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Affordable Care Act Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents

$174,122,785

Total Assistance, FY 2008 to Present
Agency: CENTERS FOR MEDICARE AND MEDICAID SERVICES, HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Assistance Type: PROJECT GRANTS
Popular Name: Nursing Facility Initiative
Assistance Listing Number
93.621

Objectives: Under this Initiative, the Centers for Medicare & Medicaid Services (CMS) selected eligible organizations to test a series of evidence-based clinical interventions. Eligible organizations will partner with long-term care (LTC) facilities and practitioners to implement and test a new payment model with the goal of improving the health and health care among LTC facility residents and ultimately reducing avoidable hospital admissions. The goal of these interventions is to improve the health and health care among long-stay nursing facility residents and ultimately reduce avoidable inpatient hospital admissions. Successful applicants will implement the payment model along with interventions that will have the following objectives (consistent with Phase I): • Reduce the frequency of avoidable hospital admissions and readmissions; • Improve resident health outcomes; • Improve the process of transitioning between inpatient hospitals and nursing facilities; and • Reduce overall health care spending without restricting access to care or choice of providers.

 
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