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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 to more than 1,000 patients and families annually. The program’s longer-term finances and expansion timeline have not been specified.
Dartmouth Health and the Geisel School of Medicine at Dartmouth are launching Dartmouth Health at Home, a home-based primary and palliative care program funded 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, as the organizations seek to extend coordinated care to people who have difficulty reaching medical facilities.
The program is expected to start locally and expand over several years. Dr. Nathan Goldstein, chair of Dartmouth Health’s Department of Medicine and co-CEO of Dartmouth Health at Home, told Home Health Care News that the longer-term goal is to serve more than 1,000 patients and their families annually. At full scale, the program is projected to employ about 30 clinicians and staff.
Services will include in-home primary care and palliative care, alongside other home-based support. Planned interdisciplinary teams will include physicians, advanced practice providers, social workers and home health aides. Goldstein said the teams are expected to review patients’ care at least weekly. The program also plans to offer home safety assessments and round-the-clock phone support for patients and families.
A second component is the planned Family Caregiver Institute at Dartmouth Health, which is intended to provide caregivers with services, education, support and access to home care aides. Researchers at the medical school’s Dartmouth Institute for Health Policy & Clinical Practice will study how home-based services work, their costs and potential revenue, and whether they can be financially sustainable.
Care Moves Into Patients’ Homes
The program is designed for patients who face barriers to attending appointments, including older adults who are frail or depend on relatives for transportation. Bringing clinicians into the home could make it easier to assess health needs and living conditions directly, while reducing the burden of travel on patients and caregivers.
Goldstein said earlier assessment and treatment could help clinicians address problems before they become acute, potentially avoiding some emergency visits and hospitalizations. He also pointed to medication management as a possible way to reduce costs. These are expected benefits, not reported outcomes: the pilot has not yet started, and no results on access, health outcomes or savings are available.
The model also matters for rural health systems, where distance can make routine care difficult to reach. Dartmouth Health says it ultimately hopes to extend services across New Hampshire and Vermont, with a longer-range ambition of reaching all patients receiving care from the system. Whether that reach is achievable will depend on the program’s capacity, funding and results.
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A Local Pilot Before Expansion
The announced plan begins with a deliberately small pilot rather than a region-wide rollout. Goldstein told Home Health Care News that the organizations intend to adjust the services based on feedback from patients and caregivers before expanding. The stated scale-up target is more than 1,000 patients and families per year over the next several years; a year-by-year schedule was not provided.
The $20 million donation is intended to get the program started, but Goldstein said it is not expected to fund the service indefinitely. The Dartmouth Institute will examine expenses, revenue and financial margins, while the program’s leaders aim to make its services attractive to private and government payers. Dartmouth Health has also described the initiative as a potential model for rural care beyond the region, but that is an aspiration rather than an established outcome.
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Funding and Outcomes Still Unclear
The organizations have not released a detailed budget, a long-term funding plan or specific payment arrangements with insurers or government programs. Goldstein said the gift will launch Dartmouth Health at Home but will not sustain it financially over the long term. The program’s research arm is expected to examine costs and revenue, but findings are not yet available.
It is also too early to know whether the program will reduce hospital use, improve health outcomes or lower costs. The pilot has not begun, and the source report gives no criteria for selecting its first 10 to 20 patients, no detailed service schedule and no firm dates for expansion. The target of more than 1,000 patients annually is a plan, not a current enrollment figure.
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Pilot Begins in January 2027
Dartmouth Health at Home is scheduled to begin its pilot in January 2027, serving 10 to 20 patients. Goldstein said the program will use feedback from patients and caregivers to refine its services locally. The organizations have not announced a specific process or timetable for publishing pilot results.
Over the following years, Dartmouth Health plans to expand the program, with a stated goal of serving more than 1,000 patients and families annually and eventually extending across New Hampshire and Vermont. The Dartmouth Institute’s evaluation of operating costs, revenue and financial margins will help inform whether the model can continue and grow. No expansion milestones or confirmed national rollout have been announced.
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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 in-home primary and palliative care, along with other services and caregiver support.
When will the program begin, and how many patients will it serve?
The pilot is scheduled for January 2027 and is expected to serve 10 to 20 patients at the start. Dartmouth Health’s longer-term target is more than 1,000 patients and families annually, though no detailed expansion schedule has been released.
What will the $20 million gift pay for?
The gift from Dartmouth alumnus Richard “Dick” Levy is supporting the launch of the program. Goldstein said it is enough to get the initiative started but will not provide financial support indefinitely; specific allocations have not been reported.
Will the program reduce hospital visits or health care costs?
Dartmouth Health expects earlier care at home and better medication management could help prevent some acute episodes and reduce costs. Those benefits have not yet been demonstrated; the pilot has not started, and the program plans to study its costs and effects.
Where does Dartmouth Health plan to expand the service?
The stated goal is to grow from a local pilot across New Hampshire and Vermont, eventually serving all patients who receive care from Dartmouth Health. The organization has not announced a firm timetable or a confirmed expansion beyond its region.
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