Primary Care at Home
Last month, the Centers for Medicare & Medicaid Services announced the start of a new program designed to give up to 10,000 Medicare patients with chronic conditions the ability to receive most of their primary care at home.
The idea behind the program is to bring back the old practice of house calls but with a modern day approach using today’s technology and team-based approach, said CMS Acting Administrator Marilyn Tavenner, RN, BSN, MHA. The new program, Independence at Home, significantly expands the scope of in-home services Medicare beneficiaries can receive.
The program not only helps the patient but it will also bring new avenues to care for medical practices nationwide. CMS will join with medical practices to test the effectiveness of delivering primary care services in a home setting to see if it improves care for Medicare beneficiaries with multiple chronic conditions. The program will also test whether home-based care can reduce the need for hospitalization, improve patient and caregiver satisfaction and lead to better health and lower costs to Medicare.
“In my days as a practicing nurse, I saw many patients whose health improved when they were happier with their living conditions,” Tavenner said. “When a critically ill patient can remain in familiar surroundings, the benefits are many: The person retains greater control over their daily lives, families and caregivers report greater satisfaction with the care and unnecessary hospitalizations are avoided.”
Home-based primary care generally allows health care providers to spend more time with their patients, perform assessments in a patient’s home environment and assume greater accountability for all aspects of the patient’s care. Independence at Home will build on these existing benefits by providing chronically ill patients a complete range of primary care services in the home setting.
Have you had experience in Home-Based Care? Medical practices wishing to participate must have in their employment physicians or nurse practitioners with experience in delivering home-based primary care. As many as 50 practices will be selected and each must serve at least 200 Medicare fee-for-service beneficiaries with multiple chronic conditions and functional limitations. Practices chosen to participate will be responsible for coordinating patient care with other health and social service professionals.
Medical practices chosen for the program that show a reduction in Medicare expenditures and succeed in providing high-quality care will receive an incentive payment. CMS will use quality measures to ensure that beneficiaries receive high quality care. Practices interested in joining the Independence at Home program can get more information by clicking here. Applications and letters of intent are due Feb. 6.








