the-intersection-of-home-based-primary-care-and-home-based-palliative-careAlmost 2 million older adults are completely or mostly homebound, and another 5.5 million are semi-homebound — i.e., they are dependent on others or have difficulty leaving the home. The homebound are a vulnerable, multimorbid, functionally impaired, high-need, high-cost population. They experience substantial mortality — approximately 20% – 40% over 2 years, depending on the degree to which they are homebound.

In the wake of health care reform and growing interest in value-based care, models of home-based medical care — including both home-based primary care and home-based palliative care — have emerged as clinically effective and cost-saving evidence-based models to care for high-need, high-cost patients like the homebound…..more