E/M Coding Alert - 2004 Issue 18
Chronic Care: CMS Solicits Proposals For Care Coordination Pilot
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Article Overview
This article explains a CMS solicitation for organizations interested in participating in a chronic care improvement pilot for Medicare fee-for-service beneficiaries with multiple chronic conditions. It outlines the program’s pilot structure, the types of organizations CMS is seeking, the general conditions targeted in the initial phase, and the policy context for the initiative. The content is relevant to providers, care coordination organizations, health plans, and Medicare program stakeholders who follow chronic care delivery and federal demonstration projects.
Why This Topic Matters
It highlights a CMS initiative that could affect how chronic care coordination is organized for Medicare beneficiaries and which organizations may participate in the program. Readers tracking Medicare demonstrations, care management models, and federal program development will want to understand the scope of the solicitation and its planned expansion path.
What You Will Learn
- What CMS is seeking from prospective pilot participants
- How the chronic care improvement pilot is structured at a high level
- Which general types of organizations are eligible to apply
- What kinds of chronic conditions are included in the initial phase
- How the program fits into the broader Medicare policy environment
Who Should Read This
- Health care administrators
- Care coordination organizations
- Physician group practices
- Health insurers
- Disease management organizations
- Medicare policy analysts
- CMS stakeholders
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