Projects

Evaluation of the Independence at Home Demonstration

2012-2017
Prepared For

U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation

Under Section 3024 of the Patient Protection and the Affordable Care Act (PL 111-148), the U.S. Congress mandated that the Centers for Medicare & Medicaid Services conduct a demonstration designed to test the ability of the home-based primary care delivery model to reduce health care costs and improve health outcomes of high-need Medicare beneficiaries.

The 18 practices chosen to participate in the three-year (2012–2015) Independence at Home (IAH) Demonstration are expected to design and implement coordinated care plans tailored to individual beneficiaries’ chronic conditions and responsive to their preferences, make in-home primary care visits to these patients, and be available 24 hours per day to meet their health needs. The goal of the demonstration is to improve the provision of comprehensive, coordinated, continuous, and accessible care to chronically ill, disabled beneficiaries. This evaluation is determining whetherand, if so, how—sites achieve success.

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