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Home-Based Primary Care: Beyond Extension of the Independence at Home Demonstration. - 2018

Available online from MWHC library: 1995 - 2000, then 2006-present, Available in print through MWHC library: 1999 - 2006

(c) 2018, Copyright the Authors Journal compilation (c) 2018, The American Geriatrics Society. The Independence at Home (IAH) Demonstration Year 2 results confirmed that the first-year savings were 10 times as great as those of the pioneer accountable care organizations during their initial 2 years. We update projected savings from nationwide conversion of the IAH demonstration, incorporating Year 2 results and improving attribution of IAH-qualified (IAH-Q) Medicare beneficiaries to home-based primary care (HBPC) practices. Applying IAH qualifying criteria to beneficiaries in the Medicare 5% claims file, the effect of expanding HBPC to the 2.4 million IAH-Q beneficiaries is projected using various growth rates. Total 10-year system-wide savings (accounting for IAH implementation but before excluding shared savings) range from


English

ISSN: 0002-8614

Standard No.: 10.1111/jgs.15314 [doi]

Subjects--Topical Terms:
IN PROCESS -- NOT YET INDEXED

Subjects--Geographic Terms:
MedStar Washington Hospital Center

Index Terms--Occupation:
Medicine/Geriatrics

Index Terms--Function:
Journal Article