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Happy Case Management Week 2022

Published on 

Wednesday, October 12, 2022

This week is National Case Management Week. The American Case Management Association (ACMA) and the Case Management Society of America (CMSA) both recognize this week as an opportunity to spotlight the great things about case managers and the case management industry. For 2022, the ACMA Case Management Week theme is Caring – It’s What We Do.

American Case Management Association

The ACMA’s official definition of Case Management, as approved by their membership in April 2020, as follows:

"Case Management in health care delivery systems is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management. Recognizing the patient’s right to self-determination, the significance of the social determinants of health and the complexities of care, the goals of Case Management include the achievement of optimal health, access to services, and appropriate utilization of resources."

2023 Medicare Parts A & B Premium and Deductible

To assist in the communication and care coordination along the continuum, a case manager needs to be aware of the potential financial impact of the care being coordinated. On September 27th, CMS published a Fact Sheet (link) detailing the 2023 Medicare Parts A & B premiums and deductible and Part D income-related monthly adjustment amounts.

Medicare Part B Premium and Deductible

  • 2023 Standard monthly premium $164.90, a decrease of $5.20 from $170.10 in 2022,
  • 2023 Annual deductible $226, a decrease of $7 from the annual deductible of $233 in 2022.

Medicare Part A Premium and Deductible

  • 2023 Part A inpatient hospital deductible $1,600, an increase of $44 from $1,566 in 2022,
  • 2023 Daily coinsurance for inpatient hospitalization days 61 through 90 will be $400, an increase of $11 from $389 in 2022.
  • 2023 daily coinsurance for lifetime reserve days $800, an increase of $22 from $778 in 2022.
  • 2021 Skilled Nursing Facility coinsurance $200, an increase of $5.50 per day from $194.50 in 2022
  • .

Medicare & You 2023

On Thursday, October 6, 2022, CMS announced the release of the 2023 Medicare & You Handbook in the MLN Connects newsletter (link). There are eight “What’s new & important?” call outs on page two of the handbook, for example:

  • COVID-19 Update: Medicare continues to cover COVID-19 vaccines, tests, and booster shots, if you’re eligible,
  • New start dates for your Medicare coverage: Beginning January 1, 2023, when you sign up for Medicare the month you turn 65 or during the last 3 months of your Initial Enrollment Period, or during the General Enrollment Period, your coverage starts the first day of the month after you sign up, and
  • Get help in a crisis: Your mental health and wellness are a high priority. If you or someone you know is in crisis, call or text 988, or chat 988lifeline.org.

MMP wishes all the hard working and dedicated Case Managers that we have the opportunity to work with a happy case management week.

Article Author: Beth Cobb, RN, BSN, ACM, CCDS
Beth Cobb, RN, BSN, ACM, CCDS, is the Manager of Clinical Analytics at Medical Management Plus, Inc. Beth has over twenty-five years of experience in healthcare including eleven years in Case Management at a large multi-facility health system. In her current position, Beth is a principle writer for MMP’s Wednesday@One weekly e-newsletter, an active member of our HIPAA Compliance Committee, MMP’s Education Department Program Director and co-developer of MMP’s proprietary Compliance Protection Assessment Tool.

This material was compiled to share information.  MMP, Inc. is not offering legal advice. Every reasonable effort has been taken to ensure the information is accurate and useful.