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How can Duchess CCM help you?

From physicians to payors, DuchessCCM transforms the way you practice CCM and RPM.

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DOCTORS / HEALTH SYSTEMS / HOSPITALS

PHYSICIAN

DATA

HOSPITAL

Compliance with Monthly CMS Requirements 
Monitoring of the program
Lab screenings
Medication therapy review
Behavior modification
Mental health counseling 
Review of progress notes
Reimbursement
Platform provides integration with care team to bill payors using the Collaborative Care Management Codes
Platforms concierge features​ allows for patient billing for premium services rendered on behalf of providers and health coaches
 
Platform allows for patient payment for lab pharmacy products and services suggested for patients by providers and health coaches
Quality Improvement
Our CCM programs are personalized and patient-centric. There is a high amount of patient engagement. Research shows many benefits resulting from this, including:
  • Reduced hospital admissions (and re-admissions)
            In one study, readmission for CCM patients was less than              half (7.66%) that of the general Medicare population                        (15.19%).
  • Reduction in wasteful spending and redundant laboratory testing
  • Improved self-management of care
  • Higher engagement of family members and caregivers.
Patient Satisfaction
Providing CCM improves patient satisfaction. In a 2016 survey of more than 100 chronic care patients in one CCM program treated by providers using CPT code 99490, the results showed that almost 90 percent are satisfied or very satisfied with the clinical engagement services.
Compliance, Efficiency, Care Team Collaboration, Reimbursement, and Patient Access, Privacy, & Engagement Provided by Whole.MD
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Cost Per Beneficiary
CMS demonstrated that spending per beneficiary participating in a CCM program dropped by over 15% from the beginning of 2015 to the end of 2016. The cost per beneficiary of $1,395 during the first six months dropped to $1,192 during the last six months.
PAYERS
Economic Burden
The total economic burden of chronic disease accounts for 75 % of the $2.2 Trillion dollars being spent on health care today, or $1.65 Trillion dollars.
Individuals with 2 or more chronic conditions have significantly higher annual health care resource utilization, accounting for 66% of total health care spending.
 
1 in 4 adults in the US, 3 in 4 seniors 65 years and older, and 2 out of 3 Medicare patients have 2 or more chronic conditions.
Together, Duchess CCM, OCHI, and Partners can help to enable physician based chronic care management services while supporting cost efficiencies for managed care payers.
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HEALTH COACHES

Join the fight against the chronic disease epidemic

How It Works
Duchess CCM is an application used by physicians and health coaches to interact with individuals suffering with multiple chronic diseases. As a Duchess CCM health coach, you are joining a network of providers who can set your own schedule and allow clients to schedule health coaching sessions with you at the click of a mouse.
The Key to CCM, RPM
Together, Whole.MD, the NC Medical Society, the YMCA, and Partners can help to enable physician based chronic care management services while supporting cost efficiencies for managed care payers.
Together, Whole.MD, the NC Medical Society, the YMCA, and Partners can help to enable physician based chronic care management services while supporting cost efficiencies for managed care payers.
At Duchess CCM, we believe that one of the most important factors for treating chronic disease is providing patients easy access to their health coach.
Requirements
Duchess CCM is looking for established health coaches and nutritionists comfortable working with technology. You will be required to complete a job application and verification process presenting your license and qualifications to become a Whole.MD health coach or nutritionist.
Licensed nutritionist or health coach to practice in the United States
License must be in the state(s) where you accept patients.
Have professional liability insurance.
Meet all of these qualifications? Submit an application today and a member of Duchess CCM will be in touch shortly!
Apply Here
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