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 What is the Independence at Home Act? Section 3024 of the Accountable Care Act creates the Independence at Home Demonstration which is taking place for three years beginning in 2012. Under this Demonstration, 10,000 home-limited Medicare beneficiaries with multiple chronic conditions will be provided longitudinal primary care and care coordination services by teams of physician or nurse practitioner-headed provider groups. Care coordination will be comprehensive, involving both social service and medical needs. Practices are expected to use electronic health records, and other diagnostic and remote monitoring technologies. Practices participation in the demonstration will be held accountable for quality and patient satisfaction measures and cost savings. If they meet the savings target of 5%, they will be eligible for varying levels of savings shares to help finance the incremental costs of the program. To read a summary of the Independence at Home Act, click here. There are other clinical and payment models for home-based primary care programs. For further information, click here. What is the Independence at Home Demonstration? The IAH Demonstration has been devised by CMS to accomplish the objectives of the IAH Act. Specifications and FAQ's can be reviewed here. Applications were due February 6, 2012 and May 4, 2012. IAH in Managed Care; in Medicaid The IAH Model does not work just in Medicare fee for service. Rather, it can be adapted for Medicare Managed Care, and also Medicaid. For information about savings in Managed Care, click here. For information about potential savings for dual eligible patients from IAH-style programs, click here. For further information about the possible use of IAH-style programs in Medicare Advantage and Medicaid, call Constance Row, Executive Director, AAHCP at 410-676-7966.
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