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Nearly two years after the Centers for Medicare & Medicaid Services (CMS) launched CPT code 99490, many physician practices, especially smaller ones, are still hesitating to launch chronic care management (CCM) programs.

The growing shortage of primary care physicians, which is projected to reach 35,600 by 2025 according to the Association of American Medical Colleges, is creating extraordinary competition among healthcare organizations seeking to hire internal medicine doctors.

Telemedicine can provide an avenue for cardiologists and other physicians to participate in the shift to value-based care, said Sarah Sossong, MPH, at the 2016 AHA Conference.

The use of mobile health applications and other technologies have promise to connect patients to physicians, but there is more work to be done, said Maulik D. Majmudar, MD, at the 2016 AHA Conference.