AAHCM Toolkit: Building Awareness and Engaging Payers to Bring Home-Based Primary Care into the Mainstream

Patient Need Addressed: Care Coordination/Management, Chronic Conditions
Population Focus: Complex care, Vulnerable/disadvantaged
Intervention Type: Staff design and care management
Type of Literature: Grey

Home-based primary care (HBPC) programs provide desperately needed primary and palliative care and social services to more than 100,000 high-risk homebound patients. Implementing these programs shifts the use of healthcare services from emergency and inpatient care to community-based general care. More importantly, teams of HBPC professionals improve patients’ quality of life by caring for them according to their preferences in their own homes. High-risk, chronically ill patients with access to HBPC programs get regular care outside of the hospital, preventing them from worsening until they need emergency services and reducing the cost of their care while improving patient outcomes. Specially trained HBPC providers improve patients’ quality of life and allow them to receive the high-quality compassionate care they want in their own homes, setting your organization up to be the ultimate health partner to your community while ensuring that care is reimbursed and reducing emergency room visits.

Insights Results

Overview of resource

  • 6 documents constitute this toolkit: 1) What is Home Based Primary Care (HBPC)?; 2) Whitepaper, an evidence-based resource to help health partners establish a need case for programs; 3) Frequently asked questions about HBPC; 4) Become the ultimate health partner; 5) Proven cost savings, higher patient satisfaction; and 6) The effects of care

    Key takeaways/implications

    • When developing and implementing home-based primary care (HBPC), it is important to select truly at-risk patients who do not see primary care providers, and are heavy users of health services. Other keys to success include detailed care coordination and continuity across all settings, understanding beneficiaries’ values and preferences, use of portable and remote care diagnostic technologies, and creating long-term, trusting relationships between beneficiaries and their caregivers
    • HBPC services and interventions are significantly more cost-effective than hospitalizations and emergency care visits
    • Current initiatives to expand the use of HBPC include: 1) Identifying and validating HBPC quality metrics as the foundation for value-based payment models; 2) Expanding and training a qualified workforce; and 3) Increasing awareness among payers, policymakers and the public of the value and availability of integrated HBPC programs and services. Organizations supporting these efforts include the American Academy of Home Care Medicine, the Home Centered Care Institute