Independence at Home Demonstration Saves More than $10 Million in Second Performance Year
August 12, 2016 10:29 AM
The Centers for Medicare & Medicaid Services (CMS) this week announced that the Independence at Home Demonstration saved over $10 million for the second performance year. In its first year, the Independence at Home Demonstration saved over $25 million (see previous NAHC Report article here).
“The Independence at Home Demonstration is a patient-centered model that supports providers in caring for chronically ill patients in their own homes,” said Dr. Patrick Conway, CMS acting deputy administrator and chief medical officer. “These results continue to support what most patients already want – the ability to have high quality care in the home setting.”
According to the CMS analysis, for the second performance year, Independence at Home participants saved over $10 million—an average of $1,010 per beneficiary—“while delivering higher quality patient care in the home.” CMS said it will award incentive payments of $5.7 million to seven participating practices that succeeded in reducing spending while improving quality.
CMS further stated that 15 practices served more than 10,000 Medicare beneficiaries and all 15 practices improved quality from the first performance year in at least two of the six quality measures for the Demonstration. Four practices met the performance measures for all six quality measures. On average, beneficiaries:
Have follow-up contact from their provider within 48 hours of a hospital admission, hospital discharge, or emergency room visit;
Have fewer hospital readmissions within 30 days;
Have their medication identified by their provider within 48 hours of discharge from the hospital;
Have their preferences documented by their provider;
Use inpatient hospital and emergency room services less for conditions such as diabetes, high blood pressure, asthma, pneumonia, or urinary tract infection.”
The National Association for Home Care & Hospice (NAHC) supports the Independence at Home Demonstration. NAHC also advocates for an expanded focus on chronic care management with a broader population than covered under Independence at Home.
For more information on the Independence at Home Demonstration performance year two results, including individual practice results, please visit:
To learn more about the Independence at Home Demonstration, please visit: https://innovation.cms.gov/initiatives/Independence-at-Home/.