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Use of chronic care management service among Medicare beneficiaries in 2015-2019

Authors
 Jieun Jang  ;  Ellen P McCarthy  ;  Brianne Olivieri-Mui  ;  Sandra M Shi  ;  Chan Mi Park  ;  Gahee Oh  ;  Stephanie Denise M Sison  ;  Dae Hyun Kim 
Citation
 JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, Vol.72(9) : 2730-2737, 2024-09 
Journal Title
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
ISSN
 0002-8614 
Issue Date
2024-09
MeSH
Aged ; Aged, 80 and over ; Chronic Disease / therapy ; Fee-for-Service Plans* / statistics & numerical data ; Female ; Humans ; Male ; Medicare* / statistics & numerical data ; Multiple Chronic Conditions / epidemiology ; Multiple Chronic Conditions / therapy ; United States
Keywords
Delivery of Health Care ; Medicare ; chronic care management ; chronic disease
Abstract
Background: The Centers for Medicare and Medicaid Services (CMS) introduced chronic care management (CCM) services in 2015 for patients with multiple chronic diseases. Few studies examine the utilization of CCM services by geographic region, sociodemographic, and clinical characteristics.

Methods: We used 2014-2019 Medicare claims data from a 5% random sample of fee-for-service beneficiaries aged 65 years or over. We included beneficiaries potentially eligible for CCM services because they had multiple chronic conditions (1,073,729 in 2015 and 1,130,523 in 2019). We calculated the proportion of potentially eligible beneficiaries receiving CCM service each year for the total population and by geographic region, sociodemographic, and clinical characteristics.

Results: The proportion of beneficiaries with two or more chronic conditions receiving CCM services increased from 1.1% in 2015 to 3.4% in 2019. The increase in CCM use was higher in the southern region, among dually eligible beneficiaries and beneficiaries with a greater burden of chronic conditions (2-5 conditions vs ≥10 conditions: 0.7% vs 2.0% in 2015; 2.1% vs 7.0% in 2019) and frailty (robust vs severely frail: 0.6% vs 3.3% in 2015; 1.9% vs 9.4% in 2019). Nearly one out of five recipients did not continue CCM service after the initial service.

Conclusion: We found that CCM service is being used by a very small fraction of eligible patients. Barriers and facilitators to more effective CCM adoption should be identified and incorporated into strategies that encourage more widespread use of this Medicare benefit.
Full Text
https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.19066
DOI
10.1111/jgs.19066
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Jang, Jieun(장지은)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/206421
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