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Chronic care management program showing signs of saving money, improving care

Updated: Nov 11, 2019

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A CMS experiment that compensates doctors to improve care for the sickest Medicare beneficiaries is showing signs of both saving money and improving quality.

Since 2015 the CMS paid physicians an average of $50 per patient per month for consulting with specialists and coordinating chronic-care services. A report posted Feb. 16 by the CMS showed that per-beneficiary spending for consumers receiving chronic care management services in the first six months of 2015 were $1,395 compared with $1,192 for those who received services in the first six months of 2016. In addition, over the second year of the experiment, the CMS paid roughly $52 million in CCM fees and generated a net savings of $36 million, largely because those beneficiaries were less reliant on both inpatient and outpatient care.

#career #consulting

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