Earlier this month, the Centers for Medicare and Medicaid Services (CMS) launched a campaign encouraging physicians to take advantage of reimbursement that is available for coordinated care.
With many patients having multiple chronic conditions, doctors are often placed in the role of coordinating care between multiple providers. That time often goes unpaid. In fact, many physicians are simply not aware that the CMS pays $42 per patient per month to doctors who provide coordinated care services for these patients.
According to the article, the CMS estimates that out of the almost 35 million people with two or more chronic conditions, only 513,000 claims were received from physicians last year. Michelle Oswald, program manager for the CMS’ Office of Minority Health, spoke to the cause of the issue in a town hall call last month:
We’ve heard from doctors on several occasions that they want to implement chronic-care management services into their practice, but they don’t know how to get started.
Yet many doctors claim that it is due to their reluctance to bill for coordination because of patient resistance. But however it pans out, the CMS is working to make the industry more aware of both the importance of coordinated care and the availability of funding.