Amaji’s HomeCare Medical Practice Program for Primary Care Physicians is a straightforward, common-sense approach to providing care for the physician’s elderly fragile patient population, along with the financial incentive to do so.   Many physician practices are shutting down to Medicare patients due to the burden of time, effort and resource utilization out of proportion to reimbursement.  This trend cannot continue forever, as the population of Medicare patients explodes and the number of patients with private insurance diminishes.   The HomeCare Practice Model provides a solution to this untenable situation.

In summary, the physician identifies current (and future) patients with multiple chronic conditions that require complex medical care management who would benefit from receiving the majority of their medical care at home.   The physician establishes an ambulatory medical practice, (a “practice within a practice”), to provide care for these patients.   These patients will be seen in their homes on a regular basis and intermittently in the office.

This practice-within-a-practice is owned and managed by the physician who provides oversight to advanced practice nurses or physician assistants responsible for the care of these patients in their home.  One full-time advanced practice nurse or physician assistant can provide medical housecall visits and coordinate chronic disease management for 135 total patients.  Medicare reimburses this care on a ‘fee-for-service’ basis.  Revenue is generated by advanced practice nurse or physician assistant Medical visits to the patient’s home and resultant E&M coding for these visits.  Ancillary revenue is possible.

In addition to the financial benefits to the physician, providing care for these “hard-to-treat” patients in the new practice-within-a-practice transfers their associated overhead cost from the office practice.  The unreimbursed administrative duties required to manage these difficult and time-consuming Medicare patients are now accomplished by the advanced practice nurse or physician assistant with oversight by the physician – all  supported by Amaji’s technology and support staff.