VBC Chronic Care Enrollment Checklist | Tile Healthcare
Streamline chronic care enrollment to boost VBC performance, improve quality metrics, and maximize shared savings with our APCM-focused checklist.
Successful transition to Value-Based Care requires a robust strategy for enrolling chronic care patients. This checklist ensures your APCM and CCM programs are structured to capture risk accurately, close care gaps, and improve HEDIS scores while leveraging AI automation to handle high-volume patient outreach and enrollment workflows efficiently to maximize shared savings.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Identification & Risk Stratification
Foundational steps to identify high-impact patients who drive total cost of care and impact quality scores.
Enrollment Outreach & AI Integration
Scaling patient engagement using AI-driven communication to ensure high enrollment rates without manual staff burden.
Quality Metric & Regulatory Alignment
Ensuring the enrollment process supports long-term value-based care reporting and regulatory compliance.
Frequently Asked Questions
APCM (Advanced Primary Care Management) is specifically designed to bridge FFS and VBC. Enrollment focuses more on risk adjustment and quality metric alignment than just monthly minute tracking.
Yes, as long as the AI system follows a standardized script that covers all CMS-required elements and the verbal consent is documented with a timestamp in the EHR.
Higher enrollment in chronic care programs leads to better management of high-risk patients, which reduces ER visits and hospitalizations, directly lowering the total cost of care.
Enrollment provides an opportunity to capture and document accurate HCC codes, which ensures your VBC benchmarks reflect the actual complexity of your patient population.
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