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CMS Outlines Patient On-Boarding in New Serious Illness Payment Model

Posted on Monday, November 4, 2019 12:37 PM

CMS has released a new process for identifying and on-boarding patients who qualify for coverage under the Seriously Ill Population (SIP) payment model. 

“[The SIP component] is aimed at promoting care for high need seriously ill population beneficiaries, who lack typically a primary care practitioner and more effective care coordination,” said Gary Bacher, chief strategy officer for the Center for Medicare & Medicaid Innovation, in an Oct. 31 CMS webinar. “We are expecting that [the SIP model patient population] will account for roughly 2% to 3% of Medicare beneficiaries. SIP is aiming to address situations where there’s either fragments that are siloed care, or lack of care management. And then the expectation is as these things are existing, we have higher health care costs, lower quality and lower patient satisfaction than otherwise would be necessary and we are seeking to improve that.”

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