TROY, Mich., June 28, 2021 /PRNewswire/ -- The Centers for
Medicare & Medicaid Services (CMS) announced that in the Sixth
Performance Year of the now extended Ten-year Independence at Home
(IAH) Demonstration, U.S. Medical Management (USMM) and its
affiliate Visiting Physicians Association (VPA) achieved
improvements in quality of patient care, while reducing overall
healthcare costs for homebound elderly patients with complex,
chronic conditions.
Five of the 11 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 60 percent of the entire Demonstration in Performance
Year 6.
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 lowering 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 including
total cost of care.
Year 6 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:
- $16.6 Million in Savings (64+ %)
of Total CMS Savings in Demonstration Performance Year 6
- All five (5) VPA Practices in the Demonstration achieved cost
savings along with Quality and Satisfaction measures
- 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 $86+ million in the first six years of
the program and continues to improve on IAH quality measures
"The IAH results are a true testament of our 25+ year commitment
to serve the elderly population through home-based primary care
services in effort to help maintain their health and improve their
overall well-being," noted
Rajiv Patel, MD, CEO of
USMM. "We believe that our care delivery model has been
successful due to support by strong continuity-based relationships
with our Provider partners, our clinical discipline and caring for
our seniors in their respective communities with our values at the
forefront. We are very proud to have contributed in a meaningful
way to this important CMS initiative."
CMS also highlighted that nine (9) of the eleven (11)
participating practices were eligible for shared savings incentive
payments in performance year 6; five of those nine were VPA
practices.
Financial results for the VPA/USMM participating practices for
Year 1 through Year 6 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 11 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)