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Innovation in Home CareTime for a New Payment Model

Educational Objective
To understand how payment models need to change in the post-COVID-19 world
1 Credit CME

Much of the greatest innovation in industries other than health care deploys technology-enabled approaches to making services more accessible and convenient and lower cost or higher quality. For example, companies such as Blockbuster Video, which provided what seemed like essential services, was supplanted by Netflix, which offered on-demand, personalized viewing of videos from the convenience of home. Uber and Lyft have become quite popular, replacing hailing a taxicab. Similarly, in health care there has been a shift toward provision of home services, with substantial growth in areas such as provision of home infusion therapy and remote monitoring of blood glucose levels. The current coronavirus disease 2019 (COVID-19) pandemic has accelerated this shift because care in the home can reduce exposure to potentially infected individuals and help address capacity constraints in health care facilities. However, a common concern has been that payment models have not supported this type of innovation.

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Article Information

Corresponding Author: Kevin G. Volpp, MD, PhD, Perelman School of Medicine, Department of Medical Ethics and Health Policy, University of Pennsylvania, 423 Guardian Dr, 1120 Blockley Hall, Philadelphia, PA 19104-6021 (volpp70@wharton.upenn.edu).

Published Online: May 21, 2020. doi:10.1001/jama.2020.1036

Conflict of Interest Disclosures: Dr Volpp reported receiving grants from Humana during the conduct of the study and grants from Vitality/Discovery, WW (Weight Watchers), Humana, Hawaii Medical Services Association, and Oscar; personal fees from the Center for Corporate Innovation; and personal fees from and being the co-owner of VAL Health outside the submitted work. No other disclosures were reported.

Funding/Support: Supported by a grant from Humana to the University of Pennsylvania.

Role of the Funder/Sponsor: The funder had no role in the preparation, review, or approval of the manuscript or decision to submit it for publication.

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