Nine programs will test chronic care intervention

The Medicare Modernization Act of 2003 authorized development and testing of voluntary Chronic Care Improvement Programs (CCIPs) to improve the quality of care and quality of life for people living with multiple chronic illnesses. The programs will help participants adhere to their physicians’ plans of care and obtain the medical care they need to reduce their health risks.

Each of the local CCIPs will offer self-care guidance and support to chronically ill Medicare beneficiaries to help them manage their health, adhere to their physicians’ plans of care, and ensure that they seek and obtain the medical care and Medicare-covered benefits they need. The programs will include collaboration with participants’ health care providers to enhance communication of relevant clinical information.

The programs are intended to increase adherence to evidence-based care, reduce unnecessary hospital stays and emergency department visits, and help participants avoid costly, debilitating complications. The organizations operating the programs are required to assist participants in managing their health holistically, including all comorbidities, relevant health care services, and pharmaceutical needs, as well as unique individual needs and cognitive impairments.

Phase I pilot programs will be operated by Aetna Health Management in Chicago; American Healthways Inc. in Washington, DC, and Maryland; CIGNA HealthCare in Georgia; Health Dialog Services Corp. in Pennsylvania; Humana Inc. in Central Florida; LifeMasters Supported SelfCare Inc. in Oklahoma; McKesson Health Solutions in Mississippi; Visiting Nurse Service of New York in partnership with United HealthCare Services Inc.-Evercare in Queens and Brooklyn in New York City; and XLHealth in Tennessee.