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Dartmouth Health and the Geisel School of Medicine plan to launch Dartmouth Health at Home in January 2027, backed by a $20 million gift from alumnus Richard “Dick” Levy. The pilot will serve 10 to 20 patients, with plans to expand over several years; projected benefits such as better outcomes and lower costs have not yet been established.
Dartmouth Health and the Geisel School of Medicine plan to launch Dartmouth Health at Home, an in-home primary and palliative care program supported by a $20 million gift from Dartmouth alumnus Richard “Dick” Levy. The pilot is scheduled to begin in January 2027 with 10 to 20 patients, with a longer-term goal of serving more than 1,000 patients and their families each year.
The program will start locally and is intended to provide coordinated medical and support services in patients’ homes, particularly for people who have difficulty reaching medical appointments. Dartmouth Health plans to expand it over several years across New Hampshire and Vermont. Dr. Nathan Goldstein, chair of Dartmouth Health’s Department of Medicine and co-CEO of Dartmouth Health at Home, said the eventual aim is to serve patients across the health system.
At its planned full scale, the program would 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 Family Caregiver Institute at Dartmouth Health, intended to offer caregivers services, education, support and access to home care aides. Dartmouth’s Institute for Health Policy & Clinical Practice will study the program’s effectiveness and economics, including its costs, revenue and financial margin. The source report says the gift will help start the work but is not expected to fund the program indefinitely.
Moving More Care Into Patients’ Homes
For patients in rural areas or with limited mobility, receiving care at home could reduce the practical burden of traveling to appointments. Goldstein cited older, frail adults who depend on relatives for transportation; home visits could spare family members some trips and time away from work. The program is designed to bring multiple kinds of care together rather than requiring patients to visit different facilities.
Goldstein said clinicians visiting a home may be able to identify medication-management problems, food insecurity or fall hazards alongside medical concerns. He said earlier assessment and treatment could help prevent some conditions from reaching an acute stage and potentially reduce emergency visits, hospitalizations and costs. Those are expected benefits, not reported results: the program has not yet begun, and its clinical and financial effects remain to be measured.
The model also places family caregivers within the scope of the program, rather than treating them only as a source of assistance. The institute and home-based support services may help address the demands placed on families as care shifts away from hospitals and clinics. Whether the planned services meet local needs will depend in part on feedback from patients and caregivers during the initial phase.
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A Local Pilot Before Regional Expansion
Dartmouth Health describes the initiative as a gradual expansion, beginning with a small pilot rather than a system-wide launch. Goldstein said the organization intends to use patient and caregiver feedback to adapt the services before expanding them across New Hampshire and Vermont. The stated long-term goal is to reach more than 1,000 patients and families annually, but the report does not give a date for reaching that scale.
The program’s research component is intended to test how home-based medical services work and whether they can be financially sustainable for health systems, patients and payers. Goldstein said the Dartmouth Institute will examine program costs and potential revenue. Dartmouth Health also hopes the approach could be adapted in rural areas elsewhere in the country, though no national rollout schedule or outside partners were identified in the report.
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Costs and Outcomes Still Need Testing
The pilot has not started, so there are no reported results on patient outcomes, access, caregiver experience or savings. Dartmouth Health has not specified how it will measure those outcomes in the report, nor provided a detailed operating budget or a timeline for expansion beyond the initial 10 to 20 patients.
The $20 million gift is described as start-up support, not a permanent funding source. It remains unclear how much ongoing revenue the program will need, what share will come from private or government payers, and whether those payments will cover its costs. The planned research is meant to examine these questions, but findings and decisions on long-term financing are not yet available.
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Pilot Launch Set for January 2027
Dartmouth Health at Home is scheduled to begin serving 10 to 20 patients in January 2027. The organizations say they will use feedback from patients and caregivers to refine the services before pursuing broader coverage in New Hampshire and Vermont. Further details on patient selection, referral routes and the timing of each expansion stage were not included in the source report.
As the program develops, Dartmouth’s Institute for Health Policy & Clinical Practice is expected to examine service costs, revenue and financial margins. Those findings, alongside clinical and caregiver feedback, will help show whether the model can be sustained and whether it can support the stated goal of serving more than 1,000 patients and families annually.
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Key Questions
What is Dartmouth Health at Home?
It is a planned Dartmouth Health and Geisel School of Medicine program offering in-home primary and palliative care alongside other support services.
When will the program begin, and how many people will it serve at first?
The pilot is scheduled for January 2027 and is expected to serve 10 to 20 patients.
Who is funding the program?
A $20 million gift from Dartmouth alumnus Richard “Dick” Levy is supporting the launch. Dartmouth Health says the gift will not sustain the program indefinitely.
What services are planned for patients and caregivers?
Plans include interdisciplinary home-based care teams, home safety assessments and 24/7 phone support. A Family Caregiver Institute is also planned to provide education, support and access to home care aides.
Has Dartmouth Health shown that the program will improve outcomes or lower costs?
No results are available because the pilot has not begun. Goldstein described improved outcomes and lower costs as expected benefits; the program’s research component is intended to examine its effects and financial sustainability.
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