Independence at Home



Independence at Home is a three-year Medicare demonstration program testing home-based primary care that is tailored to individual chronically ill patients. Medical practices led by physicians or nurse practitioners provide primary care home visits designed to meet the individual needs of beneficiaries with multiple chronic conditions and functional limitations. The goal of the program is to determine whether home-based care can reduce the need for hospitalization, improve patient and caregiver satisfaction and lead to better health and lower costs to Medicare. The demonstration is taking place in 14 sites across Delaware, Florida, Massachusetts, Michigan, New York, North Carolina, Ohio, Oregon, Texas and Wisconsin.

Partner Organizations

  • Boston Medical Center (Boston, Massachusetts)
  • Christiana Care Health Services (Wilmington, Delaware)
  • Cleveland Clinic Home Care Services: Medical Care at Home Program (Independence, Ohio)
  • Comprehensive Geriatric Medicine P.C. d/b/a Doctors on Call (Brooklyn, New York)
  • Doctors Making Housecalls, LLC (Durham, North Carolina)
  • Housecall Providers, Inc. (Portland, Oregon)
  • National House Call Practitioners Group (Austin, Texas)
  • North Shore – Long Island Jewish Health Care Inc.: Physician House Calls Program(Westbury, New York)
  • RMED, LLC (Jacksonville, Florida)
  • Visiting Physicians Association, P.C. – Flint/Saginaw/Marysville (Flint, Michigan)
  • Visiting Physicians Association, P.C. – Lansing/Ann Arbor (Okemos, Michigan)
  • Visiting Physicians Association, P.C. – Milwaukee (West Allis, Wisconsin)
  • Visiting Physicians Association of Texas, PLLC – Dallas (Irving, Texas)

Target Population

Medicare beneficiaries with complex needs and functional limitations

Care Team

Medical team targeting population experiencing social disparities


2014 - present

Results/ Studies

Year 4 Evaluation (May 2019)


Federal grant


Program description