for Care Management and Transformation (MICMT) to develop a statewide clinical model that engages patients with complex chronic conditions. The model aims to moderate risk and coordinate transitions of care to manage patient needs.
- $17-$23 per member per month savings on patients engaged with the program
Some specialty practices may deliver care management services to their patients. Physicians, click here for information on reimbursement structure and how to become a PDCM provider.