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The Effect of ‘Meaningful Use’ Requirements on Chronic Disease Management: A Descriptive Comparative Analysis of Physician Practice Patterns. As part of the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the Centers for Medicare & Medicaid Services (CMS) required hospitals to document use of value-based payment models (VBPMs) for physician-specific chronic diseases. This study sought to understand the impact of these requirements on Chronic Disease Management (CDM) and care coordination by collecting descriptive data from diverse members of the AHRQ-underwritten CHOICES Network. We analyzed practice level data from the 2015 National Ambulatory Medical Care Survey and 2015 National Hospital Ambulatory Medical Care Survey databases, comparing measures of frequency of CDM coordination by any physician practitioner and CDM by a nurse practitioner (NP) or physician assistant (PA) at the patient level. A total of 511,204 visits were included in the analysis; 33.9% of the visits had any CDM involvement, and 16.7% of the visits involved a nurse/NP, 3.4% involved a PA, and 1.8% involved both. The results show a higher frequency of CDM activities performed by NP or PA versus physician. A limited number of visits per member from diverse Network practices were included in this analysis. The data in this analysis may not be generalizable to all practices in the U.S. In the U.S. healthcare system, health care facilities are being reimbursed for their care delivery by Medicare and Medicaid as well as private insurers. As ambulatory patient care transitions to value-based care models, a current gap of measurement and measurement of care coordination needs to be addressed. } } } } } } std::cout
