TROY, Mich., Aug. 18, 2016 /PRNewswire/ -- The Centers
for Medicare and Medicaid Services (CMS) announced that in the
second year of the five-year Independence at Home (IAH)
Demonstration, U.S. Medical Management (USMM) and its affiliate
Visiting Physicians Association (VPA) achieved significant
improvements in quality of patient care, while significantly
reducing overall healthcare costs for homebound elderly patients
with complex, chronic conditions.
Five of the 15 practices participating in the IAH Demonstration
are VPA practices, managed by USMM. Together the VPA practices were
responsible for caring for patients making up approximately 40
percent of the entire Demonstration in Year 2.
The IAH Demonstration was designed to test whether home-centered
care can reduce the need for hospital and emergency room care,
improve patient and caregiver satisfaction, and lead to better
health outcomes for beneficiaries along with lower costs to
Medicare. Home-based primary care allows physicians and
nurse-practitioners to spend more time with their patients, perform
assessments in the patient's home environment, and assume greater
responsibility for all aspects of their patient's care.
Initial results from VPA practices participating in the IAH
Demonstration show high performance in a number of quality and cost
measures. Those improvements include:
- 11.25 percent reduction in expected costs over the two
Performance Years (PY)
(Yearly Reductions: PY1:
16.4 percent, PY2 5.7 percent)
- Continued reductions in ALL Cause 30 Day Readmissions,
In-Hospital Admissions and ED Visits for Ambulatory Care Sensitive
Conditions
- VPA/USMM has saved over $29
million in the first two years of the program and continues
to improve on IAH quality measures
"The IAH results are a validation of our 20-year commitment to
helping the elderly maintain their health and improve their
well-being through home-based primary care services," noted
Michael Smith, CEO of USMM. "Our
care delivery model has always been supported by strong
continuity-based relationships with our patients, clinical
discipline and a deep respect for the dignity and value of seniors
in their respective communities. We are very proud to have the
opportunity to be part of this important CMS initiative."
CMS also highlighted that seven of the seventeen 15
participating practices were eligible for shared savings incentive
payments in year two; three of those seven were VPA
practices.
Financial results for the VPA/USMM participating practices
during Year 1 and Year 2 are available here:
https://innovation.cms.gov/initiatives/independence-at-home/
About USMM
U.S. Medical Management (USMM), along with
its affiliated entities (Visiting Physicians Association, Pinnacle
Home Care, and Grace Hospice, among others) is a leading management
services organization and provider of home based primary care
services for complex/fragile patients. Based in Troy, Michigan, USMM operates Visiting
Physician Association practices in 14 states, constituting a 200 +
primary care provider group, providing continuity-based primary
care under an integrated, physician-driven model which includes
ancillary services such as home health, hospice, radiology,
diagnostics, DME, laboratory, and pharmacy. In 2014, Centene
Corporation (NYSE: CNC) acquired a majority interest in USMM,
integrating USMM's care delivery model across its Medicaid and
dual-eligible membership. USMM also operates a multi-state
Medicare Shared Savings Program ACO serving approximately 20,000
complex/fragile Medicare patients
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SOURCE U.S. Medical Management