DMAA: The Care Continuum Alliance

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    Reimbursement for group medical care continues to be problematic in private sector (Dickman, 2012). As of current, Medicare and many insurers do not reimburse SMAs (Dickman, 2012). Policy makers play a key role in realigning financial incentives so that group visits are reimbursed for public and private insurance as routine part of primary care so that all people have access to SMA services. The SMA approach addresses how to implement chronic care management when faced with a shortage of providers in underserved regions. Because of current fee-for-service reimbursement in primary care settings, it is difficult to sustain group visits to focus on self-management and behavior change. Arguably, privately owned medical offices face financial…

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