Healtharc

Principal Care Management (PCM) and Transitional Care Management (TCM) are two Medicare programs that focus on enhancing patient care while simultaneously presenting an opportunity for providers to maximize their return on investment (ROI). Funds are disbursed to practices that enhance patient engagement and care efficiency while simultaneously minimizing costs and utilizing PCM for managing chronic conditions and TCM for care transitions post discharge. This article reflects on ROI steering reasons alongside an illustrative example with hypothetical figures to aid providers on using these programs to their maximum potential.  PCM and TCM Overview PCM is applicable and best suited for patients with one chronic condition with a severe form of a single chronic health condition (e.g., advanced hypertension) for a duration of three months. The condition must be debilitating and requires substantial management. It also requires careful and continuous monitoring. -Remote patient monito...

MTM, or Medication Therapy Management , is an organized service that is directed toward optimizing the use of medication, managing the therapy outcomes, and minimizing potential negative effects of medication. It was formed under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and the goal was to make medication treatment as safe, as effective, and as appropriate as possible. MTM is patient-centric. With the help of pharmacists in the multidisciplinary team and through a proactive approach, MTM assists patients in managing their medications, especially those that require long-term treatment and those that are on complicated medication schedules. How is MTM Implemented in Real Life? The key features of MTM are five in number, namely, comprehensive medication review (CMR), personal medication record (PMR), medication- or therapy-related action plan (MAP), intervention or referral, and documentation alongside the intervention with follow-up. During the CMR,...