Frequently Asked Questions

How is this program possible?

It might surprise you that over 60% of the cost of a hospital stay goes to take care of the building and related fixed costs, rather than taking care of you. The Medically Home Program includes what the hospital provides, except for the actual building. So, we spend nothing on buildings and more on you.

For what conditions is the Medically Home Program available?
Heart failure
Pneumonia
COPD
Asthma
Respiratory infections and inflammations
Cellulitis
Urinary tract infection
Pulmonary embolism
Deep vein thrombosis
Gastroenteritis
Hip and knee replacement surgery – post surgical care
Ask your doctor if the Medically Home Program is right for your condition.
How does the Program provide hospital care at home, without the hospital?

The medication, monitoring and treatment that you would normally receive in a hospital is provided by setting up a temporary hospital in your home. This includes in-person visits with clinicians in your home, along with on-demand video communication with your doctor and safety monitoring. You and your family have access to your team anytime, day or night.

Who pays for this? Will this cost me more?
Your insurance company covers this.
 
Your co-pay costs are typically the same or less than you would pay for hospitalization. When you are admitted to the Medically Home Program, there are no added costs to you other than what you would usually pay for a hospital stay. You will not be billed for any additional charges. If you are admitted to the Program from the emergency department, your insurance company will also pay for that visit.
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Who is responsible for my care?

Your Medically Home Program doctor is responsible for your care. Your primary care doctor or surgeon is a key part of the team. It is the responsibility of your Medically Home doctor to monitor and talk with you while you are in the Program.

Can my primary care doctor or specialist be involved in care decisions?

As in a hospital, your primary care doctor or specialist can choose to be involved in your care from the first decision of your participation until you are discharged from the Program. Your doctors will be informed and involved with the decisions being made about your treatment.

Is this safe?

The Medically Home Program team has put in place a thorough clinical approach for your safety. Our model of care was tested in a clinical trial published by the American Journal of Managed Care in 2015.

The Program has many protections in place, including:

  • Your ability to reach your clinical team anytime, day or night
  • A bracelet you wear that when activated will dispatch 911 emergency services
  • Monitoring equipment that reports your vitals, including blood pressure and pulse
Is the program for everyone?

The Program is not for everyone, but if you qualify, your doctors believe it is a safe and effective alternative to being treated in the hospital.

Where is the Medically Home Program available?

The Medically Home Program is now available in certain areas of Massachusetts, New Jersey, and Indiana. We are adding new cities over time. Ask your doctor if the Medically Home Program is right for you.