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AI and Predictive Analytics in TCM: How HealthArc Is Shaping the Future of Post-Discharge Care

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  In the world of value-based healthcare, data isn’t just information — it’s foresight. Every discharge, vital reading, and follow-up note holds signals that can predict patient outcomes. But without the right technology, those signals remain hidden. That’s where Artificial Intelligence (AI) and predictive analytics redefine Transitional Care Management (TCM) . By using automation and machine learning, HealthArc transforms post-discharge workflows from reactive to proactive — helping providers anticipate complications, reduce readmissions, and prioritize outreach for patients who need it most. The Shift from Reactive to Predictive Care Traditional TCM follows a structured but linear process: contact within two days, schedule visits, document care, and bill under CPT 99495 / 99496 . While that ensures compliance, it doesn’t identify who is most likely to relapse or which interventions will have the biggest impact. Predictive analytics changes this paradigm by using real-time ...
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How TCM Helps Providers Scale Care Coordination Profitably in 2025?

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For providers navigating the shift from fee-for-service to value-based care, the challenge is clear: deliver better outcomes with fewer resources — and still grow revenue. That’s where Transitional Care Management (TCM) makes business sense. Through HealthArc’s TCM software , practices can automate every step of post-discharge coordination, cut manual workload, and open multiple streams of recurring reimbursement through connected programs like CCM , RPM , PCM , and MTM . In 2025, scaling care coordination isn’t just about technology — it’s about strategically using automation to drive revenue, efficiency, and compliance . Why TCM Is a High-ROI Service Line The 30-day post-discharge period is where most practices lose both patients and potential reimbursements. Yet, TCM remains one of the highest-value Medicare programs, with reimbursements ranging between $175 and $250 per patient under CPT 99495 and 99496. Unlike episodic visits, TCM lays the foundation for downstream progra...
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