WHAT WE OFFER
Comprehensive medical care delivered directly to your home. Covered by Medicare.
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Full primary care. Zero travel.
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Our providers deliver complete primary care visits directly in your home — the same quality you'd receive in a doctor's office, without the transportation burden. Each visit includes a full physical exam, diagnosis, treatment planning, medication management, and coordination with your specialists.
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Ongoing support for complex conditions.
Patients living with two or more chronic conditions — such as diabetes, heart failure, COPD, or hypertension — benefit from our structured Chronic Disease Management program. Our clinical team provides regular check-ins, continuous medication monitoring, and proactive coordination with all your specialists to keep conditions stable and prevent costly hospitalizations.
Your wishes. Documented. Respected.
Advanced Care Planning ensures your medical wishes are clearly documented and honored, no matter what happens. Our providers facilitate thoughtful conversations about your goals of care, complete Advance Directives and POLST forms, and guide family members through these important discussions — removing uncertainty and ensuring your care team knows exactly what you want.
A dedicated guide through serious illness.
When facing a serious or life-limiting illness, patients and families often feel overwhelmed by the complexity of the healthcare system. Our Principal Illness Navigation service assigns a dedicated care navigator who coordinates all specialist referrals, connects you with community and financial resources, and ensures nothing falls through the cracks. You never have to navigate a serious diagnosis alone.
Expert wound treatment at home.
Chronic and complex wounds require specialized, consistent care. Our Advanced Wound Care service brings expert assessment and treatment directly to your home — including debridement, advanced dressings, infection management, and healing progress tracking. We treat diabetic ulcers, pressure injuries, venous ulcers, and post-surgical wounds, reducing the risk of infection, amputation, and hospitalization.
Bridge the gap from facility to home.
The period immediately after a hospital or skilled nursing facility discharge is the highest-risk time for readmission. Our Transitional Care Management program ensures a provider visits you within 7 days of discharge, reviews all discharge instructions, reconciles your medications, and builds a clear follow-up plan — dramatically reducing the risk of complications and unnecessary readmissions.
Comfort and dignity at any stage.
Palliative care is specialized medical care focused on relief from pain, symptoms, and the stress of serious illness — and it can be provided alongside curative treatment at any stage of disease. Our team manages pain, nausea, breathlessness, and other symptoms while supporting family caregivers with guidance and emotional resources, with the goal of the best possible quality of life.
Continuous care between visits.
Between in-person visits, our Remote Patient Monitoring program keeps a continuous eye on your health. Patients receive easy-to-use devices that track blood pressure, weight, oxygen levels, and other vital signs daily. Our clinical team reviews this data every day and intervenes proactively when trends indicate a problem — often catching issues days before they become an ER visit.
Coordinated skilled care in your home.
Our providers develop and oversee comprehensive home health care plans that coordinate skilled nursing, physical therapy, occupational therapy, and speech therapy services. As part of the Five Star family of companies, we work directly with Five Star Home Health Care to ensure seamless, integrated care across every discipline supporting you at home.
Your specialists, working as one team.
Managing care across multiple specialists can be confusing and fragmented. Our providers coordinate directly with your cardiologist, neurologist, oncologist, and other specialists — sharing records, aligning treatment plans, and ensuring every provider is working from the same up-to-date picture of your health. You get cohesive, coordinated care without the coordination burden falling on you.
Prescriptions and infusions, handled at home.
Our providers prescribe, reconcile, and manage all your medications — including complex regimens involving multiple specialists. We also arrange and oversee in-home infusion therapy, including IV antibiotics, hydration, and other infusion treatments, so you receive hospital-level medication management in the comfort of your own home.
Diagnostics ordered and delivered to you.
Our providers can order blood work, x-rays, EKGs, and other diagnostic tests — many of which can be performed right in your home. We also order and coordinate delivery of durable medical equipment such as walkers, wheelchairs, hospital beds, and oxygen systems, ensuring you have everything you need to stay safe and supported at home.
Our Intake Nurse Navigator is available 24/7 to answer your questions and schedule your first visit.