Every number on this page comes from two years of actual CCM operations across our patient population. No industry benchmarks. No modelling. What we actually see.
Of enrolled patients billable each month across the active programme
Continue past 12 months with ongoing chronic care needs
Of previously billed patients exit in any given month
Retention patterns across the enrolled patient population — by duration milestone.
Approximately 90% of newly enrolled patients remain active through the first 6 months. This is the highest-engagement phase — patients are newly onboarded, conditions are being actively tracked, and the value of monthly coordination is most visible.
Across the full enrolled population — including patients past the 6-month mark — approximately 80% remain billable in any given month. Attrition is gradual, not sudden. Most exits are expected and planned for.
Over 60% of enrolled patients continue past the 12-month mark. A meaningful subset continue through 15–18 months. These are typically patients with multiple active chronic conditions who benefit from ongoing monthly coordination, medication oversight, and specialist liaison.
Billable rate is not a fixed figure — it depends on patient engagement, insurance coverage, and how the programme is run.
Across the full active enrolled population each month. This includes patients at all stages of their CCM journey — newly enrolled through long-term.
New patients in the first 6 months show the highest engagement and lowest voluntary dropout. This is when the service delivers the most clearly visible value — post-discharge coordination, medication stabilisation, and active follow-up.
Understanding dropout is as important as understanding retention. Most exits are predictable, many are preventable, and some are simply part of caring for an elderly chronic population.
The single largest dropout driver. Patients aged 85 and above carry a significantly higher mortality rate due to multi-system decline. Death is year-round in this cohort but peaks sharply in winter months.
When a provider charges above Medicare’s rate, the shortfall becomes an out-of-pocket cost to the patient. Patients who receive unexpected bills disengage quickly. This is fully avoidable with secondary insurance verification upfront.
Patients who have recovered well from surgery, stroke, rehab, or a fall may feel they no longer need monthly coordination. This is a positive outcome, not a failure. Typically concentrated in months 3–8.
Roughly 5–10% of patients — predominantly in the 80–90+ age range with severe multi-chronic decline — transition to skilled nursing or hospice. Families shift focus. This is a care stage transition, not dissatisfaction.
Cold weather, seasonal illness, reduced mobility, and holiday stress compound in patients aged 85+. This is predictable — plan new patient enrollment pushes in Q4 to offset the expected winter attrition. Do not misread the Dec–Feb dip as a service quality issue.
From two years of monthly patient and caregiver interactions, these are the consistent factors that determine how long a patient stays enrolled.
Secondary insurance covering the gap is the single biggest retention lever. Patients who never see a bill stay enrolled at 90–95% through 12 months.
When the physician directly recommends CCM to the patient at point of care, uptake and early retention both increase significantly. Trust transfers.
Patients whose family members or caregivers are engaged in monthly calls and care updates stay enrolled longer and are more medication-adherent.
Patients with multiple ongoing conditions — medication changes, specialist visits, lab follow-ups — see clear monthly value and are less likely to voluntarily unenrol.
With a steady flow of new enrollees, the 2–3% monthly loss is fully offset. The programme grows net month-on-month rather than slowly contracting.
The most controllable dropout driver. If a patient receives an out-of-pocket charge — even a small one — disengagement follows quickly. Preventable with upfront secondary insurance verification.
The highest-mortality cohort. Multi-system decline, seasonal illness peaks (Dec–Feb), and reduced mobility all compound. Predictable — plan Q4 enrollment to offset winter attrition.
Patients who transition to skilled nursing facility or hospice care exit CCM because families shift focus to that stage of care. Not dissatisfaction — a natural care continuum event.
Post-rehab and post-surgical patients who stabilise well sometimes feel they no longer need monthly check-ins. This is a programme success, not a failure — but it does reduce headcount.
If you want to understand what CCM performance looks like for your specific patient population, this is the conversation to have.
hello@innovosoltech.com