Professional Provider Information
Bringing healthcare full circle to the patient’s home

Home Visit M.D. a qualified medical facility that stresses teamwork and works collaboratively with the primary care provider (PCP), specialists, ancillary providers and caregivers. We offer personal, professional, convenient and affordable chronic healthcare management focusing on the medically complex, chronically ill and high-risk/high utilization patients.

Home Visit M.D. with Accountable Care Organizations (ACOs), Physician-Hospital Organizations (PHOs), Independent Practice Associations (IPAs), and groups of doctors, hospitals and other care providers to decrease and contain costs associated with treating their high-risk/high-cost patients. Our programs are designed to help:

  • eliminate medical errors and duplicating services
  • achieve accountable care benchmarks and goals
  • increase revenues stemming from shared-savings
  • decrease or eliminate revenue losses associated with extended hospital stays and readmissions
    (also known as bounce-backs)

Home Visit M.D.
...physicians, physician assistants and nurses provide preventive and maintenance healthcare; common medical and urgent services; assessments and diagnosis; transitional and follow-up care; medication therapy management at the patientís residence. We travel to nursing homes, assistant living facilities, rehabilitation centers, hospitals, places of work, hotels, motels and the home.

Home Visit M.D.
...assesses the physical and psychosocial environment, medication management and caregiver support providing diagnosis and treatment. Our clinical and coding assessments help improve the continuity and quality of healthcare, reduce cost of healthcare, appropriate risk adjustments and comply with regulatory systems. Our HIPAA compliant electronic health record secures transparency and provides online reporting and progress tracking.

Home Visit M.D.
...assists patients with our Independence at Home Program, Assessments, Integrated Transitional Program and Advanced Living Program. Our services range from a home visit to short-term services after hospital discharge; to long-term services in a convalescent facility or home following acute care; to hospice and end-of-life planning. After discharge from health facilities, we provide follow up attention within 24 hours and our physicians may be reached 24/7 by cell phone.

The majority of patients with chronic conditions experience difficulty scheduling and coordinating their required multiple office visits. Many fail to make their appointments and later seek emergency care.

"5% of the chronically ill (high-risk/high-cost patients) account for 50% of total costs." 2002 John Hopkins University Report

  • 4% of Medicaid beneficiaries with two or more chronic conditions account for 50% of expenditures.
  • Currently 25% of Medicare beneficiaries with two or more chronic conditions account for 85% of costs.

Home Visit MD chronic care coordination programs specifically targets the top 5% of the high-risk and high-cost patient population.

Our physician house calls, chronic healthcare management and Independence at Home Program eliminate patient frustration and fears while reducing costs associated with the chronically-ill hospital admissions, readmissions, urgent care, emergency room visits and acute hospital stays.

Home Based Chronic Care Programs Cost Savings

  • 50% Reduction in Initial Hospitalization for Patients at Risk
  • UP TO 95% Reduction of Hospital Admissions and Readmissions (Rebounding)
  • UP TO 65% Reduction in ER Visits
  • 62% Reduction in Hospital Days
  • 88% Reduction in Nursing Home Days

Most chronically-Ill patients qualify for our Independence at Home Program.

Home Visit M.D. assists patients in evaluating insurances, analyzing medical coverage and applying for Medicare or Medicaid. We make the billing process understandable and easy.

Our services are based solely on the
shared-savings program
with advanced payment model.
There is no fee-for-service
component to this program.
There is no risk to the provider,
health plan or their enrollees.




Black Nurse Home Care Provider