The Division of Customer Experience Engagement (DCXE) within the Office of Healthcare Experience and Interoperability (OHEI) at the Centers for Medicare & Medicaid Services (CMS) is currently conducting a clinician qualitative research engagement focused on understanding factors influencing a clinician’s decision to participate or not participate in Medicare, Medicare Advantage, Medicaid, and/or the Marketplace, including but not limited to financial aspects. DCXE uses Human-Centered Design methodology to understand the experience of CMS customers (i.e. People with Medicare or Medicaid, clinicians, providers, etc.) and potential ways CMS can improve our programs and policies.
In this engagement, the intent is to gain perspectives and insights by speaking directly with clinicians who:
- Have opted out of Medicare, Medicaid, and/or the Marketplace (both those who never enrolled and those who enrolled and then opted out)
- Are enrolled in Medicare and/or Medicaid and not currently accepting new patients
- Previously opted out and have decided to re-enroll or terminate their decision to opt out
- Have transitioned to a direct primary care or concierge model
The DCXE is seeking recommendations from your association. They would like to speak with 5 – 7 individuals from your membership who represent the categories above and would be interested in voluntarily participating in a discussion about their participation or non-participation with Medicare, Medicaid, and/or the Marketplace. Conversations with individuals typically last about 30 minutes – 1 hour and would take place via Zoom. There is no need to prepare anything in advance. All participation in the DCXE engagement would be anonymized and aggregated with the learnings from other participants.
Please reach out to Morgan Taylor (morgan.taylor@cms.hhs.gov) and Christina Beach-Baumgartner (christina.beachbaumgartner@cms.hhs.gov) with your recommendations or if you have any questions. They are happy to answer them!
