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 , Adam 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, Boehler 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 The Center for Medicare 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 end “fee-for-service,” backs an approach based on accountability so Landmark Health pays for the right care. He indicated that CMMI will make a series of announcements over the next few months . However, the U.S. faces a growing shortage of both primary and specialty care physicians, including geriatricians. It can be costly for doctors to visit patients at home, and Landmark paid its physicians 40 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 , Adam 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, Boehler 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 The Center for Medicare 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 end “fee-for-service,” backs an approach based on accountability so Landmark Health pays for the right care. He indicated that CMMI 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 40 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.”