Why home-based primary care should be the standard of care
for chronically ill, medically complex patients
The aging and chronically ill population are growing faster than ever and is particularly at risk for being underserved, creating an urgent, time-sensitive, and complex scenario that requires immediate attention.
Nationally, 5% of Medicare beneficiaries account for 50% of Medicare spending. Much of this expense is attributed to repeated, costly hospitalizations for chronically ill, medically complex patients.
Ever-Changing Policies and Fee Structures
Research studies and real-world trials such as the CMS Independence at Home demonstration have shown that innovative home-centered care models effectively address both patient and provider needs. Accordingly, healthcare reform has fueled a recent shift from fee-for-service to value-based reimbursement in a move to increase quality and decrease overall cost of care. Already, Medicare is offering healthcare providers targeted financial incentives (and is imposing penalties) that hinge on improved patient outcomes at lower overall cost of care. This shift is expected to dramatically increase utilization of home-based primary care (HBPC).