tci Medicare Compliance & Reimbursement - 2003 Issue 9
Disease Management: HEALTH PANEL SINGING NEW TUNE ON CARE MANAGEMENT
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Article Overview
This article examines evolving Medicare policy discussions around disease management and chronic-care management. It summarizes congressional hearing themes, federal demonstration planning, and the roles of CMS, HHS, and selected policy and legislative voices in considering care-coordination approaches for beneficiaries with chronic illnesses. It is relevant for readers following Medicare policy, managed care, and chronic disease program design.
Why This Topic Matters
The piece helps readers understand how Medicare policy may be shifting toward care-management models for beneficiaries with multiple chronic conditions, and why federal demonstrations and legislative flexibility matter to providers, payers, and policy analysts.
Article Sections
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Congressional discussion of chronic-care management
Discusses House-level hearing activity and broader policy debate about whether Medicare fee-for-service can support care-management approaches. It also introduces arguments from policy experts about program flexibility and local administration.
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Administration Announces Disease Management Demo
Summarizes the announced federal demonstration initiative focused on care coordination for Medicare beneficiaries with chronic illnesses. It notes the program structure, participating organization types, and related comments from federal and congressional leaders.
What You Will Learn
- How Medicare policy discussions are framing chronic-care management
- What the federal demonstration initiative is intended to explore
- Which agencies and lawmakers are involved in the discussion
- What types of organizations are being considered for participation
- Why beneficiaries with multiple chronic conditions are central to the policy debate
Who Should Read This
- Medical coders and auditors
- Health policy analysts
- Medicare and managed care professionals
- Provider organizations and care coordination teams
- Healthcare administrators
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