In February 2018, Congress passed the Bipartisan Budget Act, which includes the CHRONIC Care Act. This historic new law includes a number of measures aimed at improving care quality for individuals with complex health and social needs, including older adults and people with disabilities. The law employs a variety of mechanisms intended to achieve its care cost and quality goals, including enhancing care coordination in Accountable Care Organizations (ACOs), extending a successful home-based primary care pilot, and allowing for expanded telehealth service delivery. There is also a concerted focus on Medicare Advantage (MA) and Special Needs Plans (SNPs) as a powerful driver of innovation. Specifically, the legislation gives MA plans greater flexibility to cover non-medical benefits, such as home-delivered meals or home modifications, for targeted high-need/high-risk Medicare and dually eligible members. This expansion represents a watershed shift in the Center for Medicare and Medicaid Services’ (CMS) interpretation of what kinds of interventions are considered “health-related”, and for the first time on a wide scale, it opens the door for community-based organizations (CBOs) to partner with MA plans and get paid for delivering the social determinant of health (SDOH)-impacting services they are expert in.
On this May 30th, 2018 webinar, expert speakers will explain the changes ushered in by the CHRONIC Care Act, detail its potential to drastically improve care for complex-need populations, and explore its implications for CBO reimbursement and health care integration.