The CMS said it will conduct a demonstration project to evaluate methods for managing the care of high-cost beneficiaries under Medicare fee-for-service, including intensive-care management, increased provider availability and structured chronic-care settings. About 15% of beneficiaries in Medicare fee-for-service consume 75% of the traditional program's spending each year, the CMS said. While the CMS has various ongoing demonstration projects in disease management and coordination of care, the latest project will be the first to specifically focus on high-cost beneficiaries. The CMS said it would select four to six organizations -- physicians, hospitals, integrated delivery systems or a consortium involving at least one of those groups -- for the three-year project. More information is available on the CMS Web site. -- by Tony Fong
CMS project to target highest-cost beneficiaries
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