Two Florida Physician Practices Selected to Participate in Home-Based Care Demonstration

The Centers for Medicare & Medicaid Services announced that the first 16 organizations that will participate in the new Independence at Home Demonstration have been announced, two of which are located in Florida. These organizations will test whether delivering primary care services in the home can improve the quality of care and reduce costs for patients living with chronic illnesses, and were selected from a competitive pool of more than 130 applications representing hundreds of health care providers interested in delivering this new model of care. The demonstration is scheduled to begin on June 1, 2012, and conclude May 31, 2015.

The Independence at Home demonstration, which is voluntary for Medicare beneficiaries, provides chronically ill Medicare beneficiaries with a complete range of in-home primary care services. Under the demonstration, CMS will partner with primary care practices led by physicians or nurse practitioners to evaluate the extent to which delivering primary care services in a home setting is effective in improving care for Medicare beneficiaries with multiple chronic conditions and reducing costs. Up to 10,000 Medicare patients with chronic conditions will be able to get most of the care they need at home.

Participating Practices

The CMS Innovation Center has selected among the applicants 16 practices to participate in the Independence at Home Demonstration:

  • 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)


Home-based primary care 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. This focus on timely and appropriate care is designed to improve overall quality of care and quality of life for patients served, while lowering health care costs by forestalling the need for care in institutional settings.

The Independence at Home Demonstration will build on these existing benefits by providing chronically ill patients with a complete range of primary care services in the home setting. Medical practices led by physicians or nurse practitioners will provide primary care home visits tailored to the needs of beneficiaries with multiple chronic conditions and functional limitations.

The Independence at Home Demonstration also will 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.

Initiative Details

Under the Independence at Home Demonstration, eligible participants will work with CMS to provide home-based primary care to targeted chronically ill beneficiaries for a three-year period. Participating practices will make in-home visits tailored to an individual patient’s needs and coordinate their care. CMS will track the beneficiary’s care experience through quality measures. Participation in this home-based care demonstration is voluntary for Medicare beneficiaries.

Practices that succeed in meeting these quality measures while generating Medicare savings will have an opportunity to receive incentive payments after meeting a minimum savings requirement.

For more information, click here to download the fact sheet.

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