Tell Congress to pass the Independence At Home Act (S.464) Now!

Using interdisciplinary teams of medical and social services professionals to provide care to patients in their homes, the IAH model provides high quality clinical care and excellent patient experience while promising to significantly lower costs for the Medicare program.



wheelchairIn the demonstration, up to 10,000 Medicare patients with severe chronic illness and disability have been served by medical teams

Medicare Demonstrations since 2012
17 IAH practices
which provide Home-Based
Primary Care

The IAH practices provide:


Interdisciplinary medical and social services at home


24/7 access and visits within 48 hours of discharge from hospital or ER


a mobile electronic health record (EHR)


Many elders with severe chronic illness and disability have difficulty getting to the doctor’s office, forcing them to rely on the ER or hospital due to:








IAH teams are required to meet quality metrics:

better medication management and advance care planning
follow-up visits within 48 hours after any hospital stay or ER visit
fewer ER visits and hospitalizations and 30-day readmissions

IAH teams provide better care and reduce total Medicare costs by up to 30%


In Years 1 and 2 of the IAH demonstration, IAH sites successfully cared for more than 10,000 patients with savings totaling more than $35 million


All 17 original practices met at least three of six major quality metrics and four sites met all six.


9 of 17 exceeded minimum savings thresholds for either or both years. Practices received shared savings payments of nearly $17 million with medicare receiving nearly $19 million in two years.


All reduced ER visits and hospitalizations and 30-day readmissions.


1-2 million Medicare patients with severe chronic illness and disability could benefit from national IAH program

A national IAH program could bring $10 to $15 billion in savings over the next 10 years.

IAH Act Supporters

  • AARP
  • Academy of Spinal Cord Injury Professionals
  • Alliance for Aging Research
  • Allscripts
  • Alzheimer’s Association
  • Alzheimer’s Foundation of America
  • Alzheimer’s Impact Movement
  • American Academy of Family Physicians
  • American Academy of Home Care Medicine
  • American Academy of Hospice and Palliative Medicine (AAHPM)
  • American Academy of PAs
  • American Academy of Physical Medicine and Rehabilitation
  • American Association of Nurse Practitioners
  • American Association on Health and Disability
  • American Congress of Rehabilitation Medicine (ACRM)
  • American Foundation for the Blind
  • American Geriatrics Society
  • American Heart Association/American Stroke Association
  • American Hospital Association
  • American Nurses Association
  • American Occupational Therapy Association
  • American Osteopathic Association
  • American Psychological Association
  • Aspire Health
  • Association for Ambulatory Behavioral Healthcare
  • Association of Assistive Technology Act Programs (ATAP)
  • Association of Clinicians for the Underserved
  • Banner Home Care and Hospice
  • Blue Shield of California
  • Brain Injury Association of America
  • Campaign to End Unwanted Medical Treatment
  • Capital Caring
  • Caregiver Action Network
  • Centene Corporation
  • Center to Advance Palliative Care (CAPC)
  • Cerner
  • Coalition to Transform Advanced Care (C-TAC)
  • Compassion & Choices
  • Corporation for Supportive Housing
  • Easterseals
  • Enterprise Community Partners
  • Family Caregiver Alliance, National Center on Caregiving
  • Gerontological Advanced Practice Nurses Association (GAPNA)
  • Healthcare Leadership Council
  • Home Centered Care Institute
  • Hosparus Health
  • The Jewish Federations of North America
  • Kindred Healthcare
  • Lakeshore Foundation
  • Landmark Health
  • LeadingAge
  • LeadingAge Ohio
  • Maryland-National Capital Homecare Association
  • Medicare Rights Center
  • MedStar Health
  • Mental Health America
  • Mount Sinai
  • National Alliance for Caregiving
  • National Association for Home Care and Hospice
  • National Association for the Advancement of Orthotics and Prosthetics
  • National Association of State Head Injury Administrators
  • National Association of States United for Aging and Disabilities
  • National Coalition for Hospice and Palliative Care
  • National Coalition on Health Care
  • National Committee to Preserve Social Security and Medicare
  • National Council on Aging
  • National Partnership for Hospice Innovation
  • National Partnership for Women & Families
  • Northwell Health
  • Penn Medicine
  • Schizophrenia and Related Disorders Alliance of America
  • Society of General Internal Medicine
  • The ARC of the United States
  • The Retirement Research Foundation
  • Trinity Health, Livonia Michigan
  • U.S. Medical Management
  • United Spinal Association
  • Visiting Nurse Associations of America – VNAA
  • Visiting Physicians Association
  • VNA Health Group
  • West Health

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