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Population Health Tools Built for Independent Practices

Tracking patient populations, reporting on quality measures, and meeting value-based care goals shouldn’t slow your practice down. For small practices, managing these requirements alongside patient care can feel overwhelming.

Amazing Charts offers population health management software that helps you identify high-risk patients, coordinate care for chronic conditions, and meet reporting requirements, without adding hours to your day. Get actionable insights that improve patient health and grow your revenue.

Digital Tools That Support Better Care Delivery

Track patient populations, coordinate care for chronic disease, and meet quality reporting requirements with software solutions designed for how you actually work.

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Chronic Care Management

Amazing Charts partners with Cosán to deliver care coordination tools for Chronic Care Management (CCM), Behavioral Health Integration (BHI), and Remote Patient Monitoring (RPM). Manage chronic conditions with programs that improve patient engagement and create new revenue streams for your practice.

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Care Gaps

Care gaps show the difference between ideal treatment following best practices and the actual care patients receive. Identifying these gaps helps you improve care quality for your entire patient population.

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Clinical Quality Measures

Clinical quality measures (CQMs) reflect how payers like Medicare and Medicaid have shifted toward value-based care. Meeting these population health metrics means getting compensated for care quality, not just patient volume.

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Benefits of Amazing Charts Population Health Management

Better Patient Outcomes: Patients who stay informed about their treatment and take active roles in care management see better health outcomes. Closing care gaps gives you simple ways to improve care delivery across your entire patient population.

Faster Reimbursement: Meet regulatory compliance requirements and communicate with payers like Medicare and Medicaid using digital tools. Position your practice for value-based care programs that prioritize quality over volume.

Lower Healthcare Costs: Patients with better care coordination for chronic conditions need fewer emergency room visits and hospital stays. Early intervention through population health tracking reduces expenses for patients and insurance plans.

New Revenue Opportunities: Offer care management services like CCM and RPM that create consistent income without adding more patients. Grow your practice financially while focusing more time on patient care.

Ready to Support Value-Based Care in Your Practice?

Our team can show you how population health management software helps care teams track patient health, meet reporting requirements, and participate in care coordination programs. Connect with us to learn how these tools fit into your workflow.

Population Health Management FAQs

 

What is population health management?

Population health management tracks and improves health outcomes across your entire patient population. It helps you identify high-risk patients, manage chronic conditions, and close care gaps using real-time data from your electronic health record.

How does this work with Amazing Charts EHR?

Our population health tools pull patient data directly from your EHR to identify care gaps and track clinical quality measures. You can see which patients need follow-up care without running separate reports.

What are care gaps and why should I track them?

Care gaps are the difference between recommended best practices and the actual care patients receive. Tracking them helps you improve patient outcomes and meet value-based care requirements from payers.

What is Chronic Care Management (CCM)?

CCM is a care coordination program for patients with multiple chronic conditions. Healthcare providers can bill Medicare for time spent managing patient care between visits, creating a new revenue stream while improving patient health.

Do I need extra staff to manage population health programs?

No. Our tools work within your existing workflow, and our CCM partnership with Cosán handles care coordination services for you. Your administrative staff can track metrics without adding significant work.

How does this support value-based care?

Value-based care programs compensate healthcare providers for quality instead of volume. Our software helps you meet clinical quality measures, track patient engagement, and report outcomes that qualify for payment adjustments.

Can this help with Medicare quality reporting?

Yes. The system tracks clinical quality measures (CQMs) required by CMS and helps you submit the data needed for Medicare and Medicaid reimbursement. You'll have actionable insights to improve care delivery and meet regulatory compliance.