CMS Publishes Participation Instructions for Independence At Home Demonstration

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On June 1, 2012, the federal Independence at Home demonstration program to provide coordinated care to Medicare beneficiaries living with chronic conditions in the community launched in 16 individual practices in 12 states around the nation. The following practices were selected as initial participants in the program:

  • Boston Medical Center (Boston, Massachusetts)
  • Christiana Care Health Services (Wilmington, Delaware)
  • Cleveland Clinic Home Care Services: Medical Care at Home Program (Independence, Ohio)
  • Comprehensive Geriatric Medicine P.C. (Brooklyn, New York)
  • Doctors Making Housecalls, LLC (Durham, North Carolina)
  • Housecall Providers, Inc. (Portland, Oregon)
  • MD2U (Louisville, Kentucky)
  • National House Call Practitioners Group (Austin, Texas)
  • North Shore – Long Island Jewish Health Care Inc.: Physician House Calls Program (Westbury, New York)
  • RMED, LLC (Jacksonville, Florida)
  • Visiting Nurse Housecall, LLC (Atlanta, Georgia)
  • Visiting Physicians Association, P.C. – Flint/Saginaw/Marysville (Flint, Michigan)
  • Visiting Physicians Association, P.C. – Lansing/Ann Arbor (Okemos, Michigan)
  • Visiting Physicians Association, P.C. – Milwaukee (West Allis, Wisconsin)
  • Visiting Physicians Association of Texas, PLLC – Dallas (Irving, Texas)
  • Wellness Resources Network, LLC (Sunrise, Florida)

On August 10, 2012, CMS announced an additional three participants. These participants are consortia, comprised of multiple practices cooperating in a single market. They are:

  • Innovative Primary Senior Care LLC (Skokie, Illinois)
  • Treasure Coast Healthcare, LLC (Stuart, Florida)
  • Virginia Commonwealth University Health System/Medical College of Virginia Hospitals and Physicians (Richmond, Virginia)

The Center for Medicare & Medicaid Innovation also released a new Fact Sheet on Independence at Home (PDF).

 

The demonstration is designed to provide chronically ill Medicare beneficiaries with a complete range of home-based primary care services. The goal of the demonstration is to provide comprehensive, coordinated, continuous, and accessible care to high-need patients and to coordinate health care across all treatment settings. The project design incorporates a team approach building on new technology for care delivery in the home setting, for which CMS will test effectiveness through measuring improved outcomes and quality of life for people with multiple chronic conditions. The program is also designed to lower health care costs and realize savings for Medicare and Medicaid spending by delaying the need for care in institutional settings.

IAH is a 3-year demonstration and specifically lists pharmacists as eligible participants of the interdisciplinary team as part of the primary care delivery model. IAH practices will be led by physicians or nurse practitioners who will provide home care visits tailored to the needs of beneficiaries. CMS estimates up to 10,000 Medicare patients will be able to benefit from the demonstration.

Providers of service or practitioners affiliated with the practice may share in any savings realized from decreased costs to Medicare and Medicaid. However service providers may not also be simultaneously enrolled in other shared savings or demonstration projects. Participants must agree to provide data on quality and other measures to determine effectiveness and incentive payments under the demonstration. There are 14 quality measures that must be reported, six of which are directly tied to incentive payments, and practices must meet a minimum savings requirement to share in the savings.

Questions on this demonstration may be submitted to CMS at IndependenceAtHomeDemo@cms.hhs.gov.

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