RCM Answers September 5, 2017
Home-based medical care offers older homebound adults with multiple chronic conditions and functional limitations access to care — while enabling them to avoid living in an institution. As the U.S. health care system moves away from paying for individual services toward more value-based care under the Medicare Access and CHIP Reauthorization Act (MACRA), we in the field have developed quality measures appropriate to the needs of the homebound, and are working to address shortcomings in the new payment system.
Current State of Home-Based Medical Care
The value and effectiveness of home-based medical care are being increasingly recognized, as shown in a recent Commonwealth Fund report. The Centers for Medicare and Medicaid Services’ (CMS) Independence at Home Demonstration, for example, achieved...