Proactive Screening

CMS Encourages Proactive Screening with Incentives

CMS policy in 2024 is enhanced to improve reimbursement as an incentive for FQHCs to increase rates of proactive screening. An added emphasis for in-home services is added to the compensation provisions.

Early Detection

Screening helps Identify health issues at an early stage and allows for timely and effective intervention. This leads to better patient outcomes and reduces the severity of diseases.

Cost Savings

By detecting diseases early, proactive screenings help avoid costly treatments and hospitalizations, leading to significant savings for patients. CMS 2024 compensation enhancements encourage more screening activity.

Improved Patient Outcomes

Early intervention leads to better health and decreased mortality rates among patients. Expanding from disease mitigation to disease prevention ensures a higher quality of life for patients and a lower medical, financial, and emotional burden.

Comprehensive Care

Integrating screenings into routine care ensures an holistic approach to health, strengthening the provider-patient relationship and promoting overall well-being.

Asynchronous / Remote Care

Proactive care in 2024 is extended to communication before, after, and between clinic appointments. Under revised CMS and California policies, medical reimbursement is available for remote physiologic monitoring,  remote therapeutic monitoring, remote interactive visits, and secure asynchronous messaging.

Telehealth Services

Previously, screening has entailed regular, in-person clinical visits. However, with the rise of Telehealth, care providers are able to gather information from patients virtually, thus providing a more convenient and cost-efficient option for patients to communicate with their providers. Telehealth services expand preliminary screening capabilities to those in underserved and remote areas, allowing for streamline communication between patients and their providers despite geographic barriers. 

Increased Awareness

Regular screenings encourage patients to take an active role in their health care, allow patients to understand their risk factors, detect diseases before they impact health, and prevent preexisting conditions from progressing.

CMS 2024 compensation improvements encourage FQHCs to put these strategies into practice, FQHCs target isolated and underserved populations, delivering long-term, comprehensive care to those most at-risk. Proactive screening embodies an inclusive approach to healthcare that, with the incorporation of Telehealth services, allow entire communities to access high-quality, enduring care. Proactive care recognizes that healthcare comprises not only medical, but social, economic, and environmental factors as well. Proactive screening paves the way toward more efficient, accessible, and empathetic health care.

By highlighting these attributes, FQHCs can successfully implement efficient proactive screening programs that bolster community health, stave off chronic diseases, and enhance patient care. Proactive screening transcends mere early detection; it embodies a holistic healthcare strategy that promises enduring benefits for individuals and communities.
The incorporation of Telehealth services extends these advantages to even the most isolated and underserved populations, fostering inclusivity and efficacy in healthcare delivery. Effective proactive screening stands as an indispensable element of contemporary healthcare, charting a course towards healthier communities and a more efficient healthcare system.

Life expectancy vs health expenditure

From 1970 to 2018

Life expectancy and health expenditure over time, the US is an outlier

The US clearly stands out as the chart shows: Americans spend far more on health than any other country in the world, yet the life expectancy of the American population is shorter than in other rich countries that spend far less.

The chart here doesn’t just show the latest data points, but how life expectancy and health spending have changed during the last five decades. The arrows start in 1970 and connect the annual data points for both metrics, showing the change over time.

In the 1970s the US didn’t stand out at all, it does so now because life expectancy increased much more slowly than in other countries. At the same time, health spending in the U.S. increased much more rapidly, particularly since the mid-1980s. The consequence of these two exceptional developments is that the US followed the much-flatter trajectory that the chart shows.

The unequal development over recent decades led to an inequality between the US and other rich countries. In the US health spending per capita is up to four times higher, yet life expectancy is lower than in all of these countries.

Data Source: Max Roser (2020) - “Why is life expectancy in the US lower than in other rich countries?”
Published online at OurWorldInData.org.
Retrieved from 'https://ourworldindata.org/us-life-expectancy-low'

Enhancing Community Health

Proactive Care

Proactive healthcare is vital for optimal patient outcomes. By implementing a value-based proactive care model, FQHCs can significantly enhance community health and consecutively reduce the financial burden of preventable health issues.
3 key focus areas for Proactive FQHC

Remote Physiologic
Monitoring

Remote physiologic monitoring (RPM) improves patient outcomes and can minimize costs for FQHCs. RPM includes physiologic measurements such as weight, heart rate, and blood pressure

Community
Health Initiatives

Our goal is to collaborate with FQHCs to establish innovative CHI programs that reduce barriers to healthcare,  improve patient outcomes

Remote
Therapeutic Monitoring 

Remote therapeutic monitoring (RTM) concerns rehabilitation treatments provided by practitioners such as physical therapists, occupational therapists, and psychotherapists

CPT codes and other billing details:

RPM is eligible for reimbursement under CPT codes 99453, 99454, 99457, and 99458.

As of January 2024, community health initiatives (CHIs) are covered by CMS reimbursement codes G0136 and G0019.

RPM is covered by CPT codes 98975, 98976, 98977, 98980, and 98981.

Contact us

Fill out the form or contact us by email and we will contact you as soon as possible.