CMS to expand Chronic Care Management program

CMS last year launched the Chronic Care Management (CCM) program in an effort to encourage physicians to focus on value over volume when treating certain Medicare beneficiaries. Managed Care reported at the time that under the program, physicians “can claim a monthly, non–visit-based payment for chronic care services provided to each qualified Medicare beneficiary…. The national average is $42.91, although it will vary depending on the geographic practice cost index”.

CMS officials said that last year they paid for about 275,000 Medicare beneficiaries who received CCM on average of three times; in other words paying out about $12 million to participating doctors. “This would account for beneficiaries who received CCM under the physician fee schedule in the office setting or the outpatient department,” a CMS official stated.

CMS must be happy with the progress; this year they’ve expanded the program to Federally Qualified Health Centers and Rural Health Clinics.