The Center for Medicare and Medicaid Innovation ( CMMI ) may consider creating a home health bundled payment model , according to the organization ’s director Adam Boehler . Prior to heading up the CMMI , Boehler founded Landmark Health , which provides home - based medical care to chronically - ill patients and eschews the fee - for - service model , taking full financial risk . By doing so , Landmark cut hospital admissions among its patients by 40 percent and decreased mortality rates , he told an Alliance for Health Policy - sponsored event . "If I can empower and give accountability to local participants, then they’re going to use what supports they have to derive the best outcomes for patients,” he said. “ We did whatever it made sense to do to take care of the patient , ” he added . Now , it is a “ possibility ” that the CMMI could create a home health - bundled payment , according to Boehler . He has suggested a non - traditional payment model would be vital to do work similar to Landmark ’s through Medicare US - wide . Boehler , who would be keen to continue “ fee - for - service , ” backs an approach based on cost so Medicare pays for the right care . He indicated that he will make a series of announcements over the next few months . It can be costly for doctors to visit patients at home , and Landmark paid its physicians nearly 50 percent above market price . Many physicians prefer making home visits , but the US faces an increasing shortage of both primary and specialty care staff , including geriatricians . Boehler believes that non - physician healthcare employees – such as nurse practitioners and physician professionals , as well as social workers and paramedics – could fill this gap . While it may be an idea for now , Boehler stressed the administration is not “ overly sensitive to the status quo . ”
The Center for Medicare and Medicaid Innovation ( CMMI ) may consider creating a home health bundled payment model , according to the organization ’s director Adam Boehler . Prior to heading up the CMMI , Boehler founded Landmark Health , which provides home - based medical care to chronically - ill patients and eschews the fee - for - service model , taking full financial risk . By doing so , Landmark cut hospital admissions among its patients by 40 percent and decreased mortality rates , he told an Alliance for Health Policy - sponsored event . “ We did whatever it made sense to do to take care of the patient , ” he added . Now , it is a “ possibility ” that the CMMI could create a home health - bundled payment , according to Boehler . He has suggested a non - traditional payment model would be vital to do work similar to Landmark ’s through Medicare US - wide . Boehler , who would be keen to continue “ fee - for - service , ” backs an approach based on cost so Medicare pays for the right care . He indicated that he will make a series of announcements over the next few months . It can be costly for doctors to visit patients at home , and Landmark paid its physicians nearly 50 percent above market price . Many physicians prefer making home visits , but the US faces an increasing shortage of both primary and specialty care staff , including geriatricians . Boehler believes that non - physician healthcare employees – such as nurse practitioners and physician professionals , as well as social workers and paramedics – could fill this gap . While it may be an idea for now , Boehler stressed the administration is not “ overly sensitive to the status quo . ”