The Independence at Home Demonstration: Challenges inherent in a shared-savings model, and lessons learned.

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  • Additional Information
    • Subject Terms:
    • Author-Supplied Keywords:
      home-based primary care
      Independence at Home
      value-based care
    • Abstract:
      This article describes the challenges of a shared-savings model for high-need, high-risk Medicare beneficiaries, exemplified by the Independence at Home (IAH) demonstration. It suggests ways that the Centers for Medicare & Medicaid Services (CMS) could improve its risk-adjustment methodology for the IAH model. IAH's success, with CMS reporting more than $100 million in savings during its first five years, seven of fourteen practices receiving shared savings, and thirteen of fourteen practices meeting cost benchmarks, shows that such a model for small practices is useful for policy makers. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Generations is the property of American Society on Aging and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      0738-7806
    • Accession Number:
      141873015
  • Citations
    • ABNT:
      NORMAN, G. J. et al. The Independence at Home Demonstration: Challenges inherent in a shared-savings model, and lessons learned. Generations, [s. l.], p. 53–56, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=141873015. Acesso em: 30 out. 2020.
    • AMA:
      Norman GJ, Kinosian B, Kent T, Kronick R. The Independence at Home Demonstration: Challenges inherent in a shared-savings model, and lessons learned. Generations. December 2019:53-56. Accessed October 30, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=141873015
    • APA:
      Norman, G. J., Kinosian, B., Kent, T., & Kronick, R. (2019). The Independence at Home Demonstration: Challenges inherent in a shared-savings model, and lessons learned. Generations, 53–56.
    • Chicago/Turabian: Author-Date:
      Norman, Gregory J., Bruce Kinosian, Tyler Kent, and Richard Kronick. 2019. “The Independence at Home Demonstration: Challenges Inherent in a Shared-Savings Model, and Lessons Learned.” Generations, December, 53–56. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=141873015.
    • Harvard:
      Norman, G. J. et al. (2019) ‘The Independence at Home Demonstration: Challenges inherent in a shared-savings model, and lessons learned’, Generations, pp. 53–56. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=141873015 (Accessed: 30 October 2020).
    • Harvard: Australian:
      Norman, GJ, Kinosian, B, Kent, T & Kronick, R 2019, ‘The Independence at Home Demonstration: Challenges inherent in a shared-savings model, and lessons learned’, Generations, pp. 53–56, viewed 30 October 2020, .
    • MLA:
      Norman, Gregory J., et al. “The Independence at Home Demonstration: Challenges Inherent in a Shared-Savings Model, and Lessons Learned.” Generations, Dec. 2019, pp. 53–56. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=141873015.
    • Chicago/Turabian: Humanities:
      Norman, Gregory J., Bruce Kinosian, Tyler Kent, and Richard Kronick. “The Independence at Home Demonstration: Challenges Inherent in a Shared-Savings Model, and Lessons Learned.” Generations, December 2, 2019, 53–56. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=141873015.
    • Vancouver/ICMJE:
      Norman GJ, Kinosian B, Kent T, Kronick R. The Independence at Home Demonstration: Challenges inherent in a shared-savings model, and lessons learned. Generations [Internet]. 2019 Dec 2 [cited 2020 Oct 30];53–6. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=141873015