Remington Report on Independence at Home Demonstration Program

CMS will accept through Feb. 6 applications from primary care practices to participate in the Independence at Home Demonstration Program. Authorized by the Patient Protection and Affordable Care Act and slated to begin Jan. 1, the three-year program will test a service delivery model that uses multi-disciplinary primary care teams directed by physicians or nurse practitioners to provide services to high-cost, chronically ill Medicare beneficiaries in their homes.

Participating practices must be available 24/7, use electronic health information systems, remote monitoring and mobile diagnostic technology. They will coordinate care across treatment settings for Medicare fee-for-service beneficiaries who have at least two chronic conditions, need assistance with at least two functional dependencies, and have had a non-elective hospital admission and received acute or sub-acute rehabilitation services within the past 12 months. The practices must serve at least 200 applicable beneficiaries each year of the demonstration and may share in savings if specified quality measures and savings targets are achieved. CMS expects to select up to 50 practices to participate in the program.

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