Cracking the Care Management Code – Signallamp Health Whitepaper

cracking-the-codeThe U.S. healthcare financing, payment and delivery models need massive transformation. Over the last 10 years, we’ve been driving toward new approaches, and for good reason. Costs continue to rise faster than inflation, putting the health of millions of Americans and the U.S. economy as a whole at risk.

To date, most efforts have been focused on insurance and payment reform—key pillars of the required reformation.

Lagging far behind, in our view, has been the transformation of our delivery system. We have to fundamentally alter the medical model—a model that today is purpose built for acute and ambulatory sick care—where providers open their doors and wait for patients to come to them.

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Signallamp Spotlight – Jen Nicastro, BSN, RN


“I feel fortunate to be a nurse at a time when technology has the power to help me care for my patients after they leave the doctor’s office.”

– Jen Nicastro, BSN, RN, Chief Nursing Officer

Signallamp Spotlight features interviews with some of our talented and passionate team members. Our goal is to provide a peek inside our organization, specific aspects of the profiled role, and a few lesser known details that offer a glimpse into the lives of our Signallamp family outside of work.

This inaugural spotlight features our Chief Nursing Officer, Jen Nicastro.

1. Tell us a little bit about your role and a day in the life.

My role for Signallamp Health is to provide care to chronically ill patients as an RN Care Manager. I work with providers and office staff to help them better manage their patients outside office appointments. When patients leave their doctor’s office, I’m there to help them better manage their health conditions, day-in and day-out. A typical day begins with check-in calls with my patients. I complete assessments on their health, provide education and coordinate care with a network of providers outside the practices I’m supporting each day. I reach out to community resources and share educational materials with patients. There are many aspects to the work we do to care for our patients.

2. Why did you decide to do the work you are doing now?

The reason I became a nurse is to help patients get better, recover from illness, educate them on how to stay healthy, and advocate for them. I feel fortunate to be a nurse at a time when technology now has the power to enhance care for my patients. The nursing world offers a diverse set of job types and settings. My job at Signallamp allows me to monitor, care, educate and advocate for my patients on an on-going basis, not just when they’re patients in a hospital or visiting their doctor’s office. A typical nursing role in the hospital does not allow me to stay connected with my patients after discharge. In my new role, I’m still by their side after they’ve gone home, keeping them on their plan of care and preventing re-admission.

When I read the job description for a care manager nurse with Signallamp Health, I just knew I had to be considered for the role. It’s satisfying to be that extra resource and qualified, go-to person when patients need assistance with their care. I’m invested in my patients’ long-term health and well-being. I’ve never looked back and view this as my new career path.

3. What’s your favorite thing about working at Signallamp Health?

That’s easy. The ability to build long-lasting relationships with my patients. I can make a real difference in their lives by helping them to better manage their health conditions so they can live a healthier life.

4. If all jobs had the same pay and hours, what job would you like to have?

I’d be a detective. A Sherlock Holmes for nursing care. I love researching and finding out the truth about something or someone, especially when comes to uncovering helpful insights for better health.

5. What would be your ideal way to spend the weekend?

A weekend with my family. Relaxing together on a lake – fishing, swimming, or reading a book. No plans, just a day well spent doing whatever, together.

6. What are some small things that make your day better?

Making people smile, hearing people laugh, knowing that I helped someone in a time of need…big or small.

7. Who’s your go to band or artist when you can’t decide on something to listen to?

Any artist from the 80’s but especially Bon Jovi.

The Wright Center – New Net Revenue in 14 Days (Case Study)

With each new value-based program, your medical practice must meet new metrics or watch your bottom line shrink. You need better ways to preserve your revenue streams while improving care for patients. Leveraging CMS’ Chronic Care Management codes (CCM) can help you achieve both goals, but managing care and billing is complex.

The Wright Center (TWC), a safety-net primary care provider in northeastern Pennsylvania that follows the Patient-Centered Medical Home (PCMH) model, solved this problem by contracting with Signallamp Health.

Read more in our latest case study…

Signallamp Health Announces Expansion

Signallamp Health, Inc., a pioneer in providing dedicated nurse care managers to chronically ill patients, announces an expansion of its nurse care team to assist patients and their providers adversely affected by the abrupt closing of CareSync.

Signallamp’s full-service chronic care management solution is the “anti-call center” for patient engagement. Signallamp’s model allows for the same nurse to work with the same care team every day and same panel of patients each month. This has proven to deliver unrivaled patient satisfaction and retention, and guaranteed monthly NET revenue for the practice without upfront investment.

The most under-utilized asset in healthcare is the physician-patient relationship. Signallamp’s embedded care managers effectively supplement this relationship by expanding the provider’s capacity to work with patients between office visits while remaining in the provider’s day-to-day workflow. On the other hand, call centers create an entirely separate workflow, and not surprisingly, patients balk at the impersonal nature of the interaction.

Signallamp has partnered with providers since the CMS launch of the Chronic Care Management program and has become a national thought leader in the space. “Those struggling with a Chronic Care Management program often prioritize technology, but you need a program that works at a human level first. Once we got that right, we built technology to maximize efficiency and extend the program to thousands of patients,” said Drew Kearney, Co-Founder and Chief Executive Officer.

About Signallamp, Inc.
Signallamp Health is a technology-enabled care management provider that works as an extension of the physician practice and dedicates nurse resources to chronically ill patients. For patients, Signallamp Health builds on their trusted physician relationship to enhance patient care, engage the patient in their own good health, and deliver better health outcomes. For physicians, Signallamp is targeting untapped sources of revenue, driving ancillary services, and helping practices prepare for MIPS and value-based reimbursement. Learn more at:

Extending Relationships with Chronically-Ill Patients

Under MACRA/MIPS and the physician Fee Schedule, Medicare is demanding and paying clinicians for providing care outside of regular office visits. 3 out of the 4 MIPS performance categories and an additional 7 CPT codes in 2017 relate to providing care management.

Signallamp Health dedicates RNs to collaborate with physicians to monitor and help manage their most challenging and time-consuming patients.

In this series, Signallamp Health highlights the positive impact of its RN-driven, hands-on approach on patient care. Continue reading…

Long-Term Relationships with Your Chronically-Ill Patients

The 2017 Physician Fee Schedule is here and clearly states that CMS wants to increase reimbursements for managing chronically-ill patients. A new avenue for reimbursement is non-face-to-face care, first introduced in 2015 with CPT 99490 and expanding in 2017 to include higher payments for medically complex patients and behavioral health.

Signallamp Health dedicates RNs to collaborate with the patient’s own PCP to provide care management services in between office visits. Such patient engagement is an important step in preparing practices for the added requirements of MACRA.

In this series, Signallamp Health highlights the positive impact of its hands-on approach. Continue reading…

Falls and The Elderly

According to the CDC, millions of people 65 and older fall yearly at an estimated cost of $31 billion in medical expenses alone per year. As an RN Care Manager, two key goals are to keep the patient at home and to prevent hospitalization.

Overview of patient
72 yo male with dx of Diabetes, Arthritis, Hypertension, Chronic Kidney Disease, Depression and Vitamin D deficiency. Continue reading…

February is Heart Month!

According to the CDC, over 600,000 people die of heart disease in the United States every year. The most common type of heart disease is coronary artery disease, which kills over 350,000 people a year. As an RN Care Manager, two key goals are to keep the patient at home and to prevent hospitalization. Continue reading…

What is Transition of Care?

What is Transition of Care, how does it help my patient, and what are the challenges for providers?

Transition of Care (TOC) is a CMS reimbursement intended to help patients as they move from an acute setting back to the community. The smooth transition back home is essential if we are to help patients maintain their health long term, keep more patients in their home, and reduce unnecessary readmissions.

At discharge, the first step in that transition, patients and their caregivers are eager to get home, and the wealth of information offered is often forgotten, misunderstood, or lost in the rush. To address this quick disconnect from the healthcare system, clinical staff contact the patient by phone within 2 days (a requirement of the reimbursement). The call is an opportunity for the patient to ask questions now that they are comfortably at home and have had time to consider next steps. Caregivers too can learn more about their role in the ongoing care of their loved one. Continue reading…

American Diabetes Association Alert Day

According to the American Diabetes Association (ADA) the total costs of diagnosed diabetes have risen to $245 billion and is increasing daily. The largest component of medical expenditures according to the ADA is inpatient hospital care which is 43% total medical cost, followed by prescription medications to treat diabetes at 18% total cost, anti-diabetic supplies at 12%, physician office visits at 9 % and the lowest percentage at 8% is nursing/residential facility stays.

The ADA has created “American Diabetes Association Alert Day” to get the American adults to “wake-up” and learn about the importance of diabetes. This day was created in 1986 and since then has been a part of the diabetes education and prevention efforts in the United States. On this day, the ADA would like the American public to take a diabetes risk test and learn more about their risk of diabetes and what they can do to prevent themselves of being at risk. Continue reading…