Disease management for chronically ill beneficiaries in traditional Medicare.

摘要: We summarize the Centers for Medicare and Medicaid Services’ (CMS’s) experience with disease management (DM) in fee-for-service Medicare. Since 1999, CMS has conducted seven DM demonstrations involving some 300,000 beneficiaries thirty-five programs. Programs include provider-based, third-party, hybrid models. Reducing costs sufficient to cover program fees proved particularly challenging. Final evaluations on twenty programs found three evidence of quality improvement at or near budget-neutrality, net fees. Interim monitoring covering least twenty-one months remaining fifteen suggests that four are close their Characteristics traditional present a challenge these