Initiative Provides Primary Care Practices
with Additional Resources to Improve Coordination of Care
Kindred House Calls, the home-based primary care (“HBPC”)
practice of Kindred Healthcare, Inc. (“Kindred”) (NYSE:KND), is one
of more than 2,900 primary care practices nationwide participating
in Comprehensive Primary Care Plus (“CPC+”), a partnership between
payor partners from the Centers for Medicare & Medicaid
Services (“CMS”), state Medicaid agencies, commercial health plans,
self-insured businesses and primary care providers. This
partnership is designed to provide improved access to quality
healthcare at lower costs.
“A robust primary care system is essential to achieve better
care, smarter spending, and healthier people,” said Acting CMS
Administrator Patrick Conway. “For this reason, CMS is committed to
supporting primary care clinicians to deliver the best, most
comprehensive primary care possible for their patients.”
Through CPC+, CMS will pay primary care practices a care
management fee, initially set at an average of $15 per beneficiary
per month in Track 1 and $28 per beneficiary per month in Track 2,
to support enhanced, coordinated services on behalf of Medicare
fee-for-service beneficiaries. Simultaneously, participating
commercial, state and other federal insurance plans are also
offering enhanced payment to primary care practices designed to
support them in providing high-quality primary care on behalf of
their members.
For patients, this means that physicians may offer longer and
more flexible hours; use electronic health records; coordinate care
with patients’ other healthcare providers; better engage patients
and caregivers in managing their own care; and provide
individualized, enhanced care for patients living with multiple
chronic diseases and higher needs.
“CPC+ is an important step toward primary care payment reform.
This multi-payor initiative incentivizes value and rewards quality,
so when we perform well as practitioners, our patients benefit and
we benefit,” said Thomas Lally, MD, President of Kindred House
Calls. “We are excited about the opportunity to participate in this
innovative program that aligns treatment goals and financial
incentives, a crucial step as we move along the value-based
spectrum.”
The five-year model started on January 1, 2017, with CMS
soliciting a diverse pool of commercial health plans, state
Medicaid agencies and self-insured businesses to work alongside
Medicare to support comprehensive primary care. Public and private
health plans in 14 regions across the country signed letters of
intent with CMS to participate in this model: Arkansas, Colorado,
Hawaii, Kansas and Missouri’s Greater Kansas City region, Michigan,
Montana, New Jersey, New York’s Capital District-Hudson Valley
region, Ohio and Kentucky’s Cincinnati-Dayton region, Oklahoma,
Oregon, Pennsylvania’s Greater Philadelphia Region, Rhode Island
and Tennessee. The markets were selected in August 2016 based on
the percentage of the total population covered by payer partners
who expressed interest in joining this partnership.
Kindred House Calls will participate in its Colorado and Ohio
markets, benefitting approximately 5,000 patients, while further
building the Company’s expertise in value-based care.
“This is a great opportunity to expand Kindred’s expertise in
emerging payment models and enhance our ability to deliver vital
services in residential settings that patients prefer,” said
Benjamin A. Breier, President and Chief Executive Officer of
Kindred. “Value-based systems are the future of healthcare and the
CPC+ initiative provides the Company yet another opportunity to
demonstrate and fine-tune our capabilities and share our learnings
across the organization.”
Eligible primary care practices in each market were invited to
apply to participate in the winter of 2016. Through a competitive
application process, CMS selected primary care practices within the
selected markets to participate in CPC+. Practices were chosen
based on their use of health information technology; ability to
demonstrate recognition of advanced primary care delivery by
leading clinical societies; service to patients covered by
participating payer partners; participation in practice
transformation and improvement activities; and diversity of
geography, practice size and ownership structure.
CPC+ is administered by the Center for Medicare & Medicaid
Innovation (CMS Innovation Center). The CMS Innovation Center was
created by the Affordable Care Act to test innovative payment and
service delivery models that have the potential to reduce program
expenditures while preserving or enhancing the quality of care. For
more information about CPC+, visit:
https://innovation.cms.gov/initiatives/comprehensive-primary-care-plus/.
Kindred House Calls began in 2013 with the acquisition of a
medical practice in Ohio. It has since grown to become one of the
largest HBPC practices in the nation, covering 12 markets in five
states and deploying more than 100 practitioners who provide care
to more than 10,000 patients each year. The average patient is
homebound or challenged to access appropriate care, is 87 years old
with at least five chronic conditions and is among the costliest 5%
of all Medicare beneficiaries. Kindred House Calls’ practitioners
typically make 40 to 50 home visits each week.
About Kindred Healthcare
Kindred Healthcare, Inc., a top-90 private employer in the
United States, is a FORTUNE 500 healthcare services company based
in Louisville, Kentucky with annual revenues of approximately
$7.2 billion(1). As of October 1, 2016, Kindred through its
subsidiaries had approximately 102,200 employees providing
healthcare services in 2,702 locations in 46 states, including 82
long-term acute care hospitals, 19 inpatient rehabilitation
hospitals, 91 nursing centers, 19 sub-acute units, 647 Kindred at
Home home health, hospice and non-medical home care sites of
service, 104 inpatient rehabilitation units (hospital-based) and
contract rehabilitation service businesses which served 1,740
non-affiliated sites of service. Ranked as one of Fortune
magazine’s Most Admired Healthcare Companies for seven years,
Kindred’s mission is to promote healing, provide hope, preserve
dignity and produce value for each patient, resident, family
member, customer, employee and shareholder we serve. For more
information, go to www.kindredhealthcare.com. You can also follow
us on Twitter and Facebook.
__________
(1)
Revenues based upon Kindred consolidated revenues for
the twelve months ended September 30, 2016.
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version on businesswire.com: http://www.businesswire.com/news/home/20170104006262/en/
Kindred Healthcare, Inc.Susan E. Moss, 502-596-7296Senior Vice
President, Marketing and Communications
Kindred Healthcare (NYSE:KND)
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