Landmark’s Home-Based Services Saw Positive Results

From RADAR on Medicare Advantage

Through a new partnership with senior-focused provider organization Landmark Health, LLC and its affiliated medical groups, Humana Inc. this month will begin rolling out coordinated at-home care for Medicare Advantage (MA) members with multiple chronic conditions in seven states. The deal marks the latest in a string of value-based pacts for Landmark, which aims to fill gaps in care and reduce avoidable utilization by providing 24/7 services to eligible patients.

Landmark serves more than 75,000 patients in 13 states. Landmark President Chris Goldsmith says that what makes Landmark's model unique and has led to its rapid growth trajectory is the intersection of three "mutually reinforcing" components:

• The clinical model, which provides both longitudinal and urgent care. Landmark deploys "Complexivists" — which include physicians, nurse practitioners and physician assistants — to where the patient is.

• The operational layer, which includes a 24/7 call center to coordinate in-home visits and urgent care. Supporting patients' care is an interdisciplinary team comprised of pharmacists, social workers, nutritionists, behavioral health clinicians and dietitians who coordinate with the patient's PCP.

• The risk-based financial model. "If we are able to avoid an admission, then that’s a significant savings to the system and we get rewarded for that from our risk-based contracts," explains Goldsmith.

Landmark in early April also unveiled a similar partnership with Blue Cross and Blue Shield of North Carolina and more than a year ago began offering its home-based services to MA members of Blue Cross and Blue Shield of Massachusetts.

Since April 2017, Landmark and the Massachusetts Blues plan have helped 1,335 members better manage their health conditions. During the first year, Landmark performed 657 urgent visits, 77 of which were at night, resulting in more than 160 avoided emergency department and hospital admissions.

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