A new advocacy group called Moving Health Home launched on Wednesday, uniting some heavy hitters – significant health systems, care delivery services and technology merchants – who say they need to impact a move in contemplating treating patients at home, and need to change repayment models likewise.
WHY IT MATTERS
Establishing individuals from this alliance incorporate Amazon Care, Ascension, Dispatch Health, Elara Caring, Intermountain Healthcare, Home Instead, Landmark Health and Signify Health.
Together, these associations need to “fundamentally change the way policymakers think about the home as a site of clinical service,” they said in declaring Moving Health Home.
They noticed that the upsurge in virtual adoption over the previous year has shown not just that Americans have an appetite for at-home care, yet that the information has borne out its feasibility, security and efficiency.
Telehealth, remote patient monitoring, digital therapeutics, provider home visits and sharable medical records have “shown that care in the home can be at least equivalent to, if not better than, care offered in facilities.”
Presently, they said, it’s an ideal opportunity to “change reimbursement models and the culture around institutional care to allow for Americans to choose their home as a site of care.”
Among the group’s policy priorities:
Grow the services covered in a home-based setting.
Hold significant “Hospital without Walls” site of care adaptability to support home-based hospital services.
Guarantee equal access for seniors through fair reimbursement for home-based evaluation and monitoring codes.
Promoter for a bundled-payment model for broadened care in the home.
Encourage greater flexibility for home-based care services to meet commercial and Medicare Advantage network sufficiency rules.
THE LARGER TREND
Moving Health Home individuals point to an array of statistics they say support their case for more technology-enabled virtual care. They point, for example, to an AARP review that saw three in four adults 50 years and older liking to age in their homes and communities.
Past that, the quality and cost upgrades are obvious, they said, taking note of CMS gauges that show home health care in Medicare saves at least $378 million every year in the nine states that are essential for the Home Health Value Based Purchasing.
They additionally highlight research showing locally situated consideration to diminish probability of hospital readmissions. Patients utilizing home-based care services within 14 days of discharge from hospital are about 25% bound to dodge readmission within 30 days of discharge.
Numerous healthcare leaders have seen the pattern moving toward this path for quite a while.
Mayo Clinic Platform president Dr. John Halamka, for example, has said he predicts a fate of “virtualist centers in what were formerly known as hospitals. It’s going to be the emergency department for heart attacks or strokes, [and] an ICU tower right next door, which will take care of the sickest of the sick that can’t possibly have home health care.
“They’re going to need a level of intensity that could never be moved out of such a place. But other than that? All the ambulatory care stuff, and all the simple stuff? It all gets moved into the home.”
On the strategy front, the Centers for Medicare and Medicaid Services dispatched its Acute Hospital Care at Home program this previous November. Working off its Hospital Without Walls activity, it’s contribution new adaptabilities around telehealth and distant patient observing as the nation enters “a new level of crisis response” during the autumn COVID-19 flood, said then CMS Administrator Seema Verma at that point.
Changes in policy like that have helped prod advancement on the supplier side, as well. Early this year we covered Brigham and Women’s Hospital in Boston, which has been working with Biofourmis to co-build up a set-up of home hospital technologies.
ON THE RECORD
“Over 17% of Medicare beneficiaries are living with six or more chronic conditions,” said Nick Loporcaro, CEO of Landmark Health, in a statement. “In-home, patient-centered care is critical to managing the complex health needs of our nation’s older adults. We need a public policy agenda that ensures access to innovative in-home care.”
“We are pleased to join the other founding members of the Moving Health Home Coalition to advocate for the expanded use of the home environment as a venue for robust patient care,” added Elara Caring CEO Scott Powers, noting that the “current state of technology, care coordination, and caregiver capability is aligned to permit patients to choose treatment in their homes.”
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