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USMM Spotlight



USMM – U.S. Medical Management (USMM) is a family of companies dedicated to providing high-quality, coordinated healthcare in the home. USMM is comprised of Visiting Physicians Association (VPA), The Home DME, Pinnacle Senior Care, and Grace/Comfort Hospice. USMM is owned by Centene Corporation, the largest Medicaid Managed Care Organization in the United States. USMM offers an integrated, physician-driven care model that provides enhanced access to health services and quality of life for those we serve. USMM’s innovative physician-driven care model provides patients and payers with overall lower costs, better outcomes and higher patient satisfaction. 

VPA provides physician services for the elderly and other adults with complex health issues who have difficulty getting out to the doctor’s office. VPA offers many in-home services including primary care, short-term episodic care, palliative care, lab, mobile x-ray and ultrasound. While VPA is one of the largest house call practices in the country, the care is local. VPA care teams are based in the heart of the communities that they serve. VPA is dedicated to providing patients with high quality, personalized and confidential medical care in their home.

The Centers for Medicare and Medicaid Services (CMS) announced that in the Fifth Performance Year of the seven-year Independence at Home (IAH) Demonstration, U.S. Medical Management (USMM) and its affiliate Visiting Physicians Association (VPA) achieved significant improvements in quality of patient care, while significantly reducing overall healthcare costs for homebound elderly patients with complex, chronic conditions. Five of the 14 current practices participating in the IAH Demonstration are VPA practices, managed by USMM. Together, the VPA practices were responsible for caring for patients making up approximately 45 percent of the entire Demonstration in Year 5.

USMM/VPA has distinguished itself over the years in achieving top 10 performance in Medicare Shared Savings Program (MSSP), Accountable Care Organizations (ACO) savings, top quartile performance in IAH savings, and like results in quality and targeted outcomes. Due to the COVID-19 pandemic, USMM/VPA are exploring ways to improve access to care in the home, including telehealth.



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