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January 15, 2019

Medicare’s Approach to Paying for Services That Promote Coordinated Care

Author Affiliations
  • 1Department of Medicine, University of Washington School of Medicine, Seattle
  • 2Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia
  • 3Corporal Michael J. Cresencz VA Medical Center, Philadelphia, Pennsylvania
  • 4Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 5Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA. 2019;321(2):147-148. doi:10.1001/jama.2018.19315

In its recently finalized 2019 Physician Fee Schedule, the Centers for Medicare & Medicaid Services (CMS) introduced new billing codes for a range of services that enable clinicians to provide more coordinated care.1 Effective January 1, 2019, these codes will reimburse clinicians for asynchronous telehealth services, chronic care physiologic monitoring, e-consults between clinicians, and virtual check-ins between patients and clinicians. These codes add to a growing list of existing fee-for-service payments created by CMS to incentivize better coordination of care, including transitional care management, chronic care management, advanced care planning, care planning for cognitive impairment, remote monitoring of patient data, and integrated behavioral health (Table).1-5