Funded in part by a grant from the EJC Foundation Presented in partnership by GERIATRIC EDUCATION SERIES
dhs.unr.edu/aging Steven L. Phillips, MD Medical Director Sanford Center for Aging Geriatric Education Series CHRONIC CARE MANAGEMENT
One of the greatest challenges facing elders is the increase in the number of chronic conditions as they age. Chronic conditions can stem from a range of causes and often impact an individual’s quality of life and experiences.
Objective 1 Define chronic conditions and the impact on quality of life. Objective 2 Provide a structured framework around care plan development and implementation. Objective 3 Describe the intersection between chronic conditions and healthcare utilization. Objectives
The Centers for Medicare and Medicaid Services (CMS) added chronic care management (CPT Code 99490) to the list of services that are reimbursable.
20 minutes of non-face-to-face care per calendar month Two or more chronic conditions expected to last at least 12 months. Patient at significant risk of death, acute exacerbation or functional decline Comprehensive care plan established, implemented, revised or monitored Chronic Care Management Services
133 million Americans suffer from at least one chronic condition 70% of all deaths result from chronic diseases 85% of all healthcare dollars go to treating chronic disease Two-thirds or more of Medicare dollars spent on patient with five or more chronic diseases Chronic Care Management Services
63% of patients with six or more chronic conditions were hospitalized one or more times, compared to 4% of those with 0 or 1 chronic conditions 49% of patients with six or more chronic conditions received post-acute care, compared to less than 1% of beneficiaries with 0 or 1 chronic conditions 70% of patients with six or more chronic conditions had one or more Emergency Department (ED) visits, compared to 14% with 0 or 1 chronic conditions
6 or more Chronic Conditions 70 percent 4 to 5 Chronic Conditions 20 percent 2 to 3 Chronic Conditions 8 percent 0 to 1 Chronic Conditions 2 percent Disproportionate Share of Hospital Readmissions
Acute Myocardial Infarction Asthma Diabetes Mellitus Benign Prostatic Hyperplasia Acquired Hypothyroidism Alzheimer’s and other dementia Anemia Colorectal, Breast, Lung, Prostate Cancer Cataracts Eligible Chronic Conditions
Depression Glaucoma Hyperlipidemia Hypertension Chronic Kidney Disease Chronic Obstructive Pulmonary Disease Heart Failure Hip/Pelvic Fracture Eligible Chronic Conditions
Physicians Advanced Practitioner of Nursing Physician Assistants Clinical Nurse Specialist Practitioners Eligible to bill Medicare for CCM
Physician Assistant Clinical Nurse Specialist Licensed Practical Nurse Certified Medical Assistant Physicians Advanced Practitioner of Nursing Registered Nurse Certified Nursing Assistant Licensed Clinical Social Worker Non-Face-to-Face Care Management Team
Secure the eligible beneficiary’s written consent Provide five specified capabilities Provide 20+ minutes of non-face-to-face services per calendar month Requirements to Participate
Use a certified Electronic Health Record Maintain an electronic care plan Ensure beneficiary access to care Facilitate transitions of care and referrals as needed Coordinate care with home and community-based clinical service providers Five Specified Capabilities
Steven L. Phillips, MD (775) Sanford Center for Aging Geriatric Specialty Clinic