Medicare Medical Home Demonstration

Type: Upcoming Demonstrations
Year: 2007

Section 204 of the Tax Relief & Health Care Act of 2006 mandates a demonstration in up to 8 states to provide targeted, accessible, continuous and coordinated care to Medicare beneficiaries with chronic or prolonged illnesses requiring regular medical monitoring, advising or treatment. Mathematica Policy Research provided assistance in the demonstration design. Thomson/Reuters will assist with implementation.

CURRENT UPDATES TO THIS WEBPAGE:

4/14/2011 - CMS is currently testing the patient-centered medical home model in the Multi-payer Advanced Primary Care Practice Demonstration and the Federally Qualified Health Centers Advanced Primary Care Practice Demonstration. CMS also plans to test the patient-centered medical home model under the Innovation Center created by Section 3021 of the Patient Protection and Affordable Care Act, which provides CMS with an opportunity to test a variety of models and expand their implementation nationwide if they reduce spending without reducing quality or improve quality without increasing spending, and if the CMS Chief Actuary certifies that their expansion would be budget neutral, and if the Secretary determines that such an expansion would not result in denying or limiting coverage or the provision of benefits. Therefore, CMS plans not to pursue implementation of the Medicare Medical Home Demonstration specified in section 204 of the Tax Relief and Health Care Act of 2006 as modified by section 133(a)(2) of the Medicare Improvements for Patients and Providers Act of 2008.

For current information on medical home projects and other initiatives, we recommend signing up for updates on Innovation Center initiatives on its website, located at: https://innovation.cms.gov/