tci Medicare Compliance & Reimbursement - 2003 Issue 9

Disease Management: HEALTH PANEL SINGING NEW TUNE ON CARE MANAGEMENT

At hearings last year, House Ways and Means Health Subcommittee Chair Nancy Johnson (R-CT) said it was her clear understanding that the rules of fee-for-service Medicare would never permit that program to incorporate disease management for people with multiple chronic ills. DM could be instituted only by private plans, Johnson said. But a statement from Johnson announcing a Feb. 19 hearing on chronic-care management suggests the Ways-and-Means-ites could soften their stance on that point, and may be mulling some new flexibility for the fee-for-service program to adopt care-management innovations. “Health care policy experts advocate early identification of patients...

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