-
What are the objectives of the program?
Reduced readmissions, Reduced spending
-
Please provide a brief description of the program:
Medicare advantage program -
-
What is the primary source of funding for the program?
Medicare A
-
Is this program operated as part of HSCRC's Care Redesign Amendment?
I_dont_know
-
Which Center for Medicare and Medicaid Innovation (CMMI) category does (or would) the program fall under? Choose the best match.
Accountable_Care
-
What are the major components of the program?
Care coordination/management, Protocols/agreements with care partners
-
What types of organizations participate in the program?
Physicians office (primary care), Skilled nursing facility
-
Which population(s) does the program target?
Medicare/older adults, Privately insured
-
How many patients have participated in the program to date?
10
-
In what Maryland jurisdictions do participating patients reside?
Garrett
-
Briefly describe the staffing resources required to operate the program:
Nurse Practitioner - RN
-
Briefly describe the key initial steps to implementation:
we ask family / POA for permission for them to contact them and they make the calls and meet and explain the program
-
Are incentive payments to health care providers part of the program?
False
-
Which incentive type(s)?
Bundled payments
-
Does the innovation program qualify as a CMS Advanced Alternative Payment Model (APM)?
I dont know
-
What are/were the expected results in improved outcomes, population health, and cost savings?
keep residents in house instead of going out to the hospital - treat signs and symptoms early - decrease cost of hospitalizations
-
Have expected results for improving outcomes and population health been met?
Some of the expected results were achieved
-
Please briefly explain your answer to Question 25, and describe any results for improved population health achieved to date:
small enrollment - one resident out to hospital or on therapy case load, etc. eats at your cost and decreases your overall savings, Some of the expected results were achieved
-
Please briefly explain your answer to Question 27, and describe any cost savings results achieved to date:
It seems we are doing the same care for those under pphp that we would do for those not enrolled in the program.