MEDICARE CARE CHOICES MODEL Findings from the 3rd Annual Report Released by CMS The Centers for Medicare & Medicaid Services released the third annual report on the Medicare Care Choices Model. Initial impact findings indicate that MCCM led to substantial reductions in total Medicare spending for deceased MCCM enrollees during the first 3 years of the model. Total Medicare expenditures decreased by 25%, generating $26 million in gross savings and $21.5 million in net savings, largely by reducing inpatient care through increased use of the hospice benefit. Most caregivers reported positive experiences in the model and caregivers of enrollees who did not transition to hospice reported lower satisfaction rates. Below, NHPCO shares additional information from CMS.