March 03, 2020
On February 27, 2020, the Centers for Medicare and Medicaid Services (CMS) released the second annual report and a summary of the findings at a glance for the Medicare Care Choices Model (MCCM). The report found that 85 of the original 141 participants remained in the model as of June 30, 2019, serving 4,465 beneficiaries enrolled in the model. However, the report indicates that 50% of these beneficiaries are concentrated in eight participating hospices.
The goal of MCCM is to provide additional supportive care services for Medicare beneficiaries with terminal illnesses. MCCM enrollees averaged 7.5 in-person encounters per month while enrolled in the model. The report details how increased provider engagement has supported enrolled beneficiaries by providing numerous beneficiary stories. Beneficiary enrollment started on January 1, 2016, when the first cohort of hospices began implementing MCCM, followed by a second cohort on January 1, 2018. The model runs through December 31, 2020.
The MCCM is designed to test a new option for Medicare beneficiaries to receive supportive care services from selected hospice providers while continuing to receive services provided by other Medicare providers, including care for their terminal condition. Under current payment rules, Medicare and dually eligible beneficiaries are required to forgo Medicare payment for supportive care services related to their terminal condition in order to receive services under the Medicare or Medicaid hospice benefit. However, this model is testing whether continuing to provide these supportive services can improve the quality of life and care received by Medicare beneficiaries, increase patient satisfaction, and reduce Medicare expenditures.
For more information and updates about this Model, please visit the Medicare Care Choices Model website.