CMS Releases the Chronic Pain Illustration
In late 2019,CMS launched a Chronic Pain Stakeholder Engagement, which focused on understanding more about access to covered care and services for people with chronic pain. We used qualitative research methods and the human-centered design process to understand and visualize the customer experiences living with, providing care for, and treating people with chronic pain. In addition to direct engagement, CMS leveraged data from the Centers for Disease Control and Prevention.
The intent of the Chronic Pain Experience Journey Map (PDF) is to highlight the most prominent barriers experienced by people accessing care and the influencers acting on providers, ultimately affecting the person with chronic pain, their quality of care, and their quality of life. In collaboration with our Federal partners, we are exploring where opportunities exist for us to address these issues under the authorities we collectively have. We encourage everyone to explore where opportunities exist outside of the parameters of government to bring ease for those suffering with chronic pain, such as eliminating the stigmas that exist not only for those who suffer with chronic pain, but also those who suffer with behavioral health issues as well as those who suffer from opioid use disorder.
CMS recognizes the impact of pain across its programs, and has identified the importance of effective treatment and management of pain in the CMS Behavioral Health Strategy. This work aligns with the CMS Behavioral Health Strategy, the HHS Overdose Prevention Strategy, and important provisions of the SUPPORT Act that address the treatment of pain: Section 6032 which includes a Report to Congress and a CMS Action Plan to Enhance Prevention and Treatment for Opioid Use Disorder, and Section 6086, the Dr. Todd Graham Pain Management Study.
View the Chronic Pain Experience Journey Map (PDF)
Beneficiary Care Activities & Transitions (PDF)
Challenges for Beneficiary Care Transitions (PDF)
Chronic Pain Experience Journey Illustration (PDF)
Complexity & Burden of Hospital Reporting (PDF)
Transitions Through the Dialysis Patient Journey (PDF)
Mapping the Nursing Home Experience (PDF)
Navigating the Home Health Maze (PDF)
Navigating the Medicare Savings Program (MSP) Eligibility Experience (PDF)
The Hospice Agency Journey (PDF)