• Am J Manag Care · Nov 2020

    Bridging to value with codes that promote care management.

    • Catherine S Hwang, Ashok Reddy, and Joshua M Liao.
    • Virginia Mason Medical Center, 925 Seneca St, H8-GME, Seattle, WA 98101. Email: Catherine.Hwang@virginiamason.org.
    • Am J Manag Care. 2020 Nov 1; 26 (11): e344-e346.

    AbstractTransitional care management (TCM) and chronic care management (CCM) fee-for-service billing codes can serve as bridges to help organizations build care management capabilities and effectively transition from volume- to value-based care. TCM codes encourage providers to build capabilities for managing hospital discharge transitions. CCM codes encourage physician and nonphysician staff to build capabilities for longitudinally managing patients with multiple chronic conditions. Implementation challenges include achieving return on investment in health information technology and securing stakeholder commitment and engagement. Nonetheless, policy makers have reinforced their commitment to these codes, offering an encouraging signal for organizations seeking more gradual ways to build competencies and bridge toward value-based payment and care delivery.

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