With healthcare costs increasing and patient outcomes declining, the traditional Fee-for-Service model is under fire. This article explores the shift toward Value-Based Care—an outcomes-driven approach that comes with improved results and greater accountability.

As healthcare shifts its focus from volume to value, medical practices must evaluate how they’re reimbursed. Fee-for-Service and Value-Based Care each present unique pros and cons. Whether you prefer one model or a hybrid approach, understanding both is critical.

The US healthcare system wastes billions of dollars each year to subpar care coordination. A comprehensive, patient-centered care plan helps to close care gaps, enhance patient outcomes, and significantly cut down on unnecessary healthcare spending.

With access to behavioral health care still out of reach for many Americans and the stigma around mental health lingering, the US faces a worsening behavioral health crisis. One promising solution is Behavioral Health Integration (BHI), a care management program that empowers primary care providers to address both mental and physical health holistically.

Clinii, a pioneer in AI-driven Chronic Care Management, has unveiled Clinii Connect-AI—an integrated, in-house developed communication toolbox embedded within its existing platform. This native add-on eliminates the need for third-party software and outdated phone systems, offering seamless real-time communication and intelligent automation directly within the Clinii interface.

Chronic Care Management (CCM) plays an increasingly vital role in US healthcare, yet many providers still struggle to determine patient eligibility. With complex guidelines from the Centers for Medicare and Medicaid Services (CMS), it’s no surprise that confusion persists. This article breaks down the CMS criteria to help medical practices confidently identify which patients qualify for CCM services.

Principal Care Management (PCM) and Chronic Care Management (CCM) are essential Medicare Part B services designed to support patients with chronic conditions. Though similar in purpose, these care models differ in ways that can significantly affect provider reimbursement. This article uses a concise comparison chart to highlight key distinctions and help healthcare professionals navigate billing more effectively.

Chronic Care Management (CCM) is a critical component of primary care that offers substantial benefits for Medicare patients and healthcare providers. However, navigating the nuances of CCM billing—especially distinguishing between non-complex and complex categories—can be challenging.

With four in 10 Americans living with multiple chronic conditions, Chronic Care Management (CCM) services have become a vital support system—especially for Medicare recipients. In this blog, we explore what CCM is, why it matters, and answer key questions to help navigate these essential services.

More than 130 million Americans rely on the healthcare system for chronic condition management, yet growing concerns over physician burnout and an uncertain future cast a shadow over its sustainability. This article explores the urgent need for reform and what can be done to rescue an overwhelmed system.

As Value-Based Care becomes a cornerstone of the US healthcare system, the importance of preventive services like Annual Wellness Visits continues to grow.