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April 25, 2023: MGMA and other healthcare stakeholders endorse the Chronic Care Management Improvement Act of 2023 to ensure that more chronically ill Medicare patients receive access to high-quality care

Advocacy Letter - April 26, 2023

Coding & Documentation

Reimbursement

Medicare Payment Policies

April 25, 2023
 
The Honorable Suzan DelBene The Honorable Jeff Duncan
2330 Rayburn House Office Building 2229 Rayburn House Office Building
Washington, DC 20515 Washington, DC 20515

Dear Representatives DelBene and Duncan,

We, the undersigned organizations, strongly endorse the Chronic Care Management Improvement Act of 2023 to ensure that more chronically ill Medicare patients receive access to high-quality care. By removing the patient cost-sharing obligations from the Chronic Care Management (CCM) code, millions of chronically ill Medicare beneficiaries stand to benefit from the care coordination and care management services the code supports.

Because CCM is a critical part of coordinated care, Medicare began reimbursing clinicians for primarily non-face-to-face chronic care management under a separate code in the 2015 Medicare Physician Fee Schedule. We continue to support this initiative to effectively manage chronic conditions and improve patients' health. Providers and care managers report many positive outcomes for beneficiaries who receive CCM services, including improved patient satisfaction and adherence to recommended therapies, improved clinician efficiency, and decreased hospitalizations and emergency department visits.

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