Collaborative Care Management 

Care management consists of all the activities and protocols that aim to improve the quality of medical care provided to patients. In light of this, collaborative care management is when multiple providers and medical professionals coordinate their efforts in providing care and achieving the desired clinical outcomes. Software platforms like collaborative health systems streamline and improve the coordination among providers by enabling seamless data exchange and communication. By facilitating better collaboration among physicians, care management solutions improve the overall healthcare process, especially for chronic diseases.  

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Explore Collaborative Care Management

The healthcare industry generates a lot of data but doesn’t process it as quickly. With collaborative care management solutions, healthcare organizations gain access to multiple EMRs and clinical data sources from the entire healthcare continuum through easy integration into a single platform. OSP helps providers provide quality services to patients by automating the flow of information with value-based care management systems. The ability to detect anomalies in the volumes of data of the organization is another distinguishing feature of our collaborative care management solutions. The data platform enables pattern identification and highlights anomalies through sensors. The accuracy and remedial actions of the technology have proven to be drastically superior to traditional methods.

Current care management software solutions only create static lists of high-risk patients based on particular population health criteria but don’t provide useful insights on how to treat these patients. We can build care management software solutions that allow healthcare providers to separate patient populations according to risk to provide targeted treatment to high-risk patients. Healthcare management systems integrate current care utilization and cost trends, chronic conditions, and social determinant risk models and information from varied medical claims data sources. This helps identify individuals that can benefit from proactive care management programs. Our intelligently tailored applications aim to create a level of awareness among patients, by strategically providing tailored information for easy access on their devices.

Better patient engagement improves operational efficiency, reduces costs and readmissions, and improves patient outcomes. Remote medical care management solutions give providers the freedom to interact regularly with patients anytime, anywhere, and on any device. Healthcare management systems include features such as instant translations, powerful dashboards, and intelligent chatbots that improve patient participation. Healthcare professionals can use collaborative care systems to engage with patients through interactive polls, moderated threads, and also conduct secure, real-time assessments. Information regarding the specific treatment options and general information on the patient’s ailment and relevant procedures are available for the patient’s viewing at their convenience. Added features can include a predictive analysis of symptoms by collecting information regarding the patient’s vitals.

Healthcare organizations should adopt performance measurement systems that measure performance using multiple metrics, identify high performance, use it to create best practices, detect potential bottlenecks, and track changes in quality of care over time. Collaborative care management solutions provide accurate and real-time insights on a healthcare facility’s efficiency and help healthcare professionals to effectively manage their time, improve critical processes, increase efficiencies, reduce costs, and quality of patient care delivery. From enhancing the quality of discharge protocols and programs to providing quality measures, collaborative care management is a dynamic tool toward improving and assessing performance measurement. Empowered physicians and patients directly transfer to lower readmission rates, thereby reducing a considerable cost for the healthcare organization.

CMS recognizes chronic care management as a critical component of care for people living with chronic diseases. Using intelligent software solutions, providers can observe and advise chronically ill patients outside the office and reduce hospital readmissions, improve care coordination and patient engagement, and increase revenue. OSP’s tailored Healthcare management solutions increase accessibility to care, enhance provider and patient compliance, give providers better and regular visibility into the patient’s health status, and help in early and quick detection of new health issues and complications. Through the adoption of automated services for data visualization and decision support tools, ICUs can successfully reduce patient stays and increase mortality rates. An advanced telehealth solution works toward reducing the burden on physicians and nurses by automating clinical processes.

Advanced collaborative care management solutions help streamline the patient intake process. You can merge and maintain multiple lists, communicate with the physician, and deliver quality care to the needy patients. Automation of most patient intake tasks reduces administrative errors and increases the efficiency of practice workflows. Easy-to-use patient intake forms also improve patient experiences and result in improved patient satisfaction.

OSP’s customized solutions allow providers to send notifications, email web intake forms to patients beforehand, sign consent forms digitally, and reduce claim rejections and denials by checking eligibility through accurate patient demographics and insurance information. The advantages of increased accessibility and timely action cannot be ignored. Through complete care management solutions, the accuracy and maintenance of electronic health records are streamlined.


OSP can build care management software solutions to enable a group of physicians to work together cohesively on patient care and pool their efforts better. As a result, they can easily share their insight and relevant information, exchange notes, and clinical updates, and manage the overall care process more efficiently. Subsequently, this leads to better outcomes for patients, especially those with chronic diseases, since the quality of care is improved significantly. 

The care process involves lots of clinical and administrative activities like the exchange of relevant information, updates on newer developments, processing test results, and so on. This can get considerably complicated in the case of rare or chronic diseases, as these problems require a greater degree of care. But the care management platform we can develop simplifies and streamlines the entire care process, optimizing it and reducing the costs involved.

As already mentioned, the entire workflow surrounding patient care can get highly complicated, especially for chronically ill patients. But we can create technology solutions like health management software to optimize the care process by facilitating smoother coordination and collaboration among physicians and other medical professionals. As a result, there is improved efficiency in the administrative and clinical aspects of the whole care journey for each patient.

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Care Management Software Development Services


Design and Development of a Care Management Platform

  • Tools for interdepartmental care planning for patients
  • HIPAA-compliant and role-based access controls for data security
  • Feature for continuous tracking of patient vitals and alerts for emergencies
  • Built-in tools for patient engagement within the care management system
  • Reporting and analytical tools for assessing data and garnering insights

Design of Customized Care Management Software Solutions

  • Custom features for care management to match clinical services provided
  • Planning of task management queues for clinical care of patients
  • Chronic care management functions with built-in patient engagement 
  • Medical procedure scheduling tools for managing diseases
  • Interactive dashboard to view all the aspects of care

Development of Behavioural Health Management Software

  • Custom behavioral health modules for various conditions
  • Consolidated dashboard for care coordination for each patient
  • Tools for management of daily patient activities to improve lifestyle
  • Functions for periodic patient engagement to reinforce positive attitudes
  • Billing platform for streamlining all activities in the billing workflow

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Frequently Asked Questions

Collaborative care is an approach to medical care involving a systematic, interdisciplinary method to treat chronic and mental health conditions. It often involves a team of physicians consisting of both primary and secondary providers and takes a multi-pronged approach to achieve positive clinical outcomes for patients.

As the name indicates, the collaborative approach involves multiple physicians of varying specialties collaborating to care for patients. The team of physicians involves both primary and secondary caregivers, in addition to mental health experts. Collaborative care aims at achieving all-around outcomes for patients.  

The collaborative approach treats the main symptoms and activates patients to manage their care better. It has been observed to have better outcomes for patients suffering from chronic conditions and behavioral health disorders.

When it comes to nursing in collaborative care, there is usually a team involving primary, secondary, or tertiary caregivers, who are supplemented by associated medical professionals like nutritionists, physiotherapists, mental health therapists, etc.  

Such a diversified approach to care aims to provide well-rounded care to patients. It would boost clinical outcomes and even better educate the patients in managing their health.  

The goal of collaborative care is to treat patients through a multi-pronged approach involving mental and physical healthcare patients. As the name indicates, it involves a team of relevant medical professionals coordinating their efforts to treat patients.   

For example – a patient who suffers from heart disease would be treated by a cardiologist, a dietician (to improve nutrition), and a psychotherapist (to help manage stress). Together these caregivers can collaborate their efforts based on the patient’s condition and achieve better outcomes.  

The collaborative care model provides care for patients in cooperation between primary care physicians, specialists, mental health therapists, and a care manager. All of these medical professionals collaborate and leverage their respective specializations together to improve the patient’s condition.   

The collaborative model of care is known to have better outcomes for people suffering from chronic diseases and behavioral health disorders. This model not only cures the main symptoms but also provides psychiatric counseling for mental wellness, in addition to improving the diet and lifestyle of patients.  

A collaborative care management model aims to address behavioral health problems through counseling, medication, primary care, and other means. Dedicated care managers for each patient monitor the progress and make recommendations to the primary caregivers, counselors, and patients. This approach takes a structured, step-by-step approach to help the patient overcome their behavioral health problem.   

This model of care is time-limited and progresses gradually till the end. Furthermore, after the end of the program, the care managers would continue to stay in touch with the patient and offer guidance and counseling from time to time. This will ensure that the patient won’t relapse and will continue leading a healthy life.

Collaborative care strategies are unique programs formulated by teams of medical professionals to treat patients better. The collaborative model involves multiple providers working together as opposed to the conventional form of care with a physician prescribing medication. For example, a person with diabetes needs a collaborative care strategy different from heart disease.   

A diabetologist, a nutritionist, and a counselor would see the diabetic patient. The reason is the diabetologist would prescribe medication for diabetes and offer relevant medical advice. In contrast, the nutritionist would advise a suitable diet rich in nutrients that won’t increase blood glucose levels. Additionally, the counselor would help the patient cope with his condition and motivate him to diligently follow the doctors’ advice and exercise regularly for added benefits. Finally, the patient would be instructed to stay in touch with the team and reach out for clarification. This is an example of a collaborative strategy that helps patients better than conventional care. It varies according to the disease but has shown promising results.  

Medical billing captures the data on patients’ clinical visits and converts it into codes. The codes are then used to generate claims sent to the payers for reimbursement. For collaborative care, things need to be different from the conventional approach. The collaborative care model is mostly used for chronic diseases and mental health problems, not diseases requiring a single treatment or course of medication.  

Collaborative care involves care provided by multiple medical experts over time and involves medication, therapy, and periodic follow-ups. So, billing plays a major role in collaborative care management. Conventional means of billing would result in high costs. This is why the collaborative care approach requires a different billing mode, as the cost must be balanced with patient outcomes.  

Collaborative care involves primary care physicians and others who coordinate their efforts. Primary and non-physician providers in primary care settings can only use the CPT codes 99492, 99493, and 99494. These codes are for Psychiatric Collaborative Care Management services. The codes and associated documentation support the services of a practice-based behavioral health care manager and a consulting psychiatrist.   

The collaborative care CPT codes enable primary care practices to integrate behavioral health. These codes can be used to generate claims and be submitted for reimbursements. This way, primary care practices that provide collaborative services can bill for them. 

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