Projects

Evaluation of the Independence at Home Demonstration

2012-2023
Prepared For

U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation

Section 3024 of the Patient Protection and Affordable Care Act (Public Law 111-148) enacted the Independence at Home (IAH) demonstration in 2010. The purpose of the IAH demonstration is to test a payment incentive and service delivery model for providing home-based primary care to chronically ill and functionally limited Medicare beneficiaries.

The 18 practices chosen to participate in the 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, functionally limited beneficiaries. This evaluation is determining whether—and, if so, how—sites achieve success. The demonstration began with 18 participants in 2012 and was intended to last for three years. Congress has extended the demonstration three times—most recently adding Years 8 to 10 (2021 to 2023). As of Year 8, seven participants remain in the demonstration.

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Related Staff

Valerie Cheh

Valerie Cheh

Principal Researcher

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Laura Kimmey

Laura Kimmey

Principal Researcher

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Evelyn Li

Evelyn Li

Senior Researcher

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Michael Anderson

Michael Anderson

Senior Researcher

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Jason Rotter

Jason Rotter

Researcher

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