CMS Incentivizing Chronic Care Coordination | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

CMS Incentivizing Chronic Care Coordination

August 18, 2014
by Gabriel Perna
| Reprints

The Centers for Medicare and Medicaid Services (CMS) will be incentivizing doctors to coordinate care for Medicare patients that suffer from multiple chronic illnesses, including diabetes and heart disease, according to a report from The New York Times.

CMS will be paying these doctors to look at patients with at least two chronic illnesses, starting in January 2015. This examination includes assessing their “medical, psychological, and social needs,” checking on medication adherence, coordinating with other doctors providing care, and ensuring smooth transitions of care. Patients will have access to doctors on a 24/7 basis.

The tab will be approximately $42 per patient, The Times reports, and the services occur as long as the patient agrees in writing. Part of the care coordination will include CMS’ desire to have providers use electronic health records to exchange information with other providers, says The New York Times.

Two-thirds of Medicare patients have at least two chronic illnesses and would be eligible for this program. They account for nearly 95 percent of all Medicare spending. The Times notes how these types of care coordination incentive programs have been picked up by private health insurers, but not yet the government.

“Paying separately for chronic care management services is a significant policy change,” Marilyn Tavenner, the administrator of CMS, said to The New York Times.

 

Read the source article at The New York Times

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

KLAS Research: Small Hospitals’ Buying Decisions Impacting EMR Market Share

A new KLAS Research report tracks shifts in electronic medical record (EMR) vendor market share among acute care hospitals, and finds that smaller hospitals are seeking technology solutions that meet their needs and limited budgets, and these contracts are making a mark on the EMR market.

Survey: Majority of Providers Predict Success for New Generic Drug Company, Project Rx

Back in January, four health systems, in consultation with the VA, announced a collaboration to develop a new, not-for-profit generic drug company. A survey has found that 90 percent of providers say they would become customers of the new venture.

Personalized Medicine Awareness Low Among U.S. Adults, Survey Finds

Genetics and personalized medicine are not top of mind for the general public in the U.S., according to a recent survey from GenomeWeb and the Personalized Medicine Coalition.

Industry Organizations Praise Senate Passage of VA Mission Act

The U.S. Senate on Wednesday passed, by a vote of 92-5, a major Veterans Affairs (VA) reform bill that includes health IT-related provisions to improve health data exchange between VA healthcare providers and community care providers.

NIH Issues Funding Announcement for All of Us Genomic Research Program

The National Institutes of Health’s (NIH) “All of Us” Research Program has issued a funding announcement for genome centers to generate genotype and whole genome sequence data from participants’ biosamples.

MGMA: Physician Compensation Data Illustrates Nationwide PCP Shortage

Primary care physicians’ compensation rose by more than 10 percent over the past five years, representing an increase which is nearly double that of specialty physicians’ compensation over the same period, according to the Medical Group Management Association (MGMA).