Medicare will pay you to keep patients well. Most practices miss it.

episode

The Podcast by KevinMD not yet transcribed

▲ 0

Transcript

This episode hasn't been transcribed yet Upvotes decide what gets transcribed next — 0 so far. Sign in to upvote

More from The Podcast by KevinMD

Understanding the unseen role of back-to-school diagnostics 15 min · 20 Dec 2025

All episodes from The Podcast by KevinMD →

Report any issue

Source

Recorded17 Jul 2026

Publisherkevinmd.libsyn.com ↗

Handlerec:19322410

Show notes

Medicare will pay your practice to keep chronically ill patients out of the hospital, so why do most practices leave that money unused? Rachel Yates, a registered nurse and health care executive, joins to explain two reimbursement programs Medicare introduced in 2024, Community Health Integration and Principal Illness Navigation, and why two years later most practices still are not using them. This episode is based on her article "Patients pay when Medicare care coordination codes go unused," published on KevinMD. You will hear who actually qualifies, the patients you already see every day who keep cycling back through the ED, and how a single missed medication instruction can turn into a preventable readmission. Rachel makes the case that this is clinical care, not a billing add-on, and that the work can be delivered by contracted nurses under your supervision without piling more onto your existing staff. She walks through what a real between-visit coordination relationship looks like and why a 15-minute appointment was never going to fix everything. She lays out who qualifies, why the codes go unused, and the decision every practice now has to make. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Ask this episode

“What did the council decide on item 42?” — answered with the speaker and the moment.