Advancing Innovative Home-Based Chronic Care Models

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Work Group Charter

Chronic conditions plague many Americans and are a significant driver of high health care costs, and COVID-19 has only exacerbated these conditions as homebound elderly and at-risk patients delay much-needed medical care. This has led to the propagation of new models for managing chronic care that rely on combinations of telemedicine, home visits from PCPs and specialists or advanced practitioners, remote patient monitoring, at-home treatments like IVs and nebulizers, and full-on “hospital in the home” models. Providers and payers need to understand how these models can most efficiently be combined to improve access and quality of care for patients with chronic conditions both during and after COVID-19. The goal of this Work Group is to develop best practices for innovative models of chronic care management that improve patient outcomes and to drive their adoption by payer, provider and life science CEOs.



  • Hal Paz, MD, Executive Vice President & Chancellor for Health Affairs at The Ohio State University and Chief Executive Officer at Ohio State Wexner Medical Center

  • Iyah Romm, CEO, CityBlock

Work Group Fellows

Sunil Budhrani, MD, Innovation Health

Patrick Conway, MD, Optum

Doug Ghertner, IVX Health

James Madara, American Medical Association

Thomas Maddox, MD, BJC HealthCare/Washington University School of Medicine

Iyah Romm, Cityblock

Hal Paz, MD, The Ohio State University

Sheri Shapiro, Trinity Health

David Shulkin, MD, Shulkin Solutions

Mona Siddiqui, MD, Humana, Inc.

Kathryn Torres, HCA Healthcare

Andrew Watson, MD, University of Pittsburgh Medical Center

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