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. 2008 Fall;30(1):5–25.

Table 1. Selected Features of the Medicare Coordinated Care Demonstration Programs.

Program CC Must Be BSN or MSN Prepared Typical CC Caseload Percentage of Patients with Monitoring Contacts Mean Number of Contacts per Month Percentage of Contacts In-Person Initial Assessment Routinely in Person Home Telemonitor Used1 Education Based on Behavior Change Model2 Physicians Routinely Expected to Participate in Care Planning Program Payment to Physicians
Avera — 86 93.2 8.2 1.6 ✓ ✓ — ✓ $30 pppm
Carle — 155 98.6 1.4 31.4 — — ✓ ✓ For Meetings with CCs
CenVaNet — 75 94.7 1.4 18.1 ✓ — ✓ — —
Charlestown — 60 99.0 2.3 31.9 — — — ✓ $26 pppm
CorSolutions — 145 100.0 2.6 3.7 ✓3 — ✓ ✓ For Telephone Conferences with CCs
Georgetown University ✓ 36 98.0 5.9 14.1 ✓ ✓ — ✓ For Inperson Conferences with CCs
Health Quality Partners — 106 99.5 2.2 41.6 ✓4 — ✓ ✓ —
Hospice of the Valley — 40 100.0 2.5 37.1 ✓ — ✓ — —
Jewish Home and Hospital ✓ 66 85.3 2.5 40.2 ✓ — — — $28 pppm
Medical Care Development 70 86.6 1.5 29.4 ✓ — ✓ — $20 pppm
Mercy ✓ 50 99.6 1.4 69.2 ✓ — — ✓ —
QMed — 150 98.9 1.2 7.6 — — — — For Review of Program Reports
Quality Oncology — 40 100.0 NA5 0.0 — — NA6 — For Provision of Medical Records
University of Maryland ✓ 71 100.0 3.9 6.5 ✓ ✓ NA7 — $100 pppm
Washington University — 70 98.3 1.2 4.7 — — ✓ ✓ —
1

QMed periodically tested its patients with an ambulatory ischemia monitor. CenVaNet, Jewish Home and Hospital, and Mercy used home telemonitors for a minority of patients.

2

Behavior change and readiness-to-change models became more popular during the later years of the demonstration. Many of the programs with ✓'s did not initially include patient educator training in these methods, but introduced it later.

3

CorSolutions initially contracted with local home health agencies to conduct part of the initial assessment, but discontinued this practice later in the demonstration.

4

Health Quality Partners routinely assessed only its high-risk patients in person.

5

Quality Oncology reported that its care coordinators were not recording all their patient contacts; therefore, this figure is not presented.

6

Quality Oncology targeted cancer patients. Their education is shorter term and focuses on recognition of adverse treatment effects. Thus, behavior change is not relevant to program teaching.

7

University of Maryland did not provide patient education; its intervention was the provision of home telemonitoring for patients with congestive heart failure.

NOTES: CC is care coordinator. BSN is baccalaureate degree in nursing. MSN is masters degree in nursing. pppm is per patient per month. NA is not available.

SOURCE: Brown, R., Peikes, D., Chen, A., and Schore, J., Mathematica Policy Research, Inc., 2008.