How transitional care management creates value across multiple payment models

This patient-centered, physician-driven multispeciality network used data to improve transitional care management (TCM) outcomes and savings.

Summit Health launched a transitional care management (TCM) program almost a decade ago with just three nurse care managers. But as they increased their participation in risk-based payment models, the large physician-driven multispecialty network needed to assess whether additional investment in TCM could better support patients along their care journey and drive improved outcomes under value-based contracts.

Learn how Summit Health’s transitional care management achieved:

• 5%–20% drop in readmission rate for patients with TCM
• 15% increase in members with TCM retained within the Medicare ACO
• $1.8 million in savings under value-based care models
• $3 million fee-for-service revenue increase due to greater in-network retention