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Saturday, March 10

MEDICARE TO AWARD CONTRACTS FOR DEMONSTRATION PROJECTS TO IMPROVE CARE FOR BENEFICIARIES WITH HIGH MEDICAL COSTS

MEDICARE TO AWARD CONTRACTS FOR DEMONSTRATION PROJECTS TO IMPROVE CARE FOR BENEFICIARIES WITH HIGH MEDICAL COSTS

“This demonstration project will focus on Medicare beneficiaries who have the most to gain from our health care system but who too often don’t get the best possible prevention-oriented care,” said CMS Administrator Mark B. McClellan, M.D., Ph.D. “They often see numerous doctors without the continuity of care and support needed to enable the health professionals to work together effectively, and they often are unable to take advantage of evidence-based steps to prevent the complications of their diseases.”

The Care Management for High Cost Beneficiaries (CMHCB) demonstration will test the ability of direct-care provider models to coordinate care for high-cost/high-risk beneficiaries by providing such beneficiaries with clinical support beyond traditional settings to manage their conditions and enjoy a better quality of life.

CMS intends to have the following organizations participate in the CMHCB demonstration, pending final agreements.

  • ACCENT - a consortium of physician clinics in Oregon and Washington, a home monitoring technology company Health Hero Network and the American Medical Group Association that will care for patients using a technology platform that includes home-based appliances for electronic health coaching and patient monitoring and decision-support tools for providers;

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