C3 Partners combines healthcare technology, AI-enabled analytics, regulatory expertise, and hands-on operational support to help clinics and practices improve performance at scale.

Optimize performance. Strengthen compliance. Improve care coordination. Capture financial opportunities. Advance clinic-practice results.

Why Revisit Medicare Chronic Care Management (MCCM)?

Most clinics have hundreds or thousands of Medicare patients who may qualify for Chronic Care Management (CCM), but in-house staff rarely have the capacity to provide the required monthly care-management time.

MCCM is worth another look. Clinics can begin identifying eligible patients—especially those with secondary insurance—and prepare for potential future changes to patient cost-sharing.

Since 2015, many practices have tried outsourced CCM/RPM programs and experienced disappointing results, including:

• Poor patient enrollment and retention
• Inadequate or noncompliant documentation
• CMS audit and billing risk
• Low-quality care-management calls
• Patient confusion and complaints
• Unexpected workload for clinic staff
• Limited performance and enrollment reporting
• No meaningful feasibility analysis before implementation

The problem is often the implementation model—not MCCM itself.

C3-CCM de-risked the program by combining clinical staffing, technology, compliance, and program management to reduce operational burden and audit & liability risk,  and improve program performance.

What Differentiates the Model

• MCCM Feasibility Analysis before implementation
• Audit-ready documentation and CMS Incident-to-Billing compliance
• Proprietary SaaS technology for scheduling, documentation, billing, and reporting
• EHR and billing-system integration
• Flexible clinical staffing
• Patient enrollment, engagement, and retention strategies
• Ongoing program management and performance visibility

A feasibility analysis determines:

• Whether MCCM is appropriate for your organization
• Which physicians and patients should participate
• Expected enrollment and financial potential
• Staffing requirements and responsibilities
• Patient engagement strategy
• Program structure and implementation requirements

Rather than committing your entire patient population, the program can begin with a small group of eligible Medicare patients with secondary insurance.

During the 60-day pilot, C3P shall:

• Conduct monthly care-management outreach
• Document activities in the EHR
• Manage patient engagement
• Measure patient satisfaction
• Demonstrate operational performance and financial potential

MCCM provides proactive, non-face-to-face care management for Medicare patients with two or more chronic conditions.

Care may include:

• Medication management
• Post-visit follow-up
• Specialist and referral coordination
• Symptom triage
• Chronic-condition monitoring
• Patient education and reassurance
• Health-goal support

Patients must opt in and required documentation, care plans, and billing requirements must be followed.

For Your Clinic

• Additional reimbursable care-management revenue
• Less workload for existing staff
• Better visibility into program performance
• Scalable clinical staffing

For Your Patients

• More support between office visits
• Better care coordination
• Medication and symptom support
• Greater access to their care team

Successful MCCM requires more than billing codes.

It requires:

• Compliance
• Patient identification and enrollment
• Patient engagement
• Appropriate staffing
• Physician and staff education
• Clinical workflows
• Technology and reporting
• Ongoing program management

Ask:

1. Have we participated in MCCM since 2015?
2. Have we ever completed an MCCM Feasibility Analysis?
3. Who is currently managing the workload—our staff or an outside partner?

Request a customized Clinic Medicare Panel Analysis Quickview to assess your clinic’s MCCM opportunity and potential revenue and prioritize next steps.

Book a 30–60-minute Zoom Consultation & Demo to explore the C3-CCM technology, review your clinic/practice priorities, and discuss a specific strategy and review service options tailored to your clinic/practice.