Medicare beneficiaries eligible for care management services
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Medicare beneficiaries eligible for care management services
- 2. “ T H E C M S R E P O R T E D T H AT A B O U T 3 5 M I L L I O N M E D I C A R E B E N E F I C I A R I E S A R E E L I G I B L E T O R E C E I V E T H E S E B I L L A B L E C A R E - M A N A G E M E N T S E R V I C E S . B U T T H E A G E N C Y H A S R E C E I V E D R E I M B U R S E M E N T R E Q U E S T S F O R O N LY A B O U T 1 0 0 , 0 0 0 . ” # 1 ) T H E N U M B E R O F P A T I E N T S T H A T A C T U A L L Y Q U A L I F Y F O R C C M Source: Medicare Final Rule (CMS)
- 3. # 2 ) T H E R E A S O N S O M A N Y D O C T O R S A R E L E A V I N G M O N E Y O N T H E T A B L E • P H Y S I C I A N S & S TA F F A R E A L R E A D Y O V E R - W O R K E D J U S T T RY I N G T O O F F E R C A R E T O PAT I E N T S ! • L E A R N I N G & A D O P T I N G N E W R E G U L AT I O N S I S A N A D D I T I O N A L I S S U E T H AT P H Y S I C I A N S D O N ’ T H AV E T I M E F O R • T H I S L A C K O F T I M E T O L E A R N A B O U T R E G U L AT I O N S L E AV E S D O C T O R S H E S I TA N T A B O U T C M S I N C E N T I V E S Source: Annals of Internal Medicine , Medicare, & CMS
- 4. # 3 ) C M S R E A L L Y D O E S W A N T T O P A Y D O C T O R S M O R E “ W H E N I T C O M E S T O I M P R O V I N G T H E WAY P R O V I D E R S A R E PA I D , W E WA N T T O R E WA R D VA L U E A N D C A R E C O O R D I N AT I O N – R AT H E R T H A N V O L U M E A N D C A R E D U P L I C AT I O N . “ ! — E X C E R P T F R O M : B E T T E R C A R E . S M A R T E R S P E N D I N G . H E A LT H I E R P E O P L E : PAY I N G P R O V I D E R S F O R VA L U E , N O T V O L U M E C M S . G O V Source: CMS
- 5. # 4 ) B E T T E R C O M M U N I C A T I O N L E A D S T O I M P R O V E D P A T I E N T E X P E R I E N C E • M E D I C A R E H A S I M P L E M E N T E D A “ S TA R R AT I N G ” S Y S T E M T H AT R AT E S P H Y S I C I A N S A G A I N S “ E S TA B L I S H E D S C I E N T I F I C S TA N D A R D S O F R I G O R A N D A C C U R A C Y ” ! • T H E R AT I N G S Y S T E M H O L D S H E A LT H C A R E P R O V I D E R S M O R E A C C O U N TA B L E F O R PAT I E N T S AT I S FA C T I O N ! • T H E P H Y S I C I A N C O M PA R E O P T I O N A L L O W S F O R PAT I E N T S T O H AV E M O R E C O N T R O L O V E R T H E I R H E A LT H C A R E E X P E R I E N C E Source: CMS Blog
- 6. # 5 ) C C M S E R V I C E S C A N B E C O S T E F F E C T I V E L Y O U T S O U R C E D “ C M S P R O V I D E D A N E X C E P T I O N U N D E R M E D I C A R E ’ S ‘ I N C I D E N T T O ’ R U L E S T H AT P E R M I T S C L I N I C A L S TA F F T O P R O V I D E T H E C C M S E R V I C E I N C I D E N T T O T H E S E R V I C E S O F T H E B I L L I N G P H Y S I C I A N ( O R O T H E R A P P R O P R I AT E P R A C T I T I O N E R ) U N D E R T H E G E N E R A L S U P E R V I S I O N ( R AT H E R T H A N D I R E C T S U P E R V I S I O N ) O F A P H Y S I C I A N ( O R O T H E R A P P R O P R I AT E P R A C T I T I O N E R ) . ” Source: Centers for Medicare & Medicaid Service
- 7. W A N T T O L E A R N M O R E ? C L I C K T H E L I N K I N T H E D E S C R I P T I O N T O S I G N U P F O R E L E N A’ S W E E K LY W E B I N A R