In 2017, Medicare created three new billing codes to support physician practices who are interested in this care model.
Collaborative Care Management (CoCM), Medicare’s new program will reimburse practices on a per enrolled patient per month basis, assuming certain criteria.
Practices that effectively deploy behavioral health do a better job supporting their patients and see better outcomes.
Innovative nephrology practices that embrace this model early have an opportunity to help patients and differentiate their practice. It’s clear that health care is tipping toward value-based care, whether your practice has opted into an end-stage renal disease seamless care organization, accountable care organization, or chronic condition special needs plans or is just starting to get a clear understanding of the new physician payment system.
Practices are often put in a double-bind: They know where they need to go, but without new revenue streams to support the infrastructure to get there.
Medicare has not only created a path for behavioral health with codes that support implementation in today’s fee-for-service environment but also allows you to build the systems necessary to succeed in new value-based models.