On January 1, 2018, Hospice & Palliative Care of Iredell County began participating in a pilot program, the Medicare Care Choices Model (MCCM). Simply put, the MCCM is designed to allow certain hospice-eligible Medicare patients to continue to seek curative treatments while also receiving hospice benefits. The MCCM encompasses all aspects of care: palliative care, end-of-life care, hospice support services, and traditional health care. Like palliative care and hospice, MCCM offers care coordination, symptom and pain management and promotes patient and family preferences and shared decision making. Like hospice, MCCM focuses on quality of life at the end of life. Unlike hospice, MCCM allows continued Medicare payment for treatment of the condition. Patients participating in MCCM will receive supportive services that are currently available under the Medicare Hospice Benefit including nursing, social work, aides, volunteers, and spiritual and bereavement counseling.
Medicare patients diagnosed with cancer, CHF, COPD or HIV who are deemed hospice appropriate may be eligible to participate in the MCCM.