The Centers for Medicare & Medicaid Services (CMS) announced Wednesday that Aging & In-Home Services of Northeast Indiana became one of 35 additional organizations selected to participate in the Community-based Care Transitions Program (CCTP).
Aging & In-Home Services and other new participants will join 47 existing sites, where community-based organizations are already working with local hospitals and other health care and social-service providers to support Medicare patients who are at increased risk of being readmitted to the hospital while transitioning from hospital stays to their homes, a nursing home, or other care settings.
The CCTP was created by the Affordable Care Act and will help community-based organizations and hospitals form partnerships to prevent readmissions after patients leave the hospital. These new participating sites will work with CMS to provide support for patients as they move from the hospital to other care settings.
Aging & In-Home Services has partnered with LifeStream Services to provide care transition services for high-risk Medicare beneficiaries. This brings together 11 acute-care hospitals from seven separate health systems in eastern Indiana.
Each participant enters into a two-year agreement with the CMS Innovation Center and will be paid a flat fee per beneficiary for care transition services.