Geriatric primary care, delivered at home.
Preferred Healthcare provides comprehensive home-based primary care for older adults and medically complex patients who have difficulty leaving home. Our geriatric-focused providers manage chronic conditions, medications, preventive needs, functional changes, and care transitions while coordinating closely with families, caregivers, and other healthcare professionals.
By bringing care directly to the patient, we improve access, reduce the burden of transportation, identify changes earlier, and help patients remain healthier, safer, and more independent where they live.
Home-Based Primary Care for Older Adults
Preferred Healthcare brings comprehensive primary care directly to older adults and medically complex patients who have difficulty leaving home. Our housecall program removes many of the transportation, mobility, and access barriers that can prevent vulnerable patients from receiving consistent medical care.
Our experiences providers evaluate the whole patient—not simply one diagnosis at a time. We manage chronic illnesses, medications, functional and cognitive changes, preventive needs, and transitions after hospitalization while coordinating closely with families, caregivers, home health agencies, specialists, pharmacies, and other members of the patient’s care team.
Our home-based primary care services include:
Comprehensive care visits in the patient’s home
Management of multiple chronic medical conditions
Medication review, reconciliation, and deprescribing when appropriate
Geriatric assessments for falls, frailty, memory loss, and functional decline
Post-hospital and transitional-care follow-up
Advance-care planning and goals-of-care discussions
Coordination of laboratory testing, imaging, therapy, medical equipment, and specialty care
Collaboration with family members, caregivers, home health, hospice, and senior-living staff
What services do we provide?
We care for older adults and medically complex patients who are homebound or have significant difficulty traveling to a traditional medical office. This may include patients living in private residences, assisted living communities, and independent living communities.
Many of our patients have multiple chronic conditions, mobility limitations, dementia, frailty, recurrent falls, frequent hospitalizations, or a recent decline in their ability to manage medical appointments independently.
We also partner with families, senior-living communities, hospitals, rehabilitation providers, home health agencies, hospice organizations, and other referral partners seeking reliable ongoing primary care for vulnerable patients.
Who do we typically work with?
We provide access to care where the patient is.
Traditional office-based care can be difficult to access when a patient is frail, dependent on a caregiver, or unable to travel safely. A routine appointment may require transportation arrangements, time away from work for a family member, and a physically exhausting trip for the patient.
Home visits allow our providers to evaluate patients in the environment where they actually live. This provides valuable insight into medication use, nutrition, mobility, fall hazards, caregiver support, and the patient’s ability to follow the treatment plan.
Our program is designed to:
Improve access to consistent primary care
Identify changes in health before they become emergencies
Reduce fragmented and duplicative care
Improve medication safety
Strengthen follow-up after hospitalization
Support patients, caregivers, and senior-living staff
Help patients remain safely in their homes and communities
Reduce avoidable emergency visits and hospital admissions when clinically appropriate
Why choose Preferred Housecalls?
Homebound older adults are among the most medically complex patients in the healthcare system, yet many have limited access to routine office-based care. A systematic review involving 46,154 homebound older adults found that eight of nine home-based primary care programs improved at least one major outcome, such as hospitalizations, emergency visits, hospital days, long-term care use, costs, or patient and caregiver experience. (PubMed)
In the CMS Independence at Home Demonstration, participating practices generated more than $25 million in Medicare savings during the first performance year, averaging approximately $3,070 per beneficiary, while also meeting defined quality standards. Participants experienced better transitional follow-up, medication reconciliation, and fewer 30-day hospital readmissions. (Centers for Medicare & Medicaid Services)
A study of medically complex patients receiving home-based primary care found that hospital admissions, 30-day readmissions, and total inpatient days declined during the year after enrollment. (PubMed) Another Veterans Affairs program reported 43.7% fewer hospital admissions and 49.9% fewer hospital days after six months of enrollment, although these observational findings do not prove that every program will achieve the same results. (PubMed)
What does the research show?
Our Team
Stephen Major, MD
Stephen Major, MD, is a Cincinnati-area pulmonologist and critical care physician in private practice with Long-Term Care Pulmonary Consultants and Preferred Healthcare.
He earned his medical degree from the University of Toledo College of Medicine and completed both his internal medicine residency and pulmonary and critical care fellowship at the University of Cincinnati. Board-certified in internal medicine, pulmonary disease, and critical care medicine, Dr. Major specializes in general pulmonology and the management of complex respiratory conditions.
George Knight, CNP
George Knight, CNP, is a Cincinnati-based nurse practitioner and healthcare leader with more than 28 years of experience in geriatric care. A University of Cincinnati graduate, he has provided primary care in private homes, assisted living communities, and skilled nursing facilities throughout Greater Cincinnati since 1998.
His clinical expertise includes complex geriatric care, cognitive disorders, Alzheimer’s disease, and helping older adults maintain their health and independence.
Care That Comes to You, Throughout SW Ohio
We provide housecalls to homebound and elderly patients across Greater Cincinnati and the surrounding region, so quality primary care is never out of reach.