for providers

Expanding your reach beyond the walls of your office.

Elevating rural primary care with connected and community-based care coordination.

Home care healthcare professional giving a comforting hug to a senior patient, offering emotional support and care.

Homeward Health extends your reach while enhancing patient care

As a primary care provider or provider organization, you strive to deliver quality care while growing your patient community. Managing complex patient needs can be overwhelming, especially in a rural community where demand for your attention is high. Homeward helps extend your reach with locally based care teams supporting your practice and patients between visits and beyond your office.

How does Homeward help you as a primary care provider?

Homeward reduces the administrative burden of documentation, outreach, and compliance, so you can do what you do best: focus on delivering high-quality patient care while maximizing available incentives.

Opportunity Assessment
We identify gaps in documentation and patient engagement to enhance care delivery and unlock incentives.
Patient Opportunity & Care Navigation
We address chronic conditions and care gaps, coordinate referrals, and support patient and resource navigation.
Clinical Extension and Reach
We offer home visits to improve access, reduce no-shows, support post-discharge care, and deliver key screenings—always returning patients to you.
Customized Support for Maximum Impact
Our program fits into your workflow, helping you achieve quality goals while capturing incentives.
Risk Adjustment & Quality Training
We offer tailored training to improve documentation accuracy and quality performance.
Patient Outreach & Scheduling
We engage patients early to prevent complications, support quality goals, and improve outcomes tied to incentives.

How does Homeward help you as a primary care provider?

Homeward reduces the administrative burden of documentation, outreach, and compliance, so you can do what you do best: focus on delivering high-quality patient care while maximizing available incentives.

An illustrated icon of a medical monitor screen

Opportunity Assessment

We identify gaps in documentation and patient engagement to enhance care delivery and unlock incentives

Heart over hand icon

Patient Opportunity & Care Navigation

We address chronic conditions and care gaps, coordinate referrals, and support patient and resource navigation.

An illustrated icon of a clinic sign

Clinical Extension and Reach

We offer home visits to improve access, reduce no-shows, support post-discharge care, and deliver key screenings—always returning patients to you.

Customized Support for Maximum Impact

Our program fits into your workflow, helping you achieve quality goals while capturing incentives

An illustrated icon of a clipboard

Risk Adjustment & Quality Training

We offer tailored training to improve documentation accuracy and quality performance

An illustrated icon of a calendar

Patient Outreach & Scheduling

We engage patients early to prevent complications, support quality goals, and improve outcomes tied to incentives.

How we help your patients 

Homeward can identify patients who are ideal for care coordination with us. We can expand your reach and impact outside your office walls with clinical care, care navigation, benefits education, and social determinants of health supports that impact their overall quality of life.

Local Resources

Transportation and Mobility: Assistance to and from appointments, including specialized transport for mobility-impaired patients.


Nutritional and Lifestyle Support: Meal planning, food deliveries, access to exercise programs, and lifestyle coaching.


Home and Community Assistance: Help with household tasks, home care, and benefits navigation (including medical equipment and over-the-counter benefits).

In-Home and Virtual Visits

Medical Assessments: Home assessments, equipment set-up, and medication reviews, tailored to support your specialized treatment plans.

Transitions of Care: Comprehensive support following emergency room visits or hospital stays, ensuring smooth transitions back to home life.


Support for Vulnerable Patients: Tailored care for disengaged, home-bound, or chronically ill patients, keeping them connected to your clinic’s care plan.

Chronic Condition Assistance

Care Optimization: Proactive coordination of appointments, medication adherence, and follow-up care, helping to manage complex chronic conditions in alignment with your treatment protocols.

Care coordinator speaking with a white elderly couple, providing guidance and support during a healthcare discussion.

Who to refer for care coordination

Patients struggling with prescriptions, insurance benefits, or managing their health.

Those needing guidance on following up with a specialist or obtaining referrals.

Anyone with special needs, such as caregiving or transportation challenges, that impact their ability to see their primary care provider.

Ready to explore further?

Reach out to learn more about what it feels like to work with Homeward. Call us at 844-429-9278.

Frequently asked questions

Who can use Homeward?

Homeward accepts the following Medicare Advantage plans: BCBS Michigan and Aetna. Homeward does not accept Original Medicare, Original Medicaid, or any other Medicare Advantage plans not listed above.

Is Homeward a primary care provider?

We will not replace your existing primary care relationship. We empower you by meeting patients where they are - in their home and in the community.

Why does Homeward want to work with primary care providers?

We want to improve the health and wellness of rural Americans. We do that by working with outstanding local providers to extend their reach and get more people the care they need.

Who is a Homeward care navigator?

Our care navigator team will often come to the health plan member’s home and go through some basic medical assessments like blood pressure, weight and height. They’ll make sure the member is ready for the visit with the Homeward provider ensuring they are able to connect virtually. While they are alongside the plan member during the virtual provider visit, their primary role is to help coordinate non-clinical support—like food, transportation, caregiving, and DME—leveraging their local knowledge and community connections. They become the member’s advocate and also help them better understand their plan benefits and how to access those that are the most beneficial to the member.

How does Homeward partner with primary care providers?

We act as a clinical extension of your main provider care team. Homeward provides services to help you offer more to your patients and always connect them back to you. We can support with things like post-discharge care management and in-home safety checks, managing chronic conditions, checking blood pressure and handling A1C collection and management, as well as helping to coordinate and schedule preventive screenings like colorectal and breast cancer.