Why outsource care management?
Clinics, MSOs, and small hospitals are already stretched. LOGIC provides a centralized care-management team that runs CCM, RPM, and related programs inside your EMR—closing care gaps, reducing clinician burden, supporting value-based contracts, and driving recurring revenue—all without adding headcount.
Speed to value
Go live in ~30 days with care-management workflows that are already implemented, tested, and refined in real clinical environments—instead of spending months discovering and fixing operational failures in production.
Staffing reality
Avoid the hiring, training, turnover, and burnout that come with building an internal care-management team. LOGIC staff run day-to-day execution, so your clinicians stay focused on care—not supervision and cleanup.
Compliance first
Care-management programs carry real billing and regulatory risk. LOGIC operates with audit-ready documentation, clear supervision models, and CMS-aligned workflows—so you don't have to learn compliance the hard way.
Revenue capture
We consistently drive stronger financial performance than in-house builds by identifying eligible patients, capturing time correctly, and delivering clean, defensible claims—results we've seen repeatedly across operators.
Build vs. Partner
Building care-management programs in-house requires hiring teams, implementing and maintaining workflows, and owning every operational change as policies evolve. Partnering with LOGIC provides a proven, auditable operating model that runs inside your existing environment and scales from a single practice to an MSO network or a small hospital.
| Dimension | Build In‑House | Partner with LOGIC |
|---|---|---|
| Time to go-live | 4–9 months: hiring, protocols, templates, change management | ~30 days using a pre-built operating model with established QA and escalation cadences |
| Staffing & program management | RN/MA hiring and backfills layered on top of ad hoc program management—often owned by clinical staff without dedicated time, tooling, or accountability. | Dedicated RN, MA, and navigator teams supported by centralized program management, QA, and capacity planning—so execution, oversight, and improvement don't compete with clinical care. |
| Compliance & audit | Scattered documentation and spreadsheets; high effort to answer payers | Centralized documentation, consent, supervision, and time tracking designed to withstand payer and regulatory audits across sites. |
| Billing & cash flow | Inconsistent eligibility capture, manual time tracking, and revenue leakage | Eligibility and time captured in-workflow, with clean, claim-ready outputs your billing team can submit confidently. |
| Program breadth | Each new program (CCM, RPM, BHI, etc.) feels like a separate project | CCM, RPM, BHI, CHI, PCM, PIN, and TCM delivered through a single care-management operating model. |
| EMR workflows | One-off templates and workflows per program and site | Repeatable integration workflows and standardized notes that work across your network. |
| Scale across clinics | Rebuilt per site with inconsistent workflows, variable quality, and fragile handoffs as new clinics come online. | Standardized care-management operations deployed consistently across clinic locations—maintaining quality, compliance, and financial performance as you grow. |
What you gain
Structured outreach, monitoring, and follow-up improve control of chronic conditions and reduce avoidable ED visits and readmissions.
Centralized care-management, clear routing, and standardized templates reduce rework, inbox noise, and burnout for onsite staff.
Recurring revenue across CCM, RPM, PCM, and related programs—with transparent attribution that cleanly maps billing to enrollment, engagement, and time logs by site and payer.
Questions we hear from COOs, CFOs, and clinical leaders
Outsourcing CCM, RPM, and related programs is a strategic move. These are the questions we expect and welcome from MSOs, independent groups, small hospitals, and RHCs/FQHCs.
Do we lose control if we outsource care management?
No. Governance stays with your medical and executive leadership. LOGIC executes care-management workflows under your physicians' supervision. Clinical decision-making and sign-off always remain with your providers, while our teams handle day-to-day execution and documentation inside your EMR.
How fast can we go live across multiple sites?
Most organizations can stand up an initial wave of CCM/RPM in about 30 days from signed BAA and implementation greenlight, then scale to additional sites over the next 60–90 days. We reuse one operating model—templates, time capture, escalation rules—across locations—so scale feels like expansion, not reinvention.
How do you keep billing of CCM, RPM, and related programs defensible with payers?
We design workflows around current CMS CCM/RPM documentation requirements—including time tracking, consent, care plans, and supervision—keeping all evidence inside your EMR. We track minutes by program, surface one-provider-per-month checks, and maintain exportable logs so your billing and compliance teams have a single evidence pack they can use for internal reviews and payer audits. Final coding and billing decisions remain with your organization.
What if we already have some internal care-management staff?
Many groups use LOGIC as an overlay rather than a replacement. We can take on the heavy, repeatable CCM/RPM work across sites while your existing nurses and navigators focus on in-clinic workflows, high-acuity cases, or value-based initiatives. The key is a shared operating model so internal and external teams are not working at cross-purposes.
How do you integrate with our EMR and existing RCM processes?
We work inside your existing EMR instance(s) using standardized templates, tasks, and time-tracking fields, rather than forcing clinicians into a separate portal. For billing, we align with your RCM team on file formats, coding policies, and submission workflows so CCM/RPM activity flows cleanly into your existing revenue cycle processes.
Can we start small before rolling out across the whole network?
Yes. Many organizations start with a focused cohort (for example, uncontrolled HTN/DM in a subset of practices), prove out the workflows and ROI, then expand by site and program. We design the operating model to be reusable, so each new wave feels like a rollout—not a brand-new project.
How do you handle MSO and multi-practice complexity?
MSOs and multi-site groups are exactly where a shared operating model matters most. We standardize eligibility, workflows, documentation, and QA across practices—then report performance by site, region, and payer so you can see where revenue and quality lift are actually coming from. The result is one scalable model instead of a patchwork of local implementations.
How do you measure success and report back to us?
Before launch, we align with your leadership on operational, financial, and compliance KPIs. We then deliver recurring reports of the same—broken out by site and provider—so your CFO and board can see performance clearly and consistently.