Understanding Chronic Care Management & AI in Healthcare
Research-driven content on care models, digital health, and what’s new at Clinii.
01 October 2026 - 5 min read - Michelle Ranken
Why Chronic Care Revenue Goes Uncaptured – and How Provider Groups Can Close the Gap
Many physician groups serving Medicare populations are already performing reimbursable chronic care work every day. Care coordinators review charts, update care plans, follow up with patients, coordinate with providers, and monitor medications and vitals. The issue is not always that care is not happening; it is that eligible patients are not enrolled, qualifying activity is not consistently captured, or documentation is not billing-ready.
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03 June 2026 - 5 min read - Michelle Ranken
5 FAQs About Behavioral Health Integration Services
Behavioral Health Integration (BHI) is a CMS-defined care program that brings mental health and substance use treatment into primary and specialty care. CMS covers two models: General BHI and the Psychiatric Collaborative Care Model.
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27 May 2026 - 3 min read - Michelle Ranken
What is Patient Self-Management? A Guide for Care Teams
Patient self-management refers to the actions a patient with a chronic condition takes to manage their own health between office visits. It includes monitoring vital signs, recognizing concerning symptoms, and following the prescribed medication regimen. For care teams running a CCM program, supporting patient self-management is what keeps enrolled patients engaged and compliant month over month.
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20 May 2026 - 3 min read - Michelle Ranken
Chronic Care Revenue: Why it’s Harder to Capture Than You Might Think
Most CCM programs bill a fraction of what their patient panel supports, not because the care isn't happening, but because the documentation workflow wasn't built to capture all of it. This blog breaks down three structural reasons chronic care revenue goes uncaptured and what changes when the right infrastructure is in place.
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19 May 2026 - 3 min read - Michelle Ranken
Complex vs. Non-Complex CCM: What’s the Difference?
Complex and non-complex Chronic Care Management are two Medicare billing tiers. Non-complex CCM requires at least 20 minutes of clinical staff time per month and straightforward or low medical decision-making. Complex CCM requires at least 60 minutes, moderate or high medical decision-making, and substantial care plan creation or revision.
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12 May 2026 - 4 min read - Michelle Ranken
How to Launch a CCM Program at Your Practice (Without Overwhelming Your Team)
Most CCM programs don't fail because the patients aren't there. They fail because the documentation workflow wasn't in place before the first patient was enrolled. Here's how to build it right from the start.
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