Feds to Test Decision-Support for Select Conditions

The Centers for Medicare & Medicaid Services (CMS) has announced plans to test patient engagement strategies that target six “preference-sensitive” conditions—that is, conditions for which there isn’t a single treatment option and for which decision-support needs to recognize the values of individual patients and families. The two models are the Direct Decision Support Model—which will utilize up to seven Decision Support Organizations to help approximately 700,000 Medicare beneficiaries choose treatment approaches—and the Shared Decision Making Model—which will offer special reimbursement for support services provided by physician practices that participate in up to 50 Accountable Care Organizations (ACOs). The six preference-sensitive conditions are stable ischemic heart disease, hip osteoarthritis, knee osteoarthritis, herniated disk and spinal stenosis, clinically localized prostate cancer and benign prostate hyperplasia. For more information regarding these projects, go to https://innovation.cms.gov.