Duke-Margolis Policy Memo: Three Immediate Policy Actions to Enhance Financial Sustainability of Home-Based Primary Care for High-Need and Homebound Older Adults
The Duke-Margolis Institute for Health Policy has released a policy memo, "Three Immediate Policy Actions to Enhance Financial Sustainability of Home-Based Primary Care for High-Need and Homebound Older Adults."
The brief—developed following a roundtable discussion—outlines three short-term policy opportunities to support home-based primary care (HBPC). HBPC plays a vital role in improving outcomes, reducing costs and meeting older adults where they are. Yet, current fee-for-service models fail to fully support this prevention-oriented, person-centered approach.
The memo highlights opportunities to:
- Differentiate between longitudinal home-based care and home risk assessments to ensure fair reimbursement
- Finalize CMS's proposed G2211 code change to support complex care management at home
- Strengthen and extend total cost of care models such as the ACO REACH High Need Populations model
These steps would expand access to comprehensive care for the more than 4 million homebound older adults nationwide.
Read the policy memo.
Learn more about Duke-Margolis' HBPC project.
Visit the Duke-Margolis website.
Learn more about JAHF's co-support of home-based primary care.
