Independence At Home Demonstration Project
Creates a new demonstration program to begin not later than January 1, 2012, for chronically ill Medicare beneficiaries to test a payment incentive and service delivery system that utilizes physician and nurse practitioner directed home-based primary care teams aimed at reducing expenditures and improving health outcomes. Defines an “independence at home medical practice” as one that “uses electronic health information systems, remote monitoring, and mobile diagnostic technology.” Provides preference for independence at home medical practices that are located in high-cost areas of the country, have experience in furnishing health care services to applicable beneficiaries in the home, and use electronic medical records, health information technology, and individualized plans of care. The payment methodology directs the Secretary to establish an estimated annual spending target, for the amount the Secretary estimates would have been spent in the absence of the demonstration, for items and services covered under parts A and B furnished to applicable beneficiaries for each qualifying independence at home medical practice. Incentive payments are subject to performance on quality measures, a qualifying independence at home medical practice is eligible to receive an incentive payment if actual expenditures for a year for the applicable beneficiaries it enrolls are less than the estimated spending target established for such year. An incentive payment for such year shall be equal to a portion (as determined by the Secretary) of the amount by which actual expenditures (including incentive payments under this paragraph) for applicable beneficiaries under parts A and B for such year are estimated to be less than 5 percent less than the estimated spending target for such year, as determined. Appropriates $5 million for each of fiscal years 2010 through 2015. (Sec. 3024)
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