The Centers for Medicare & Medicaid Services Will Pay for Patient Navigation—NowWhat?

Mandi L. Pratt-Chapman; Gabrielle Rocque; Julie McMahon; Manali Patel; Taneal Carter; Nancy Pena; Poorna Kushalnagar; Lexi Boyd; Reesa J. Sherin; Jessica Quiring; Zarek Mena; Linda Burhansstipanov; Don S. Dizon; Clara Lambert; Samuel Cykert; Julie E. Bauman

doi:10.3928/25731777-20240422-09

The Centers for Medicare & Medicaid Services Will Pay for Patient Navigation—NowWhat?

Mandi L. Pratt-Chapman, Gabrielle Rocque, Julie McMahon, Manali Patel, Taneal Carter, Nancy Pena, Poorna Kushalnagar, Lexi Boyd, Reesa J. Sherin, Jessica Quiring, Zarek Mena, Linda Burhansstipanov, Don S. Dizon, Clara Lambert, Samuel Cykert, Julie E. Bauman

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Following decades of research demonstrating the efficacy of patient navigation on clinical and patient-reported outcomes, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that pays for patient navigation and navigation-related services effective January 1, 2024. This article reviews the new codes to reimburse for principal illness navigation (PIN) services, social determinants of health (SDOH) assessment, community health integration, and PIN-Peer Support (PIN-PS). A description of the codes, how to use them, who can perform services, and next steps for the field are reviewed.

Original language	English (US)
Pages (from-to)	54-63
Number of pages	10
Journal	Oncology Issues
Volume	39
Issue number	2
DOIs	https://doi.org/10.3928/25731777-20240422-09
State	Published - Apr 2024
Externally published	Yes

ASJC Scopus subject areas

Health(social science)
Health Policy
Oncology(nursing)

Access to Document

10.3928/25731777-20240422-09

Cite this

Pratt-Chapman, M. L., Rocque, G., McMahon, J., Patel, M., Carter, T., Pena, N., Kushalnagar, P., Boyd, L., Sherin, R. J., Quiring, J., Mena, Z., Burhansstipanov, L., Dizon, D. S., Lambert, C., Cykert, S., & Bauman, J. E. (2024). The Centers for Medicare & Medicaid Services Will Pay for Patient Navigation—NowWhat? Oncology Issues, 39(2), 54-63. https://doi.org/10.3928/25731777-20240422-09

Pratt-Chapman, ML, Rocque, G, McMahon, J, Patel, M, Carter, T, Pena, N, Kushalnagar, P, Boyd, L, Sherin, RJ, Quiring, J, Mena, Z, Burhansstipanov, L, Dizon, DS, Lambert, C, Cykert, S & Bauman, JE 2024, 'The Centers for Medicare & Medicaid Services Will Pay for Patient Navigation—NowWhat?', Oncology Issues, vol. 39, no. 2, pp. 54-63. https://doi.org/10.3928/25731777-20240422-09

@article{a053cf2b5f6440c5b540c651c5504fb0,

title = "The Centers for Medicare & Medicaid Services Will Pay for Patient Navigation—NowWhat?",

abstract = "Following decades of research demonstrating the efficacy of patient navigation on clinical and patient-reported outcomes, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that pays for patient navigation and navigation-related services effective January 1, 2024. This article reviews the new codes to reimburse for principal illness navigation (PIN) services, social determinants of health (SDOH) assessment, community health integration, and PIN-Peer Support (PIN-PS). A description of the codes, how to use them, who can perform services, and next steps for the field are reviewed.",

author = "Pratt-Chapman, {Mandi L.} and Gabrielle Rocque and Julie McMahon and Manali Patel and Taneal Carter and Nancy Pena and Poorna Kushalnagar and Lexi Boyd and Sherin, {Reesa J.} and Jessica Quiring and Zarek Mena and Linda Burhansstipanov and Dizon, {Don S.} and Clara Lambert and Samuel Cykert and Bauman, {Julie E.}",

year = "2024",

month = apr,

doi = "10.3928/25731777-20240422-09",

language = "English (US)",

volume = "39",

pages = "54--63",

journal = "Oncology Issues",

issn = "1046-3356",