{"id":5191,"date":"2018-03-13T01:45:47","date_gmt":"2018-03-13T01:45:47","guid":{"rendered":"http:\/\/tele.healthcare\/?p=5191"},"modified":"2018-03-13T01:45:47","modified_gmt":"2018-03-13T01:45:47","slug":"new-law-broadens-chronic-care-through-medicare-the-chronic-care-act-expands-access-to-telehealth-and-other-benefits","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/new-law-broadens-chronic-care-through-medicare-the-chronic-care-act-expands-access-to-telehealth-and-other-benefits\/","title":{"rendered":"New Law Broadens Chronic Care Through Medicare-The CHRONIC Care Act expands access to telehealth and other benefits"},"content":{"rendered":"

The Chronic Care Act continues to make waves to improve the use of telehealth services.\u00a0<\/strong><\/p>\n

March 13, 2018 by Emily Gurnon<\/p>\n

Older adults with a lot of medical issues will see some of their burdens eased through a new law passed by Congress and signed by President Donald Trump.<\/p>\n

The Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2018 won broad bipartisan support.<\/p>\n

That makes sense, because \u201ceverybody knows somebody with serious chronic illness or functional limitations, and everybody knows somebody who\u2019s faced a real challenge getting their care coordinated or accessing something that clearly ought to be a benefit,\u201d said Dr. Bruce Chernof, president and CEO of The SCAN Foundation, a public charity devoted to transforming care for older adults to preserve dignity and encourage independence (and a Next Avenue funder).<\/p>\n

The CHRONIC Care Act<\/a> became law on Feb. 9 as a part of the Bipartisan Budget Act of 2018.<\/p>\n

\u201cThe bill itself contains a broad array of opportunities to improve and better integrate care, particularly for high-needs older adults, so much of it is focused on Medicare,\u201d Chernof said. Other parts of the law strengthen programs for those eligible for both Medicare and Medicaid.<\/p>\n

Details of the CHRONIC Care Act<\/h3>\n

Among other things, the law does the following:<\/p>\n

    \n
  • Gives Medicare Advantage plans more flexibility so they can now cover \u201cnon-medical\u201d benefits like bathroom grab bars and wheelchair ramps for the chronically ill<\/li>\n
  • Makes more telehealth services (providing health care remotely through electronic means) available for Medicare Advantage members<\/li>\n
  • Expands telehealth services for people having stroke symptoms, regardless of their geographic area<\/li>\n
  • Provides kidney disease patients with more access to home dialysis through telehealth<\/li>\n
  • Establishes a new program in which certain Accountable Care Organizations (groups of health care providers or hospitals who provide coordinated care to Medicare patients) can pay patients to come in for primary care appointments, up to $20 per visit<\/li>\n
  • Promotes better coordination of services for people in Special Needs Plans (Medicare Advantage plans for people with particular diseases or characteristics) who also receive Medicaid<\/li>\n<\/ul>\n

    Enthusiasm for the Changes<\/h3>\n

    Chernof said the law is a welcome change to a medical delivery system \u201cthat is sort of purpose-built for 1971,\u201d and has not fundamentally revised its approach to caring for people who have functional limitations or serious chronic illness.<\/p>\n

    \u201cWhat this bill really says is, people who have needs need to get them met in a far more organized way than they\u2019re getting them today, because actually it\u2019s not good for their care. It\u2019s not good for them as people and it\u2019s pretty inefficient,\u201d he said.<\/p>\n

    An example: Medicare has traditionally put up high barriers to services that could be provided over the telephone. But requiring a person with chronic illness to come to a doctor\u2019s office every time he or she needs care or has a question is inefficient and can be risky, Chernof said. That\u2019s especially true in flu season and for people with weak immune systems, such as those on dialysis.<\/p>\n

    \u201cIf the only way to get your question answered is to plop yourself down in the doctor\u2019s office and potentially be exposed to things like flu \u2014 it\u2019s not good care,\u201d Chernof said.<\/p>\n

    That\u2019s where the new telehealth measures in the CHRONIC Care Act can make a difference, he said.<\/p>\n

    Getting Care at Home<\/h3>\n

    Another group to benefit from the new law: people enrolled in an Independence at Home program, a project of the Affordable Care Act. Such programs, operating at 14 sites around the country, are testing whether having doctors and nurses provide house calls for the chronically ill and disabled might improve care and cut costs.<\/p>\n

    Under the law, the number of patients in the program will expand from 10,000 to 15,000, and medical practices can participate in the demonstration project for up to seven years, instead of five.<\/p>\n

    The program \u201chas proven in its early phases to be very successful, not just in its economic performance but really improving the lives of older adults,\u201d Chernof said. It has also helped their circle of caregivers, who bear the burden of caring for their serious needs, he added.<\/p>\n

    According to the Centers for Medicare and Medicaid Services, Independence at Home saved Medicare a total of $7,821,374, an average of $746 per beneficiary, in its second year. On average, patients had fewer hospital readmissions and used inpatient hospital and emergency room services less for conditions such as diabetes, high blood pressure, asthma, pneumonia and urinary tract infection.<\/p>\n

    Addressing Frustrations<\/h3>\n

    Lack of coordination between Medicare and Medicaid has caused plenty of aggravation for patients, but the CHRONIC Care Act addresses this.<\/p>\n

    Before the law, Medicare wouldn\u2019t issue a coverage denial letter for something it didn\u2019t consider a benefit, but without the denial letter, Medicaid also wouldn\u2019t pay, Chernof said. Another hassle: older adults have needed to carry a wallet full of ID cards, one for each program or type of service.<\/p>\n

    \u201cI see the CHRONIC Care Act as a downpayment on shaping the future \u2014 a future that people want. And I actually think that strong bipartisan support is a recognition of that, because ultimately, after our political affiliations, we\u2019re all human,\u201d said Chernof.<\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    The Chronic Care Act continues to make waves to improve the use of telehealth services.\u00a0 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