Most Medicare enrollees have two or more chronic conditions, making them eligible for a program that rewards physicians for doing more to manage their care. But not many doctors have joined.
Medicare enrollees with two or more chronic conditions are eligible for Chronic Care Management, which pays doctors to check in with those patients monthly. But the service hasn't caught on.Medicare enrollees with two or more chronic conditions are eligible for Chronic Care Management, which pays doctors to check in with those patients monthly. But the service hasn't caught on.
Health policy experts say a host of factors limit participation in the program. Chief among them is that it requires both doctors and patients to opt in. Jamshed says the CCM program was cumbersome to implement because her practice was not used to documenting time spent with patients outside the office, a challenge that included finding a way to integrate the data into electronic health records. Another challenge was hiring staff to handle patient calls before her practice started getting reimbursed by the program.
While she estimates about 90% of their patients would qualify for the program, only about 20% are enrolled. One reason is that not everyone needs or wants the calls, she says.
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