NCCC

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July 7, 2003 Dear NCCC Members and Friends: This is to inform you that the NCCC Board has voted to begin the process of termination of NCCC business operations effective July 1, 2003. Plans are being made to continue work of the Medicare Payment Coalition and the Alzheimer's demonstration through the end of the year, within the limits of available resources, with future work contingent upon decisions of those involved. All other NCCC activity is being terminated as soon as possible. This announcement is made with sadness and regret, as the work of the NCCC has been an important source of leadership and support for many people. However, there comes a time in any organization when leadership must declare the organization's work complete and find new ways of pursuing related business interests. Since 1991, the NCCC has been an important resource in bringing national prominence to chronic care reform. It has helped create a national sense of urgency, understanding, and commitment for new and improved policies, structures, and clinical methods for serving people with multiple, complex chronic conditions. It has successfully developed new tools and methods for enabling leading primary, acute and long-term care providers to establish new business methods for people with chronic conditions. It has been successful in its efforts to educate national policy leaders on legislative and regulatory impediments and options for improving quality and cost outcomes for people with multiple, complex care needs, resulting in important national and state legislation and demonstrations. We are particularly proud and pleased with the level of progress that has been made in Congress and in CMS on improving payment methods for physicians serving people with multiple, complex care needs; on establishing risk adjustment methods and specialty M+C provisions; and for establishing an IoM study on barriers to smooth transitions and care continuity. Unfortunately, while health leaders across the spectrum of payer, provider, policy, research, and consumer organizations express interest and support for the NCCC's mission and work; there does not appear to be sufficient resources available to successfully continue business operations. We will be in touch with members and others with information on help that will be needed for termination. In the interim, we want to thank you for your involvement and support. The NCCC has been a truly remarkable effort of diverse and talented leadership. If you would like further information on this decision, please call either of us at 212-337-5760 for Arthur or at 202-624-1516 for Rich. Sincerely, Arthur Y. Webb Board Chair Richard J. Bringewatt President and CEO July 7, 2003 Dear NCCC Members and Friends, In another letter Arthur Webb and I informed you of the NCCC Board's decision to terminate NCCC operations as soon as possible. This letter is to inform you of my personal support for that decision and to let you know that I am extremely grateful for your long-standing commitment to the cause of chronic care reform. We have come a long way since our inception in January of 1991.

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