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File Name
CMS-5002-N
Subject
Medicare Program; Demonstration: Capitated Disease Management for Beneficiaries with Chronic Illnesses
Publication/Implementation Date
02/28/2003
Provider Type
Medicare+Choice
Type of Regulation
Regulations Published This Quarter
Regulation Summary
This notice informs interested parties of an opportunity to apply for a cooperative agreement to participate in a Capitated Disease Management Demonstration. This demonstration uses disease management interventions and payment for services based on full capitation (with risk sharing options) to (1) improve the quality of services furnished to specific eligible beneficiaries, including dual eligibles and the frail elderly, and (2) manage expenditures under Parts A and B of the Medicare program. We are interested in testing models aimed at beneficiaries who have one or more chronic conditions that are related to high costs to the Medicare program, such as stroke, congestive heart failure, or diabetes. We intend to use a competitive application process to select organizations to participate in this demonstration.