Duke April 25, 2019
Summary
U.S. Medical Management operates a physician group led Accountable Care Organization (ACO) focusing almost entirely on home-based primary care, enrolling a patient population of 20,000 consisting of homebound, frail, elderly, and others with serious illness.
Background
Frail, elderly, homebound patients have complex and/or multiple chronic conditions, are often unable to travel, and struggle accessing clinical care. Given these challenges, these patients often have poorly managed conditions, which cause regular symptom exacerbations that require emergency department (ED) visits or hospitalizations.
Focusing an entire care model on such a challenging patient population is a high-risk proposition for an ACO. Care for these patients requires significant infrastructure investment, new methods of care coordination, and many other reforms. Additionally, unexpected, catastrophic events involving...
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