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AAHCM 2021 Virtual Annual Meeting
Home-Based Medical Care: Leadership Across the Landscape

Friday, October 29 and Saturday, October 30, 2021
(with pre-conference sessions on October 28)

Thank you to the more than 400 individuals, 33 sponsors and supporters, and 30 exhibitors who attended this year’s AAHCM Virtual Annual Meeting on October 29–30! This year’s Virtual Meeting was even bigger and better than the last and we’re thrilled to have shared the experience with you.

If you missed a session or need a refresher, all registered attendees may access the Annual Meeting on demand here.


Registration Rates  //  Group Registration  //  Learning Objectives   //  Sponsors and Exhibitors  //  Keynote Speakers   //  Award Nominations  //  CME/CE Credit  //  Pre-conference Sessions // Robert M. Kaiser Scholarship  //  Download the Agenda  //  Attendee Information Brochure

For more than 25 years the Academy has represented the forefront of medical care in the home, and this year we will explore the transforming landscape of Home-Based Medical Care. Increasingly, primary, palliative, hospital, urgent, and interdisciplinary care have moved to the home. The pandemic has only reinforced this need and accelerated the trend.

Explore innovative models of care, learn evidence-based best practices, discover new strategies to improve care coordination through interdisciplinary care, and acquire the skill set to implement rapid performance improvement at this year’s conference. 


Describe how to manage complex clinical care in the home.

Explore opportunities for innovating and growing home-based medical care programs.

Identify quality measures that are important to track, as well as approaches to quality 

improvement, to demonstrate value to clinicians, patients, families, and payers. 

Explain the need for clinical leadership and adaptability in an ever-changing health care environment.

Identify ways to integrate health equity into day-to-day practice and be more inclusive of underserved populations in home-based care programs.

Describe how to begin to transition into population health and value-based care.

“Thanks for making this experience feel authentic to the in-person conference, despite the extraordinary times!” —  AAHCM 2020 Virtual Annual Meeting Attendee

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Thanks to all of our sponsors and exhibitors!


USMM logo

Established in 1993, U.S. Medical Management “USMM” is a family of companies dedicated to providing high quality, coordinated healthcare in the home. USMM is comprised of Visiting Physicians Association “VPA” (Primary Care, Diagnostics, Palliative Care), The Home DME, Pinnacle Senior Care (Skilled Home Health Care), and Grace/Comfort Hospice.

USMM’s innovative model provides patients and payers with overall lower costs, better outcomes and higher patient satisfaction.

USMM operates over 100 locations across 11 states.


Bloom Healthcare logo


canton and company logo

Canton & Company is a growth and innovation services firm focused exclusively on the healthcare industry. Guided by a dual commitment to accelerating the industry transition to a market-based health economy and creating sustainable success for its clients, Canton & Company inspires change through innovation, with particular emphasis on consumer-centric, smart health markets. We do this by fast-tracking client growth through a diversified suite of offerings that includes strategy, go-to-market, and performance services, along with innovation and venture solutions, using our powerful network of industry change-makers to connect clients with the right tools, partners, talent, and capital for sustainable success.

clover health logo

Clover Health is a healthcare technology company and risk-bearing organization that provides highly affordable, benefit-rich, open-network Medicare Advantage plans and operates as a direct contracting entity in CMS's Global and Professional Direct Contracting Model, with a specific focus on serving seniors who've historically lacked access to affordable, high-quality healthcare.

visiting physicians logo

Visiting Physician Services, part of VNA Health Group, is the largest geriatric house call practice in New Jersey. Our clinical staff is comprised of 8 physicians and 32 nurse practitioners and physician assistants, who work as a team serving 3,400 homebound patients throughout 8 NJ counties. Our mission is to enable patients to stay at home as they age and improve their quality of life by providing convenient and compassionate in-home medical care. Visiting Physician accepts Traditional Medicare, Horizon and Amerigroup. For more information, visit www.vnahg.org/vps.


hcci logo

The Home Centered Care Institute (HCCI) is a national non-profit organization focused on advancing home-based primary care to ensure that medically complex and homebound or home-limited patients have access to high-quality care in their homes.

john a hartford logo

The John A. Hartford Foundation, based in New York City, is a private, nonpartisan, national philanthropy dedicated to improving the care of older adults. The leader in the field of aging and health, the Foundation has three areas of emphasis: creating age-friendly health systems, supporting family caregivers, and improving serious illness and end-of-life care.

Smith+Nephew logo

Smith+Nephew is motivated by care for the lives of the people who need our wound care products and technologies. We believe that our bodies should never put a limit on what we can do, nor who we can be.

wgu college of health professions logo
WGU’s online College of Health Professions offers affordable, respected, industry-relevant bachelor’s and master’s degrees in nursing and healthcare.
We also provide employers the opportunity to reskill and upskill their workforce with certificate programs including Population Health, Behavioral Health, Care Coordination, Value-Based Care, and more. Learn more about certificate programs at www.wgu.edu/healthcertificates or degree programs at www.wgu.edu/health.


advanced md logo

AdvancedMD, a unified cloud suite of medical office software hosted on Amazon Web Services. Features include practice management, electronic health records, and patient engagement, and managed medical billing services for independent practices.

advanced providers' logo

cahcm logo

The Coalition to Advance Home Care Medicine are providers, plans, health systems, consumers, advocates, academics, and innovators:  We are a diverse, interdisciplinary coalition with a unique and holistic perspective on healthcare. We serve as an incubator to explore and accelerate the development of mission-driven, community-based care models in the home reflecting clinical and social determinants of health.

centene logo

Cosan Group logo

Cosán Group provides preventative care solutions to adults with chronic conditions (on behalf of their providers), filling the gaps between provider visits. Through the delivery of technology and services to support the Chronic Care Management (CCM), Behavioral Health Integration (BHI) and Remote Patient Monitoring (RPM) programs, the company collaborates with physicians and other healthcare organizations around a central, individualized care.

dispatch health logo

DispatchHealth’s mission is to create the most advanced and complete in-home care model in the world. By offering on-demand healthcare for people of all ages in the comfort of their home, DispatchHealth helps reduce unnecessary emergency room visits and hospitalizations, improve clinical outcomes and decrease burdensome costs for the overall healthcare system.

healthsperien logo

At Healthsperien, we operate at the intersection of public policy, business, analytics, and strategic relationships and coalition engagement. We bring a “system” perspective to our work and specialize in payment and delivery models, legislative and regulatory issues facing Medicare, Medicaid and commercial payers, and emerging trends in value-based payment.

iris healthcare logo

Iris serves health plans, at-risk organizations, and their members through a comprehensive suite of tech-enabled Advance Care Planning solutions that improve care utilization, cost of care and member experience.

Vytalize logo

Vytalize Health is powering primary care practices with bold value-based incentives and smart technology. By specializing in Medicare services, Vytalize provides an all-in-one solution that is uniquely efficient and effective. Vytalize's care delivery model transforms the healthcare experience for tens of thousands of Medicare beneficiaries across 14 states by helping them take control of their chronic conditions in collaboration with their doctors.



capstone logo

Capstone, a service of CareVention HealthCare, provides Medicare risk adjustment expertise to ensure compliance and optimize revenue for value-based care organizations.

carelink logo

CareLink is a powerful practice management tool designed to meet the needs of mobile providers. CareLink can cut windshield time by 50% and can be integrated with most EMRs.

contessa health logo

Contessa is a pioneer in hospital-at-home and skilled nursing at-home services. Their risk-based model brings essential elements of inpatient hospital care into patients’ homes.

heal logo

Heal is a primary care provider offering doctor house calls, telemedicine, and remote patient monitoring. We patients 365 days a year in the comfort of their own home.

hillrom logo

Hillrom is dedicated to enhancing outcomes for patients and their caregivers by advancing connected care. TheWelch Allyn® RetinaVue® care delivery model is a simple, affordable, patient-centered solution to help improvediabetic retinal exam compliance anywhere the patient is. Accurate documentation of chronic conditions such asdiabetic retinopathy helps inform care planning, care delivery, appropriate coverage, and quality performance.Improve HEDIS®, STAR, and HCC risk factors by closing care gaps for patients living with diabetes.

medically home logo

Medically Home is a purpose-built platform that enables health systems to safely bring the hospital home.

northwell health logo

Northwell Health is New York State’s largest health care provider and private employer, with 23 hospitals, 830 outpatient facilities and more than 16,600 affiliated physicians.

real system by penumbra, inc. logo

About Penumbra, Inc.
Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company that develops and markets innovative solutions that address challenging medical conditions. Its broad portfolio includes devices for vascular and neuro interventions, and immersive therapeutics for rehabilitation. For more information, visit www.penumbrainc.com or www.realsystem.com.

WellBe Senior Medical

WellBe Senior Medical provides in-home primary care to patients who are facing multiple health challenges, please visit www.wellbe.com or call 855-492-7642.

ziegler investments logo

Ziegler’s Corporate Finance team is focused on delivering best-in-class advisory and financing solutions for companies and organizations across the healthcare industry. In our core practice areas of healthcare services, information technology, hospitals and senior living, Ziegler is one of the most active M&A firms offering innovative sell-side, buy-side, recapitalization/restructuring, equity private placement and strategic partnering services.













Opening Keynote

Mark McClellan, MD, PhD
Director, Duke-Robert J. Margolis, MD Center for Health Policy and Robert J. Margolis, MD Professor of Business, Medicine, and Policy, Duke University

Dr. Mark McClellan is a physician-economist who focuses on quality and value in health care including payment reform, real-world evidence, and more effective drug and device innovation. Dr. McClellan is at the center of the nation’s efforts to combat the pandemic and the author of a roadmap that details the steps needed for a comprehensive COVID-19 response and safe reopening of our country. He is former administrator of the Centers for Medicare & Medicaid Services and former commissioner of the U.S. Food and Drug Administration, where he developed and implemented major reforms in health policy. Dr. McClellan is an independent director on the boards of Johnson & Johnson, Cigna, Alignment Healthcare, and PrognomIQ; co-chairs the Guiding Committee for the Health Care Payment Learning and Action Network; and serves as an advisor for Arsenal Capital Group, Blackstone Life Sciences, and MITRE.

Closing Keynote

Sherita Hill Golden, MD, MHS
Hugh P. McCormick Family Professor of Endocrinology and Metabolism and Vice President and Chief Diversity Officer for Johns Hopkins Medicine

Dr. Sherita Hill Golden holds joint appointments in the Welch Center for Prevention, Epidemiology, and Clinical Research, in the Department of Epidemiology at the Johns Hopkins Bloomberg School of Public Health, and in the Armstrong Institute for Patient Safety and Quality. An internationally recognized physician-scientist and member of the American Society of Clinical Investigation and American Association of Physicians, Dr. Golden’s research has used the tools of epidemiology and health services research to identify biological and systems contributors to disparities in type 2 diabetes and its outcomes. In order to more directly address the root causes of health inequities identified through her research, Dr. Golden has used her executive leadership roles to develop systems, community, and policy interventions. In her current role as Vice President and Chief Diversity Officer for Johns Hopkins Medicine, she oversees diversity, inclusion, and health equity strategy and operations for the School of Medicine and Johns Hopkins Health System.


Discover new ideas in home care medicine from industry experts, vendor partners, and inspiring keynote speakers. Plus, you may have an opportunity to earn continuing education credits for your participation! Connect virtually in an interactive setting with colleagues around the globe. Share insights and best practices, celebrate home care’s brightest stars, and participate in special interest groups. Hear from leaders of all backgrounds who are advancing the practice of home-based medical care. From technology to health equity, practice management to talent retention, you’ll find topics to spark your interest.

Thursday, October 28 | All Times Eastern (ET)

10:00am – 1:00pm

SmithNephew logo

Wound Care for My Home-based Patients – HELP!

Do your home-based patients have chronic wounds that will not heal? Join us for this focused pre-conference session designed to help you with advanced treatment options in post-acute care. Enhance your clinical confidence and decision-making for Diabetic Foot and Venous Leg Ulcers, as you take a deeper dive into understanding the etiology, clinical assessment, classifications, wound-bed preparation, risk factors, complications, treatment, and product selections, based on the T.I.M.E. principles.


  • Describe the pathophysiology of and risk factors for venous leg ulcers (VLUs) and diabetic foot ulcers (DFUs)
  • Discuss clinical assessment, classification, and terminology for VLUs and DFUs
  • Review the T.I.M.E. principles of wound bed preparation and discuss treatment selection for VLUs and DFUs

Download the Agenda

11:00am – 5:00pm

Hospital at Home logo

What’s Happening, What’s Next

With more than 125 Full and Affiliate Members, the Hospital at Home Users Group is a dynamic and growing community of hospital at home programs throughout the United States and Canada. Many of our members are participating in the Centers for Medicare and Medicaid Services (CMS) Acute Hospital Care at Home program, either expanding or starting new hospital at home initiatives.

The 2021 Hospital at Home Users Group Annual Meeting—What’s Happening, What’s Next—comes amid a period of transformational growth for hospital at home programs across the country. Spurred by the CMS waiver, health systems and hospitals are exploring how acute care for a wide range of patients and diagnoses can be delivered safely and effectively at home. Looking beyond the public health emergency, all hospital at home programs must consider how to both improve their patient care and respond to an uncertain future.

The Annual Meeting consists of morning and afternoon sessions, featuring presentations from experts in delivering high quality acute care in older people’s homes. Additionally, it includes a poster session, innovation presentations, awards, results from a hospital at home photo contest, and even some hospital at home trivia.


By the end of the pre-conference, participants will:

  • Have a clear understanding of recent developments in the hospital at home movement and the Hospital at Home Users Group
  • Develop a clear grasp of the current state and future prospects of the hospital at home model and its implementation in diverse settings
  • Learn about innovations in hospital at home practice across the US and Canada


Lee Fleisher Headshot

Lee A. Fleisher, MD
Chief Medical Officer & Director of the Center for Clinical Standards & Quality, Centers for Medicare & Medicaid Services
Professor of Anesthesiology & Critical Care, Perelman School of Medicine, University of Pennsylvania

Download the Agenda

1:00pm – 4:30pm

hcci logo

Level Up! Take Your House Call Operations to New Heights

Designed for providers, practice managers, and other staff interested in enhancing the efficiency, productivity, and ultimately the bottom line of their house call program. Expert faculty from Home Centered Care Institute will present actionable tips and strategies that can be quickly implemented to yield measurable results. Content will include implementing geographic scheduling and route planning; optimizing your EMR; leveraging effective marketing and community relations; enhancing revenue cycle management and more. In this challenging time, all of home care medicine is looking for the “secret sauce.” Come and learn about some of the key ingredients!


  • Discuss proven strategies and recommended best practices to streamline house call operations and boost productivity.
  • Design and implement a plan aimed at achieving measurable results in terms of efficiency, quality of care, and practice growth.
  • Improve patient care while enhancing the program’s bottom line.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute and the Home Centered Care Institute. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians. 

PeerPoint Medical Education Institute designates the live format for this educational activity for a maximum of 3.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


All presenters, planners, editors, or staff report no relevant relationships to disclose:
“I do not have at present, or within the last 12 months, nor anticipate having financial interest, arrangement or affiliation with any organizations that could be perceived as a real or apparent conflict of interest in context to the design, implementation, presentation, evaluation, etc. of CME Activities.”

Download the Agenda