What Is Home-Based Primary Care?

Home-Based Primary is a model of care that has the power to transform the way our nation delivers and manages the care of our most medically complex patients



HCCI defines Home Centered Primary Care as:

Interdisciplinary health and supportive services delivered in a person’s residence to cost-effectively enable aging in place. The core of home-centered primary care is the medical House Call Program.

Home-Based Primary Care can dramatically improve the quality of life for patients, families, and caregivers and can decrease costs across the health care continuum. This innovative care model is receiving national recognition for its ability to:

  • Improve the quality of care for frail, elderly, complex medical and homebound patients
  • Prevent or delay nursing home placement
  • Allow for cost-effective transitional care or post-acute care after surgery or injury
  • Provide more effective chronic disease management and advanced illness management
  • Provide crucial support for family caregivers as well as home health workers
  • Offer comfort measures and supportive palliative care
  • Promote seamless transitions to hospice care

The constellation of home-and-community-based services is different for each community and each patient but typically includes health and human service workers from a wide range of disciplines. When partnerships between complementary service providers are formalized, and communication platforms and protocols exist, coordinated care becomes possible.

A critical component of Home Centered Care is the Home Centered Care Network. In these networks, integrated teams of service providers enhance the delivery of home-based primary care. This collective, coordinated approach offers a critical opportunity to achieve health care’s triple aim:

  • Better patient experience
  • Better patient health
  • Lower overall health care costs

Have more questions about Home Centered Care? See our FAQs.