For health systems

Same programmes. A much bigger gap.

Your clinics already bill these codes. At group scale the number of eligible patients nobody has called is not a rounding error, it is most of your eligible patients.

Your team reviews. Your provider signs.

Two care-team colleagues reading a screen together in a clinic office

One month · an example

Monthly check-in · M. AlvarezReached
Reports two missed dosesFlagged to Dr Reyes
Note in chart · ready for reviewReady to sign
Illustrative. Names and readings are not real patients.

Eligibility math

In 2019, 63% of Medicare fee-for-service patients qualified. 4% of them got it.

Chronic care management pays for the month of work that happens between visits. Most Medicare fee-for-service patients are eligible for it. Very few of them are in a program. Describe your panel and the subtraction runs in front of you.

One panel, national rates

Who qualifies, and who is actually enrolled

Two dials, one subtraction. The eligible rate and the enrolled rate are third-party market figures, attributed underneath. The only thing you supply is the size and the payer mix of your own panel.

The gap on this panel

507eligible for chronic care management20getting it, at the 2019 national rate

487

patients who qualify, and are not getting it

On a panel of 2,000 where 40% is Medicare fee-for-service.

The program is not the constraint. Finding the hours to reach 487 people is.

Describe your panel

2,000
2008,000
40%
5%100%
Medicare patients on it800

The starting panel size and payer mix are an illustrative example, not a market figure. The two rates underneath are. Move both dials to your own numbers.

This applies national rates to a panel you describe. It is an estimate of scale, not a count from your chart. The rates describe Medicare fee-for-service, so a panel weighted toward Medicare Advantage reads differently. Eligibility for any one patient still turns on two or more chronic conditions expected to last a year or longer, and on consent. HANA makes the calls. Your team reviews and attests, and nothing is billed until a person on your team approves it.

Rollout

The only thing that is different at scale.

Not the product. How it gets from one clinic to twenty.

  • 01One contract, many clinicsSites are added to an existing agreement rather than negotiated one at a time. A clinic that comes into the group later is added the same way.
  • 02Configured centrally, run locallyProtocols, escalation rules and call scripts are set once by your clinical leadership. Each site keeps its own panel, its own reviewers and its own attestation.
  • 03Site by site, not all at onceStart with the clinics whose panels have the widest gap, and add the rest as each one settles. Nothing about the loop changes as sites are added.

Amounts published on this site are national non-facility rates before geographic adjustment. A provider-based clinic may be paid on the facility schedule instead. Check which applies to each site before you model it.

A patient taking a call at home
CCMChronic Care Management

The month is written up before you start your time.

Every contact HANA makes is recorded and summarised straight into the patient's record. Whichever clinic the patient belongs to, when your clinician opens them the month is already there. The clock they start runs on reading and attesting, not typing.

0:00

Time any of your sites spends writing the month up

4

Documented contacts waiting when a clinician opens the chart

See the CCM page

HANA's contacts · an example month

CCM
Monthly check-inAug 3

Taking both blood pressure meds. Home reading 138/86.

HANA call · summarised

Refill and dietAug 11

Metformin refill due Friday. Two skipped breakfasts this week.

HANA call · summarised

Threshold crossedAug 18

158/94 on two home readings. Escalated to the treating clinician with the full call.

HANA call · flagged to the threshold you set

Care plan reviewAug 26

Dose adjusted 20 Aug. Back to 134/84. Goals reconfirmed with the patient.

HANA call · summarised

HANA's call time is never counted as clinical time. The billable minutes are your staff's, logged as they work.

Your clinician's time

Reviewing what HANA wrote up

2:56

Attest and submit

How it works

Forty-five minutes a patient.
We take it under thirty.

One coordinator. Same hours. Two hundred and fifty patients instead of a hundred and fifty.

1Reach

Hana calls · you set the protocol

It calls from your number until someone picks up. Then medications, symptoms, and what changed.

2Flag

Hana routes · your team decides

Anything clinical goes to your team, with the reason and the transcript attached.

Document3

Your clinician reviews · Hana writes

The note is in the chart before your team opens it. Under that patient, not in a spreadsheet.

Bill4

You submit · Hana supplies the evidence

Every minute attributed to the person who earned it, ready to attest on the first.

You set the escalation rules. A person on every clinical flag, an audit trail on every call, minutes totalled per patient.

45-60min

per patient, per month, today

What a coordinator spends on one enrolled patient when the calling, the chasing and the note are all done by hand.

120-160

the caseload that caps at

Which is why most programs stall well short of what the panel could support.

29min

what HANA is built for

Same coordinator, same hours, toward 250 patients. HANA makes the calls; your team reviews and attests.

Your team reviews it. Your provider signs it. Nothing is billed until a person on your team approves it.

Three phases. You're live in 3 weeks.

How to get started with Hana.

PHASE 01

Pick the workflow.

The one that's costing you most — pre-built, or built around your protocols.

PHASE 02

Connect your EHR.

HANA connects to your EHR, reads the chart and your protocols first, and never asks patients what you already know.

PHASE 03

Go live — then it runs itself.

Your team tests it on a real line before a single patient is called. From there, Hana works the queue in the background — your team steps in only when it's flagged.

Book a Demo

Most teams go live in 3 weeks.

Hana is ready

Have a chat with HANA.

Give us your number. It calls in about ten seconds. Talk to it like a patient would, then let your team try it.

or

Questions groups ask

Before you roll it out.

No. Same programmes, same codes, same monthly loop. A larger group has more patients in the gap and more clinics to roll it out across, and that is the entire difference. Anyone who tells you a multi-site version is a separate product is describing a pricing strategy, not a product.

The billing entity that owns the patient. HANA makes the calls and writes them up; the claim goes out from the site under its own NPI, exactly as it does today. HANA never bills on your behalf.

Not directly, and this matters at system scale. Every amount on this site is the national NON-facility rate. A clinic paid on the facility schedule is paid a different and lower amount, and we do not publish a figure for it because we do not hold a sourced one. Check which schedule each site sits on before doing the arithmetic.

The note lands in the chart your clinicians already work in, ready for your staff to review. What that takes depends on which system and which integration path, and it is a conversation rather than a claim we can make on a page.

No new hires. The billable time stays with each site's clinical staff, the people already doing this work for everything else that bills. HANA takes the dialling and the typing off them, and nothing bills until a person on your team approves it.

That is usually the right way to do it. Pick the site with the widest gap between eligible and enrolled, run it for a few months, and add the rest against what you learn there rather than against what we told you.

Ready when you are

Start with one clinic. Then decide.

Bring your panel numbers. We will go through which programmes your patients already qualify for, and what your team would still do.

  • Your patients, your claim
  • Your team reviews and attests
  • Nothing bills until a person approves