Medicare’s Chronic Care Management Program is Associated With Reduced Growth in Medicare Costs and Better Support of Chronically Ill People

Medicare’s Chronic Care Management Program is Associated With Reduced Growth in Medicare Costs and Better Support of Chronically Ill People

New study shows impact of in-between visit care for people with multiple chronic conditions

Cleveland, OH – February 22, 2018 – The Center for Medicare and Medicaid Innovation (CMMI) released a new study this week that showed that its chronic care management (CCM) program is associated with lower growth in Medicare costs, an enhanced ability to connect patients with community-based resources, and is helping to keep patients out of the hospital.

CCM is a program launched by the Centers for Medicare and Medicaid Services (CMS) in 2015 to help  provide support for patients with multiple chronic conditions in-between their provider visits and episodes of care.  The CCM program created a new Medicare-benefit to support beneficiaries  with two or more chronic conditions by providing new “in-between visit” revenue to participating providers, stimulating practices to enhance their focus on goal-directed, person-centered care planning, and to provide “aging-in-place” resources such as proactive care management.

Impact of CCM on total expenditures

Estimated PBPM impact of CCM on total expenditures and by expenditure category: 6-, 12-, and 18-month follow-up periods

The study showed that participation in the CCM program was associated with a lower growth in total costs to Medicare than the comparison group.   Patients in the CCM program had lower hospital, emergency department and skilled nursing facility costs. Receipt of CCM services was also associated with a reduced likelihood of hospital admission for the ambulatory care sensitive conditions of diabetes, congestive heart failure, urinary tract infection, and pneumonia among CCM beneficiaries, relative to the comparison beneficiaries.  The CCM program was also associated with increased access to advance care planning (10% among CCM participants versus 1% in the general Medicare population). The study authors concluded that “CCM is having a positive effect on lowering the growth in Medicare expenditures on those that received CCM services.”

Dr. William Mills, President and CEO of Chronic Care Management, Inc. said, “The CMMI study performed by Mathematica showed significant early chronic care management  program success.  Most notably, patients in the CCM program were more connected to their healthcare providers, had more access to their primary care doctor and better utilized home-based services like home healthcare, which are helping patients avoid unnecessary hospital and emergency department use.  Mills continued, “This study also showed reduced hospitalizations for ambulatory care sensitive conditions among CCM beneficiaries, which is a major focus of the program – to help empower patients and providers with actionable plans that can help keep patients at home, instead of in hospitals.”

Chronic Care Management, Inc. provides:

About Chronic Care Management, Inc.

Chronic Care Management, Inc. is a solution-oriented technology and services care management provider. The company’s primary focus is “in-between visit” care management for people with multiple chronic conditions. Headed by William Mills, M.D., a physician with extensive national care management leadership and primary care and geriatrics practice, the company develops and deploys software and clinically integrated care management programs that promote goal-directed, quality collaborative care planning. The solutions bring together healthcare providers, systems and stakeholders around a central, person-centered care plan that drive positive clinical outcomes for patients and positive financial outcomes for healthcare organizations and payers, including Medicare. Providing fee-for-service healthcare providers a concrete path from volume to value, Chronic Care Management, also empowers organizations who are participating in alternative payment models with a formal platform to foster care coordination, quality measure success attainment, advance care planning, care transitions, medication reconciliation and a number of other success-driving areas.

For more information, or to schedule a product and services presentation, please visit or call toll free: (844) CCM-6500 / (844) 226-6500.


© 2018 Chronic Care Management, Inc. Chronic Care Management Professional Hints and the Chronic Care Management company name with logo are registered trademarks of Chronic Care Management, Inc. All rights reserved.

Press Contact:

Kathy Lewis

Chronic Care Management, Inc.

(844) 226-6500