October 30, 2019
The Centers for Medicare and Medicaid Services (CMS) released the year five report for the Independence at Home (IAH) Demonstration. The report indicates that of the 14 participating practices, 13 reduced per-beneficiary-per-month spending relative to an established target. The overall savings during year five of the demonstration totaled $33.5 million (8.4 percent below spending targets). CMS provided bonus payments to eight qualifying practices for a total of $6.8 million. The year five report for the IAH demonstration can be found here.
Participating practices enrolled in the IAH Demonstration provide home-based coordinated care for Medicare beneficiaries with multiple chronic conditions. Practices include physicians, nurses, pharmacists and social workers. The goal of the demonstration is to test if home-based care can reduce hospitalization rates and improve outcomes for Medicare beneficiaries. Practices monitor beneficiary outcomes and experiences through quality measures. Practices are eligible for bonus payments after a minimum savings requirement is met, and if they meet quality requirements.
CMS states the performance period will end on December 31, 2020. More information about the initiative can be found on the IAH demonstration website.