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Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Home Based Primary Care for frail, homebound Veterans as a model for Independence at Home B.
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The Independence at Home bill (IAH) establishes, in effect, a public Special Needs Plan focused on frail, homebound Medicare beneficiaries. We project HBPC’s experience onto the IAH population to estimate public savings from expansion of home-based, all inclusive care. Methods: We merged cost records from Medicare Part A and VA for the 9425 veterans enrolled in HBPC in FY06. Assuming adequate risk adjustment to cover observed costs, using savings factors specified in IAH as a public Special Needs Plan operated by the Center for Medicare and Medicaid Services, the Plan would recoup initial savings of $42,035,000 or $4660 pmpy.
Conclusion: Frail, home bound veterans with complex chronic diseases require significant resources.


The use of interdisciplinary team-led, all-inclusive home care as envisaged under IAH can result in substantial savings to the public. A threshhold of 2.4 with the current HCC model– the average HCC risk for PACE– may target a group where savings exceed IDT costs.



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