Ennoble Care, a home-based primary care, hospice and palliative care provider in 15 states, has generated strong outcomes serving some of the highest-cost and most underserved patients in the healthcare system. In its first-ever Quality and Outcomes Report released this week, the company, which is part of the ACO REACH model, revealed that hospital admissions fall by 25% in year one with a Ennoble, and the hospital spend is about $500 per member per month in year two, much less than a comparable homebound Medicare. The company’s focus on in-person care helped to drive results, CEO Kush Das, a lawyer and former ambulance driver, told McKnight’s Home Care in a Newsmakers podcast.
As a house call firm, Ennoble Care brings the most skilled clinicians to a patient’s house to provide essentially a doctor's office inside, CEO Kush Das explained. That slowly progresses to more longitudinal care with nurses and social workers and care managers supporting patients. The company serves both Medicare and Medicare Advantage patients, depending on the market. About 1 of every 2 Medicare patients it serves is in the ACO REACH model, Das explained. He is proud of the work of the Complex Care Alliance, which has advocated for high-needs Medicare patients in accountable care. He is bullish on the LEAD model, which will take the place of the REACH Model starting in 2027. The latest physician fee schedule proposed rule reflects the work involved in operating a house call company, he said. The company, which doubled in the last 12 months, will continue on a similar growth trajectory, he said. The federal hospice moratorium — which he believes in — will hurt the company's efforts to grow hospice in the short term, he said.
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Show contributors:
McKnight’s Home Care Editor Liza Berger; Kush Das, CEO, Ennoble Care