Richard Scott, Co-Founder & Grant Morris, Co-Founder, Pro Care Innovations (PCI)
In 2015, the Center for Medicare and Medicaid Services (CMS) began reimbursing for Chronic Care Management (CCM), aiming to provide preventive medicine every month to a subset of Medicare beneficiaries. Clinicians can receive reimbursements for monthly care management services entailing at least 20 minutes of clinical staff’s time every month for those patients who have two or more chronic conditions that is expected to last at least 12 months or until death. The Department of Health and Human Services has laid out specific requirements for a facility to gain reimbursement, such as an individualized comprehensive care plan, assessing patients’ functional, medical, and psychosocial needs, ensuring timely receipt of preventive screenings, and medication reconciliation and management.
CCM can be delivered to patients in both primary care and specialty setting. However, it has been off to a slow start, suffering from low adoption despite being mutually beneficial to both patients and providers. Why? Like most services, clinicians need to produce specific documentation to prove that CCM is adequately provided, which is a time-consuming process. Further, when CCM is put in place—as a new service for the geriatric patient base—it takes a hyper-focused strategy and many hours to engage with and care for them. CCM has the potential to produce significant revenue for the clinic and enhance patient care. Still, the question for providers and clinicians is how much time they can dedicate to engage patients and gather appropriate data?
Meet Pro Care Innovations (PCI).
By enabling clinicians to provide preventive care to geriatric patients, PCI has created millions of dollars in new revenue to practices while reducing catastrophic events and increasing the country’s geriatric population’s life span. “The hurdle for most clients is that they simply don’t have the time to dedicate manpower and resources to chronic care management and remote patient monitoring. With us, they get the peace of mind that their patients are receiving quality care services,” says Richard Scott, the co-founder of PCI.
Providing a Comprehensive CCM Program
Having spent more than four years in the CCM space, PCI enables clinicians to adopt a “next level” CCM program. The company’s all-inclusive program provides clients with the best patient outcomes and efficiency that is unmatched in the space. PCI works with clients to develop everything from patient marketing strategies and diagnostic-based templates to assure that patients get the focused care they deserve. “We offer them a turnkey solution that doesn’t require their staff to take on any additional responsibilities,” says Grant Morris, the co-founder of PCI.
PCI hears testimonials almost daily from patients saying that CCM services prevented a catastrophic event from happening
Unlike many of its competitors, PCI is a grassroots company that started with one purpose in mind: “Shifting the outcome of geriatric population through preventive care.” As such, the company has no distractions when it comes to pursuing excellence in this space. PCI adopts a universal assumption that all geriatric patients need preventive care. This viewpoint has allowed the company to cultivate relationships with urologists, neurologists, cardiologists, oncologists, orthopedists, primary care, pain management, and rural health providers, to name a few. Further, PCI offers services at a very competitive rate that beat out its competitors.
Backed by Prowess of a Proprietary Software
PCIs’ Comprehensive CCM program is backed by its proprietary software, Integrated Care Management System (ICMS), that can be easily modified to meet individual client needs. The solution can help drive more than 50 percent increase in patient engagement in CCM (actual participation as achieved with multiple physician practices.) It facilitates quality data collection and reporting and increases overall patient care, enabling CCM staff to be more proficient.
Most of the investments made by PCI today are meant to drive efficiency and improve its software. Whether it is creating platforms for new preventive services or creating individualized care plans based on patients’ conditions, the software is ever-evolving and improving to help clients.
For instance, after Urologic Specialist of Oklahoma (USO) decided to provide their patients with CCM services in August 2017, the program created more than $500k in total revenue to the practice in the first 11 months. During the trial period, PCI was given a subset of patients based on specific disease states. The program continued to grow with additional patients over the first 12 months. PCI has maintained a patient engagement of more than 50 percent throughout the first 11 months and expects this trend to continue. The projection for revenue over the next year is just over $1.1 million.
Apart from delivering a Comprehensive CCM program, PCI also offers a unique approach to the Annual Wellness Visit (AWV) for Medicare patients that allow primary care clinics to increase revenue, gather patient trending data, and provide preventive medicine. By offering a turnkey approach to the AWV program, PCI delivers services like gathering/sorting patient data, scheduling and conducting care professional visits, and finally providing the practice with the predictive/ preventive data for each patient.
On a Mission to Improve the Quality of Life
To help providers deliver excellent services (patient care) while reducing their burden, PCI assures that the clients attain the highest level of quality and compliance for their services. The company is founded on a mission to improve the quality of life for the geriatric population and create an environment for healthcare to be patient-focused through collaboration with healthcare providers. “PCI hears testimonials almost daily from patients saying that CCM services prevented a catastrophic event from happening,” mentions Richard.
"We offer Clientsa turnkey solution that doesn’t require their staff to take on any additional responsibilities"
The combination of the founders’ personal traits can be seen in how the company is led daily. Richard is strategic and insightful, while co-founder Grant Morris, is assertive and data-driven. Their ability to feed off each other so well makes Pro Care what it is. “The vision for PCI started on a napkin in a restaurant. We spent many long days and nights forming this company in a grassroots and organic effort to be what it is today,” says Richard. Richard and Grant both agreed that they wouldn’t have been successful without team members like Kevin Kilgore, Chief Information Officer, who designed and developed the proprietary software from the ground up, and Melissa Dupire, Business Development, who played a vital role in business development both internally and externally since the company’s inception. They also credit their clinical team for making a difference in patients’ lives daily.
Having completed 300 CCM sessions in its first month in business, PCI is now averaging over 15,000 CCM sessions monthly. The company continues to expand its footprint with three new collaborations signed just last month. “We are projected to hit more than 250,000 CCMs and we are on track to be north of 500,000 by the end of 2021. This equates to over $10 million in revenue created for clients. PCI will continue to strive for excellence with our existing clients and the new clients to come,” concludes Richard.