New Medicare Program Provides Patients With Comprehensive Chronic Care Management

According to the Centers for Disease Control and Prevention (CDC), 133 million Americans, or 1/3 of the population, suffer from at least one chronic disease and more than 2/3rds of Medicare funds are spent on patients with 5 or more chronic diseases, including cancer, diabetes, hypertension, stroke, heart disease and mental illness. Despite these staggering statistics, a majority of patients suffering from chronic diseases do not receive care management services, which have been proven to reduce their cost of care and improve their overall health.

Most providers do not offer care management services simply because they do not receive sufficient payment to cover the staffing and technology requirements necessary. Due to the lack of care management, patients living with chronic diseases need to manage their own care, which can often result in increased medical complications.

As of January 1, 2015, Medicare began paying providers for chronic care management services. What does that mean for you? Patients living with two or more chronic conditions (expected to last for at least 12 months) are eligible for comprehensive care management, including 24/7 access to care management services, medication management and coordination of care through transitions to and from the hospital and among all of the patient’s health care providers.

What’s the catch? The comprehensive care management program is not cost free for patients. Under Medicare Part B, patients without supplemental insurance are responsible for a 20% co-pay, approximately $100 per year, to participate in the program.

To learn more about your care options, please call us at 1-877-99-Care1 (22731) or visit us online at