Transforming Care Management with AI in 2025

Providers and service organizations can use Artificial Intelligence (AI) to improve patient engagement and make care management more efficient.

This is true for familiar programs, such as Chronic Care Management, as well as Medicare's latest initiative, Advanced Primary Care Management. We believe AI has the potential to be extremely effective as a tool supporting care managers to work more effectively with their patients.

We recently announced our latest partnership with CareCo. ThoroughCare now offers users an AI co-pilot to analyze patient calls and identify follow-up care needs. This includes transcriptions, task management and note taking.

In early findings, we've already seen this development improve care delivery by:

• Increasing patient retention by 27%
• Enhancing care manager productivity by 50%
• Improving task accuracy by 70%

AI Improves Care Management Efficiency

Because AI supports call preparation, organizes follow-up tasks and tackles documentation, care managers can be more present with their patients and keep their care plans in focus.

AI can also help highlight areas of additional need to achieve certain goals.

Before a Patient Call: AI Preps the Care Manager

ThoroughCare's AI co-pilot automates the process of initiating, receiving, recording and transcribing every patient call. Our platform analyzes past calls and transcribes them to create conversation guides.

These guides list each prioritized topic from the last call with links to citations from previous transcripts. Care managers instantly have everything at their fingertips to prepare for and initiate new outreach, whether for Chronic Care Management or other programs.

There's no need to dig through notes to address the most pressing issues.

During a Patient Call: AI Guides Conversations

Through conversation guides, built from past patient call transcriptions, our AI co-pilot indexes a topic checklist that care managers can use in real time. This ensures:

• A focused and personalized interaction
• An improved workflow by using AI-generated care plan suggestions directly integrated with existing documentation in ThoroughCare

After a Patient Call: AI Organizes Next Steps

Once a patient call is complete, our AI co-pilot takes the transcribed data, analyzes it and converts it into actionable care plan suggestions. Care managers can review the recommendations and instantly import them into ThoroughCare.

Not only does the care manager have AI-generated call transcripts and care plans, but they have all the necessary documentation for this call and a prioritized list of topics for the next one.

ThoroughCare Enhances Care Management

ThoroughCare is a digital care management platform that gives providers and service organizations comprehensive tools. Our AI co-pilot takes this a step further.

It gives care managers a vital support piece to simplify administration and better engage patients in Chronic Care Management or other Medicare programs. 

Already, we help providers generate $7.8 million in monthly reimbursement.

Our platform supports more than 700,000 patients with program enrollment, billing, care planning, device use, screenings and assessments. We also offer secure two-way texting to engage patients, educational resources and guided workflows to help staff, and data analytics to track performance. 

Along with software, ThoroughCare provides clinical consulting services to empower teams with expert guidance and training in care coordination. 

Please don’t hesitate to reach out if we can ever be of help.

2025: The Year of Care Management Transformation  

The introduction of Advanced Primary Care Management and the opportunity for Rural Health Clinics and Federally Qualified Health Centers to bill for individual care management codes herald a new era in healthcare.

Learn about these opportunities and how you can prepare for a successful year.  

How the CMS 2025 Final Rule Affects Rural Providers

As mentioned above, the latest Physician Fee Schedule Final Rule allows rural providers to bill for care management services using individual HCPCS/CPT codes and add-on codes rather than the single code G0511. 

Read about how this change may affect your organization.

Case Studies Show Annual Wellness Visit Best Practices

Are you offering patients Chronic Care Management (CCM), but not an Annual Wellness Visit (AWV)? Case studies show how to make the most of this reimbursable assessment. Providers delivering CCM can leverage preexisting workflows to deliver what may be a new service for your organization.  

Review what others have done to make AWVs successful.

How to Start a Chronic Care Management Program

So you're interested in starting a Chronic Care Management (CCM) program, but not sure where to begin? In this video, we discuss the steps you can take to set up and implement a CCM program. 

See how to make a plan, educate your team and find eligible patients.