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Coverage of Certain Demonstration Projects under Medicare Modernization Act CMS Research Presentations at AcademyHealth 2004 The Medicare Replacement Drug Demonstration Medicaid Analytic eXtract (MAX) Data for Medicare Prescription Drug Plans View CMS Chart Series Need Data? ResDAC offers help in finding and using CMS data. |
Evaluation of the Community Nursing Organization Demonstration
The Community Nursing Organization (CNO) demonstration tests a capitated, nurse-managed system of care. The demonstration assesses the impact of providing a specified package of community-based services, in conjunction with case management, under a capitated payment methodology. A unique feature of the demonstration is the use of nurse case managers to coordinate care and to provide a more flexible array of services, such as prevention and health promotion, that are not normally covered by Medicare but which become possible under a capitated system of payment. The CNOs provide the treatment groups at four demonstration sites with a package of community-based services plus case management (not a Medicare benefit) under the capitation payment methodology. All other Medicare covered services are paid for under the standard Medicare fee-for-service payment methodology.
Evaluation Highlights:
Phase I evaluation.
Phase II evaluation.
Full Report:
Phase II Evaluation of CNO Demonstration - Final Report to Congress - (January 2003 , .pdf 2,245)
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