For decades, chronic disease management in Medicare has been hampered by a fee-for-service payment system that rewards volume and activity rather than true clinical improvement. This model created ...

Today, more than half of the U.S. population lives with at least one chronic condition, and nearly 30% have multiple chronic conditions. These chronic conditions—which include heart disease, ...

SEATTLE—Ed Wagner, MD, MPH, knew there had to be a better way. He and Group Health colleagues set out 15 years ago to explore how best to engage patients with chronic diseases in effective care. With ...

The Centers for Medicare & Medicaid Services (CMS) recently announced that the Center for Medicare and Medicaid Innovation (CMMI) is testing an outcome-aligned payment approach designed to give ...

CMS is developing the ACCESS Model, a new national program that will pay Medicare Part B–enrolled organizations based on chronic-condition outcomes, care coordination and social-needs integration, ...

Chronic illness care has evolved into a multi‐faceted approach that integrates healthcare delivery with patient self‐management to address long‐term conditions such as diabetes, depression and ...

In recent years, virtual care and wearable health devices have opened new possibilities by giving clinicians clearer ...

Stakeholders from Horizon Blue Cross Blue Shield of New Jersey discuss new ways to address management gaps for chronic behavioral health conditions, including a new integrated care model that puts ...

CMS plans to open applications in 2026 for a new payment model aimed at increasing access to technology-supported care for people with Original Medicare who are managing chronic conditions. Here are ...

The Centers for Medicare & Medicaid Services (CMS) officially released its final 2022 Physician Fee Schedule, including increased reimbursements for chronic care management (CCM). CMS began ...

This study of community health workers as clinical extenders demonstrates significant cost savings in managing chronic conditions among Medicaid beneficiaries. Effective chronic disease management ...