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February 24, 2015

Medicare and Care CoordinationExpanding the Clinician’s Toolbox

Author Affiliations
  • 1Division of Geriatrics, Department of Medicine, University of California, San Francisco
  • 2Department of Internal Medicine, University of California, Davis
JAMA. 2015;313(8):797-798. doi:10.1001/jama.2014.18174

Beginning in January 2015, Medicare will reimburse physicians, nurse practitioners, and physician assistants for non–face-to-face care coordination for patients with 2 or more chronic conditions associated with significant risk of exacerbation, decompensation, functional decline, or death.1,2 This policy shift represents a significant departure from the long-standing norm of paying clinicians exclusively for in-person interactions with patients. It also is a change that could affect many primary care physicians in the United States, as well as any other clinician willing to provide the service. Although there has been discussion of the fiscal and operational challenges posed by the new payment,3 less consideration has been given to the implications of the new policy for clinicians who will wonder what is required of them and how can they do it well.

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