At Home Harmony ACO
A physician and an older patient talk together at home

Better Care.At Home.

At Home Harmony ACO is a physician-led organization advancing value-based care by coordinating health where patients are most comfortable—at home.

Home-based

Primary care delivered where patients live.

Caregiver-centered

Built around families, not just patients.

Dementia-informed

Specialized care planning and support.

Relationship-first

Longitudinal care from a team that knows you.

Our Approach

Comprehensive, relationship-based care for homebound adults.

At Home Harmony ACO is an independent, physician-led ACO built entirely around home-based primary care. Shared infrastructure, quality programs, and care-coordination tools let our physicians, advanced practice providers, and extended care team deliver longer visits, fewer hospitalizations, and better support for the families at home.

  • A dedicated home-based primary care team
  • Shared care coordination, analytics, and quality programs
  • Aligned with the CMS LEAD Model (Long-term Enhanced ACO Design)
  • Dementia-focused care pathways and caregiver support
  • Transitional care to keep patients safely at home after discharge
Home-based care team collaborating

The ACO Model

What every patient can count on.

Every patient in the ACO experiences the same commitments: a longitudinal care team, proactive coordination, and meaningful support for the people caring for them at home.

Physician-Led Governance

An ACO governed by the home-based primary care providers who actually deliver the care.

Care Coordination

Shared workflows, chronic care management, and transitional care to keep care steady between visits.

Quality & LEAD Alignment

Aligned incentives through the CMS LEAD Model — rewarding outcomes over volume.

Dementia & GUIDE Pathways

Access to the CMS GUIDE dementia care model and 24/7 caregiver support resources.

Get Started

Ready to bring better care home?

Whether you're a clinician delivering care in the home, a hospital system planning safer transitions to home, or a family caring for an aging loved one — At Home Harmony ACO is built for you.