HarmonyCares Joins Forces to Advocate for Medicare Care Access

HarmonyCares Joins Forces to Advocate for Medicare Care Access

The Complex Care Alliance is a newly formed coalition bringing together ten High Needs ACO participants and supportive organizations to advocate for the continuation of focused care for high-need patients beyond the year 2026.

Understanding the Complex Care Alliance

Among its members, HarmonyCares, renowned for providing exceptional in-home primary care services to individuals with complex healthcare needs, is committed to ensuring vulnerable populations receive adequate care. The Complex Care Alliance aims to unite efforts in continuing the High Needs ACO model, which is crucial for addressing the medical complexities faced by certain Medicare beneficiaries.

Significance of the High Needs Track in ACO REACH

The High Needs Track of ACO REACH represents a significant shift in the healthcare paradigm, focusing on delivering high-quality, coordinated care to a specialized group of patients. Beneficiaries in this track often deal with multiple chronic conditions, making it essential to provide a tailored approach to their healthcare. By leveraging team-based care models, the High Needs Track has demonstrated effectiveness in reducing hospitalization rates and ensuring timely interventions.

Documenting Cost Savings and Improved Care

Current statistics indicate that participants in the High Needs Track have produced substantial savings for the Medicare system. In 2023, HarmonyCares ranked as the second-best-performing ACO REACH participant, reporting over $9 million in annual medical savings for approximately 700 aligned Medicare beneficiaries grappling with serious health issues. This success reflects a net savings rate of 23%, highlighting the program's effectiveness in managing healthcare costs while delivering optimal care.

Voices from the Leadership

In discussing the importance of the High Needs Track, Matt Chance, CEO of HarmonyCares, emphasized the potential for enhanced care coordination for patients. He stated the team is dedicated to collaborating with the Complex Care Alliance to advocate for the continued development and expansion of the program, which is critical for caring for the most vulnerable patient populations.

Membership of the Complex Care Alliance

The ten members of the Complex Care Alliance consist of various organizations, each contributing their expertise in delivering high-need care. Some of these include Advanced Illness Partners, Bloom Healthcare, CareConnnect MD, and others, all working towards a shared goal of improving healthcare outcomes for patients with complex needs.

Pursuing Action from CMS

Mara McDermott, the executive director of Accountable for Health, voiced the importance of prompt action from the Centers for Medicare and Medicaid Services (CMS) to extend access to high-needs focused accountable care well past 2026. She noted that the success shown by members of the alliance, including HarmonyCares, demonstrates the positive impact of accountable care models, which offer superior care at lower costs.

Learn More About the Complex Care Alliance

To explore more about the initiatives and goals of the Complex Care Alliance and how they strive to support high-quality healthcare access, one can access their official resources online.

About HarmonyCares

HarmonyCares stands out as a leading national provider focused on value-based in-home primary care services for individuals with intricate healthcare needs. With operations spread over 14 states and supported by a dedicated team of over 200 primary care providers, HarmonyCares is devoted to offering patient-centered care that prioritizes the needs of the most complex patient populations. Their model emphasizes an integrated, team-driven approach, aiming to set a standard in home-based healthcare.

Frequently Asked Questions

What is the Complex Care Alliance?

The Complex Care Alliance is a coalition advocating for the continuation and enhancement of healthcare models tailored for high-need Medicare beneficiaries.

How does the High Needs Track of ACO REACH work?

This track aims to provide proactive, team-based care for patients facing complexities in their health, leading to optimal management and cost savings.

What benefits does HarmonyCares provide?

HarmonyCares specializes in delivering in-home primary care, focusing on individualized treatment plans for those with complex health issues.

Why is the extension of the ACO model important?

Extending the ACO model beyond 2026 ensures continued access to coordinated care for vulnerable populations, reducing hospitalizations and healthcare costs.

How can one learn more about HarmonyCares?

Visiting the HarmonyCares website offers comprehensive information about their services and commitment to providing quality in-home care.

About The Author

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