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Primary Care Practice Generates $164/hour with ChronicCareIQ

Primary Care Practice Generates $164/hour with ChronicCareIQ

Fast-growing primary care practice scales CCM program with ChronicCareIQ, generating $164/ho per patient, and boosts MIPS by 80%.

Practice Results

  • 80% increase in MIPS scores
  • Improved identification of previously undocumented chronic conditions
  • Greater care team efficiency, allowing providers more time for sick visits, lab review, diagnostics, and charting
  • Expanded capacity to manage high-maintenance patients through dedicated care management teams
  • Improved readiness for value-based care models

Provider Background

Better Weighs to Better Health is a growing primary and urgent care practice in Athens, Alabama, one of the state’s fastest-expanding cities. The practice consists of one physician and three nurse practitioners and serves a rapidly growing patient population of 5,000 patients (and counting.)

Led by Dr. Melissa Gray and Kristy Townsend, LPN, the practice emphasizes preventative and longitudinal care. In addition to primary and urgent care, Better Weighs offers wellness coaching, weight management, and hormone and IV therapies, with a strong focus on helping patients manage chronic conditions such as diabetes and hypertension.

THE SOLUTION:

Implementing ChronicCareIQ Replaced Manual Tracking With An Integrated, Automated CCM/RPM Platform

  • ChronicCareIQ enabled the practice to:
  • Automatically surfaced the highest-need patients each day
  • Enabled care teams to begin work immediately using overnight and morning data
  • Centralized documentation, outreach tracking, and time capture
  • Supported continuous patient communication outside of office visits
  • Branded its CCM program as “primary care management” to improve patient understanding and enrollment

The platform enabled Better Weighs to deliver proactive, continuous care while reducing administrative burden on clinical staff.

The Objective

To Increase Provider Workload & Medicare Reimbursement, While Eliminating Manual Processes

As patient demand increased and local access to care remained limited, Better Weighs needed to maximize clinical impact without overextending providers.

Key challenges included:

  • Managing CCM patients using manual, color-coded Excel spreadsheets
  • Limited visibility into patient needs between visits
  • Increasing provider workloads with limited time for care management tasks
  • The need to optimize Medicare reimbursement while supporting long-term condition management

The practice sought to operationalize and scale its chronic care programs, improve efficiency, and support a transition toward value-based care.

— Kristy Townsend, LPN, CCM Program Director

“Our program has an incredible impact on patients, their families, and our office staff. What we do takes multiple tasks off of the entire clinical floor team on a daily basis.”

271
Patients Enrolled
90%
Patients Qualified For Billing
$164
Per Hour Generated

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