Today, 133 million Americans suffer from at least one chronic disease according to the Centers for Disease Control and Prevention, with 85% of healthcare dollars going towards the treatment of chronic disease.

This is a staggering figure that makes you consider the increasingly significant flow down effects that this is having throughout people's lives, and also the US economy. 

Contributing Facts

  • Two thirds of older Americans have multiple chronic conditions (1)
  • 71% of U.S. health care spending goes to treating multiple chronic conditions (2)
  • 82% of patients prefer to receive care in the home (3)
  • $1.3 trillion is the estimated impact of the top seven chronic diseases on the US economy (4)

Research studies have consistently demonstrated that care management services such as medication reconciliation, coordination among all care providers, arrangements for social services, and remote patient monitoring reduce the cost of care for chronic disease patients, while also improving their overall health. Historically, these services have not been provided because there has not a reimbursement model that would cover the investments required for effective CCM.

Effective January 1, 2015, CMS is reimbursing providers for delivering non-face to face care management services to their beneficiaries. CMS will reimburse for CCM under CPT Code 99490:

  • Average payment of $40.39 per patient, per month (5)
  • Total Medicare potential CCM reimbursement in 2015 $16B (6)

To help improve the management of chronic disease patients, Orion Health is working with Qualcomm Life on a joint Chronic Care Management Platform solution that will help reduce cost, and improve overall care for chronic disease patients.

Together, Orion Health and Qualcomm Life's solutions and experience uniquely qualify the organisations to deploy at scale and solve the security and interoperability challenges that have been plaguing remote chronic care for decades. This innovative solution will enable patients to be proactively managed to prevent acute care episodes, and improve clinical and financial outcomes for all stakeholders.

For the patient, it will help improve self-management by simplifying chronic care regimens and organises care and interactions through a single patient portal. The combined solution will provide instant feedback and chart progress to keep them motivated and on-track. This enhanced level of connectivity will engage the patient by improving communication between patients, their families and their care team.

  1. Centers for Disease Control and Prevention. The State of Aging and Health in America 2013. Atlanta, GA: Centers for Disease Control and Prevention,US Dept of Health and Human Services; 2013.
  2. Analysis of 2010 Medical Expenditure Panel Survey Data. (2013) Abt Associates | Anderson G. Chronic Care: Making the Case for Ongoing Care. (2010).
  3. Hine, Nicolas A.; Martin, Christopher J.; Newell, Alan F.; Arnott, John L. Advances in home care technologies: results of the MATCH project. ed. / Kenneth J. Turner. Vol. 31 Amsterdam : IOS Press, 2012. p. 162-182 (Assistive technology research series; Vol. 31).
  4. Chatterjee A, Kubendran S, King J, DeVol R. Checkup Time: Chronic Disease and Wellness in America. Milken Institute, January 29, 2014. URL: http://www.milkeninstitute.org/pdf/ Checkup-Time-Chronic-Disease-and-Wellness-in-America.pdf
  5. 2015 Physician Fee Schedule Final Rule (79 Fed. Reg. 67548 (Nov. 13, 2014)).
  6. http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports /Chronic-Conditions/MCC_Main.html