Medicare Compliance & Reimbursement - 2005 Issue 26
CMS Chooses 6 Organizations To Manage High-Risk Patients
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Article Overview
This article covers CMS’s selection of six organizations for the Care Management for High Cost Beneficiaries demonstration and summarizes the program’s purpose, participation structure, and care-management approaches. It is relevant to readers tracking Medicare demonstrations, population health initiatives, care coordination models, and CMS policy updates affecting high-risk beneficiaries.
Why This Topic Matters
The article is useful for understanding a CMS demonstration aimed at managing high-cost Medicare beneficiaries and encouraging care models designed to support coordination, prevention, and reduced avoidable utilization. It may be relevant to administrators, care management teams, and policy readers following Medicare demonstration programs.
What You Will Learn
- Why CMS selected organizations for a Medicare care-management demonstration
- The general purpose and structure of the demonstration program
- The broad categories of care-management support included in the initiative
- How the demonstration relates to high-cost and high-risk beneficiaries
Who Should Read This
- Health care administrators
- Care management professionals
- Medicare policy readers
- Physician practice managers
- Hospital and health system leaders
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