TROY, Mich., Jan. 7, 2020 /PRNewswire/ -- The Centers for
Medicare and Medicaid Services (CMS) announced that in the Fifth
Performance Year of the seven-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 14 current 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 45 percent of the entire Demonstration in Year 5.
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.
Year 5 results from VPA practices participating in the IAH
Demonstration show extraordinary performance in a number of quality
and cost measures. Those USMM/VPA accomplishments
include:
- $19 Million in Savings (60+ %) of
Total CMS Savings in Performance Year 5
- Continued reductions in ALL Cause 30 Day Readmissions,
In-Hospital Admissions and Emergency Department Visits for
Ambulatory Care Sensitive Conditions
- VPA/USMM has saved over $50
million in the first five years of the program and continues
to improve on IAH quality measures
"The IAH results are a validation of our 25-year commitment to
helping the elderly maintain their health and improve their
well-being through home-based primary care services," noted
Rajiv Patel, MD, CEO of USMM.
"Our care delivery model has always been supported by strong
continuity-based relationships with our Provider partners, our
clinical discipline and a deep respect for the dignity and value of
seniors in their respective communities. We are very proud to
have contributed in a meaningful way to this important CMS
initiative."
CMS also highlighted that eight (8) of the fourteen (14)
participating practices were eligible for shared savings incentive
payments in year 5; three of those eight were VPA
practices.
Financial results for the VPA/USMM participating practices for
Year 1 through Year 5 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
Senior 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 12 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 and laboratory. In 2014, the Centene
Corporation (NYSE: CNC) acquired 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 (USMM)