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GAO Releases Report on Medicare Spending on Codes for Comprehensive Care Planning Services

August 06, 2019

McDermott+Consulting

The U.S. Government Accountability Office (GAO) recently released a report on Medicare physician spending on longitudinal comprehensive care planning (LCCP) services. This report, which was required by a provision of the Bipartisan Budget Act of 2018 (2018 BBA), identified 58 codes that are billed for LCCP-type services. The interest in these services is based on the evolving needs of Medicare beneficiaries. As over two-thirds of Medicare beneficiaries have more than two serious health conditions, and as the more serious these conditions become, the greater the need for increased planning and coordination among providers.

GAO found that overall Medicare spending on LCCP services increased from $26 billion in 2013 to $29 billion in 2017. In addition, the number of beneficiaries receiving care planning services increased from 267,000 to 2.5 million and the number of providers billing these services grew from 31,000 to 100,000.

The full GAO report, “Spending On and Use of Billing Codes for Comprehensive Care Planning Services” can be found here.

 


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459 or smadhani@mcdermottplus.com.

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