9 DECEMBER - 2022industry-wide quality standard only increases. First, in guiding the industry growth, quality metrics specific to HBMC move practices in the same direction: towards valuing patient-important outcomes and meeting accepted standards. Those who benefit most from HBMC often prioritize elements of care that are different from younger, healthier individuals, such as medication deprescribing, falls prevention, symptom relief, caregiver support, and advance directives completion. Second, quality metrics are important for patients and caregivers who will increasingly be faced with multiple options for care delivered in the home and require a way to make an informed decision on the practice with whom they will entrust their care. In periods of rapid growth where organizations are fiercely competing for market share and growth can include multiple years of doubling in size of patients serviced, building reliable systems, and finding enough qualified clinicians challenges the field and intensifies the need for quality standards and an oversight process.Fortunately, the timing for accelerating national quality standards in HBMC is optimal given growth in the MA space combined with new Centers for Medicare and Medicaid Services (CMS) offerings. The recently-relaunched CMS program, ACO Realizing Equity, Access and Community Health (ACO REACH) Model has the potential to open the option for care in the home to millions of Medicare beneficiaries, a population that has previously had few options for HBMC. Combined with the growth in the MA space, the industry is at an inflection point of size and national interest to gain tremendous ground in accelerating accepted standards that will benefit the design and development of all practices delivering care in the home.There is no question that for the frail older adult population, many of whom live with multiple health conditions and with caregivers who need support and reassurance, home is where patients and caregivers want to receive care. The task, however, of building HBMC practices Those who benefit most from HBMC often prioritize elements of care that are different from younger, healthier individuals, such as medication deprescribing, falls prevention, symptom relief, caregiver support, and advance directives completionThe Rise of Home-Based Medical Carethat consistently deliver on the value equation of decreased cost and/or improved quality requires careful attention, particularly in this period of booming growth and limited provider workforce. As we see practice growth and practice acquisition accelerating, the question now is how we strive to define, measure, and reward quality in HBMC to ensure we provide best-in-class care that this population deserves. Karen AbrashkinTheresa Soriano
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