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Dartmouth Health and the Geisel School of Medicine plan to launch Dartmouth Health at Home in January 2027 with support from a $20 million gift. The pilot is expected to serve 10 to 20 patients, with plans to expand to more than 1,000 patients and families annually; the long-term funding model is still being studied.
Dartmouth Health and the Geisel School of Medicine at Dartmouth are preparing to launch Dartmouth Health at Home, an in-home primary and palliative care program backed by a $20 million gift. The pilot is scheduled to begin in January 2027 with 10 to 20 patients, with the health system aiming to expand the service over several years to reach more than 1,000 patients and their families annually.
The program is designed to bring coordinated medical services to patients who have difficulty traveling to appointments, including older adults who are frail or rely on relatives for transportation. Dartmouth Health plans to begin locally, gather feedback from patients and caregivers, and adapt its approach before expanding across New Hampshire and Vermont, according to Dr. Nathan Goldstein, chair of the health system’s department of medicine and co-CEO of Dartmouth Health at Home.
At full scale, the program is expected to employ about 30 clinicians and staff. Goldstein told Home Health Care News that care teams will include physicians, advanced practice providers, social workers and home health aides. Teams are expected to review patients’ care at least weekly. The program also plans to offer home safety assessments and 24/7 phone support for patients and families.
The initiative includes a planned Family Caregiver Institute at Dartmouth Health, which is intended to provide caregivers with services, education, support and access to home care aides. The Dartmouth Institute for Health Policy & Clinical Practice will study the program’s effectiveness and costs, including how home-based services could affect spending for health systems, patients and payers.
Care Delivered Beyond Clinic Walls
The plan shifts some care from hospitals and outpatient facilities into patients’ homes, a model that could matter especially in rural areas where distance and transportation can make routine medical appointments difficult. Home visits may also give clinicians a clearer view of conditions that affect care, such as medication use, food access and potential fall hazards. Goldstein said earlier assessment and treatment could help prevent some conditions from progressing to acute illness, though the program’s results have not yet been established.
For caregivers, the planned institute and home-care support could address practical pressures that arise when relatives coordinate appointments and day-to-day assistance. The program’s impact will depend on who qualifies, how services are delivered across a wide rural region, and whether the care can be financed over time. Dartmouth Health says the gift provides a start, not a permanent funding source.
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A Local Pilot Before Wider Reach
Dartmouth Health and Geisel are positioning the initiative as a locally developed model that could later expand. The stated plan is to start with a small January 2027 pilot, refine services using feedback from patients and caregivers, and grow over several years toward annual service for more than 1,000 patients and families. The organizations have described a longer-term ambition to serve patients who receive care from Dartmouth Health across New Hampshire and Vermont.
The program’s research component is intended to assess what works in home-based medical care and whether it can lower costs. Goldstein told Home Health Care News that the institute will examine program expenses, potential revenue and financial margins. He also said Dartmouth Health hopes the model could eventually be adopted in rural areas elsewhere in the country; that is an aspiration, not a confirmed expansion plan.
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Funding and Outcomes Still Open
The $20 million donation from Dartmouth alumnus Richard “Dick” Levy will support the program’s launch, but Goldstein said it is not expected to sustain the service financially over the long term. The organizations have not provided a detailed operating budget, payer agreements, eligibility criteria or a timeline for reaching the planned annual patient volume. It is also not clear how many patients will receive primary care versus palliative care during the pilot.
Claims that home-based care could improve outcomes or reduce emergency visits, hospitalizations and costs remain expectations, not reported results. The January 2027 pilot has not yet begun, so there are no program outcome data or confirmed savings. The scope and timing of any expansion beyond the initial area have not been specified.
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Pilot Launch Set for January
Dartmouth Health plans to start the pilot in January 2027 with 10 to 20 patients. The first phase is intended to let the teams test care coordination, home assessments and caregiver support while collecting feedback from patients and families. The health system has not announced a public schedule for publishing pilot findings.
Over the following years, Dartmouth Health says it intends to expand the program and work toward serving more than 1,000 patients and families annually. The Dartmouth Institute is expected to examine costs and potential revenue as the service develops. The pace of growth, the eventual payer mix and whether the model can be sustained beyond the gift remain to be determined.
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Key Questions
What is Dartmouth Health at Home?
It is a planned Dartmouth Health and Geisel School of Medicine program that will provide primary and palliative care in patients’ homes, along with related support services.
When will the program begin, and how many people will it serve at first?
The pilot is planned for January 2027 and is expected to begin with 10 to 20 patients.
What will the $20 million gift pay for?
The gift from Dartmouth alumnus Richard “Dick” Levy supports the program’s launch. Dartmouth Health has said the donation will not, by itself, fund the program indefinitely.
Who is expected to provide care?
Planned interdisciplinary teams include physicians, advanced practice providers, social workers and home health aides. The program also expects to provide home safety assessments and round-the-clock phone support.
Has Dartmouth Health shown that the program will reduce costs or improve outcomes?
No. Those are expected benefits described by program leaders, not measured results. The pilot has not started, and its outcomes and long-term financial sustainability remain unknown.
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