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40 fall under the category of care coor- dination. Practices also can use CCM activities to meet patient satisfaction measures. Under the new Merit-Based In-
centive Payment System (MIPS) es- tablished with the elimination of the Medicare Sustainable Growth Rate (SGR) formula, physicians who dem- onstrate care coordination, enhanced access to care, and patient engage- ment, for example — all components of the CCM program — can use those activities to meet the MIPS Clinical Practice Improvement requirements. (See “SGR Is Gone. Now What?” pages 57–62.) The Medicare and CHIP Reautho-
rization Act also calls on CMS to re- port to Congress in 2017 specifically on the use of CCM services, identify- ing barriers and making recommenda- tions for broader adoption. Dr. Salman warns, too, that if physi-
cians don’t use the new CCM program, CMS could take it away. Meanwhile, Mr. McCormick notes
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that private insurers are adopting similar programs, and physicians can use Medicare’s playbook to position themselves for commercial value- based contracts, which tend to pay more. “It’s important for all payers to realize that physicians are the most ef- ficient means to engage patients and promote the behavior change we all want to see.” n
Amy Lynn Sorrel is associate editor of Texas Medi- cine. You can reach her by phone at (800) 880- 1300, ext. 1392, or (512) 370-1392; by fax at (512) 370-1629; or by email at
amy.sorrel@
texmed.org.
A TMA Group Discount Program Member 1.800.667.9723 50 TEXAS MEDICINE September 2015
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