NY Medicare Savings

Crain's Health Pulse
June 19, 2015
NY Medicare Savings

Two New York providers participating in a CMS demonstration project saved Medicare money, according to performance results released yesterday. The pilots focused on home-based primary care for patients with multiple chronic conditions. North Shore-LIJ’s Physician House Calls Program spent $3,024 per-member-per-month, a figure below its spending target. As a result, the Westbury, L.I., practice earned a $542,323 incentive payment. The other area provider, Brooklyn’s Doctors on Call, beat its spending target but did not earn an incentive; participants must generate savings and meet quality measures to earn a reward. CMS’ Independence at Home Demonstration calls for providers to deploy care teams led by doctors or nurse practitioners to patients’ homes. The premise is that the teams can offer care that is more convenient and a lower cost compared with an institutional setting. Teams must care for at least 200 beneficiaries enrolled in fee-for-service Medicare. The demonstration began June 1, 2012, and performance results reflect data from the first year of the program.

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