Lawmakers Target Chronic Care Patient Copays, But Would Physicians Earn More?

Lawmakers Target Chronic Care Patient Copays, But Would Physicians Earn More?

Medicare could save money while expanding services to beneficiaries if Congress eliminates out-of-pocket costs that beneficiaries pay for chronic care management (CCM) treatment, advocates say.

Medigy Insights

Removing Medicare’s 20% copay for chronic care management could significantly increase CCM adoption among the ~22 million eligible beneficiaries, while potentially reducing hospital and ER spending. For physicians, the opportunity is meaningful but depends on efficient staffing, EHR integration, and care-team models that prevent administrative costs from consuming the additional reimbursement.


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