Home-Based Demonstration Model Saves Medicare $25 Million during First Year
NAHC President Says it is “More Evidence Home is the Center of Health Care,” Urges Expanded Focus on Chronic Care Management
The Centers for Medicare & Medicaid Services (CMS) this week hailed a home-based health care demonstration project that resulted in Medicare savings during its first year as evidence of the benefits of caring for patients in their homes. In an announcement Thursday, CMS stated that the Independence at Home Demonstration, implemented under the Affordable Care Act, saved over $25 million during the demonstration’s first performance year.
In addition to the cost savings, the demonstration project resulted in fewer hospital readmissions and higher quality care.
Independence at Home Demonstration tests a service delivery and payment incentive model using home-based primary care teams to treat Medicare beneficiaries with chronic conditions. Directed by physicians and nurse practitioners, the teams are measured and provided incentives based on their performances improving health outcomes and reducing expenditures.
In announcing the results, CMS Acting Administrator Andy Slavitt stated the demonstration proves that caring for those with chronic conditions in their homes is higher quality and more affordable. “These results support what most Americans already want—that chronically ill patients can be better taken care of in their own homes. This is a great common sense way for Medicare beneficiaries to get better quality care with smarter spending from Medicare,” said Slavitt. “The Independence at Home Demonstration is one of the tools of the Affordable Care Act that can bring down the long-term cost of care in a patient-centered manner.”
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