March 14, 2018


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Many population health strategies focus solely on treating high-cost patients with most of the responsibility left on physicians. While this is an intrinsic element to population health management, Caravan Health’s model thinks globally. We’ve found that by implementing a team-based approach to the health and wellness of an entire population, hospitals can sustainably improve patient care, increase revenue, and alleviate physician workloads.

What’s our secret?

Nurses. The Caravan approach maximizes the role of nurses to drive population health initiatives while taking advantage of reimbursements through incident-to billing. In our webinar “Ace Quality and Population Health by Doing Less Work, Smarter,” Caravan’s CMO Dr. Anna Loengard outlines the key components to leveraging nurse-led care that will achieve value-based success.


Our ACO partner results show the true value in utilizing nurses for wellness and prevention services. With appropriate training, nurses are better equipped to spend more time on patients, allowing them to treat and diagnose patient barriers physicians would otherwise not have the time to delve into. These services also quality outcomes and close care gaps for patients, which in return, ensures patients get the care they need and the burden of quality reporting goes down.

Additionally, the Centers for Medicare & Medicaid Services’ (CMS) Incident-to Billing codes have widened the opportunity for nurses to conduct elements of the annual wellness visit under the supervision of a physician while getting paid for it. Services such as wellness visits, transitional care management, chronic care management, advanced care planning, behavioral health integration, and cognitive assessment and planning are all ample opportunities to increase revenue streams without increasing physician burdens.

By engaging and empowering nurses, health systems can support primary care and make practice transformation sustainable. To dive deeper into Caravan’s results and model for success, read our interactive ACO guide.


Recent Articles and News

March 27, 2020

Managing the COVID-19 Crisis: Stop the Risk Clock for ACOs

Health care providers nationwide are responding heroically to the crisis of the COVID-19 pandemic. The virus is spreading, and our providers are on the front lines managing and treating more patients each day. Caravan Health calls on CMS to assure that the Medicare Shared Savings Program will fairly account for these extraordinary circumstances.

ACO, News, Policy, CMS

March 26, 2020

COVID-19: Primary Care Strategies to Support Alternative Care Delivery Methods

On March 20, Dr. Anna Loengard, Chief Medical Officer of Caravan Health hosted a video webinar and addressed the impact of COVID-19 on primary care including planning, prevention, patient management, and virtual care options.

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March 16, 2020

COVID-19: A Summary of Emergency Government Funding and Medicare Telehealth Options

In response to the fast-moving global health emergency caused by COVID-19, Congress has approved $8.3 billion in emergency supplemental funding. The aid will help federal agencies prepare to manage and contain the spread of this highly contagious respiratory illness. In addition to providing funds for preparedness and response activities, the new law makes it easier for Medicare providers to evaluate their patients remotely during this national health emergency.

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COVID attention

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