Intention Healthcare

What Intention Healthcare does

Intention Health Care is a physician-led home-based clinical care organization serving homebound and complex-needs patients across the New York metropolitan area, including NYC, Nassau County, and Westchester County. Formerly operated as Essen House Calls, the company rebranded while remaining affiliated with Essen Health Care, and positions itself as an extension of — rather than replacement for — patients' existing providers, home health aides, and family caregivers. It targets Medicare and Medicaid beneficiaries who have difficulty accessing traditional office-based care, including those with chronic disease, post-hospital recovery needs, dementia, and complex medication regimens, and reports more than 20 years of combined service experience.

The clinical platform combines in-home physician and nurse-practitioner visits, FDA-cleared continuous remote patient monitoring (blood pressure, oxygen, glucose, weight), 24/7 telehealth, hospital-level services delivered at home (IV fluids, antibiotics, wound care, acute evaluation), in-home labs and diagnostic imaging, and behavioral health screening. Care is coordinated across hospitals, provider groups, IPAs, licensed home care agencies, and health plans. The company is an approved CMS GUIDE program participant — one of 21 in New York State — providing dedicated care navigators, caregiver training, and paid respite hours for dementia patients covered under Medicare. Additional offerings include a Social Care Network food and SDoH survey tool and HIPAA-compliant patient portals.

Intention Health Care generates revenue primarily through Medicare fee-for-service reimbursement, Medicaid plans, and value-based contracts with health plans and risk-bearing entities, supplemented by partnerships with provider groups and home care agencies. Patient acquisition is referral-driven through providers, hospital discharge planners, health plan case managers, agency staff, and direct patient/family inquiries, with no direct-to-consumer marketing of significance; the GUIDE program advertises Medicare coverage with no additional patient cost-sharing. No revenue, funding, or headcount figures are publicly disclosed.

Name

Intention Healthcare

Legal name

Intention Health Care

Website

https://intentionhealthcare.com

Company type

Private

Operating status

Operating

Short description

Intention Health Care is a physician-led home-based clinical care organization serving homebound Medicare and Medicaid patients in the NYC metro area, delivering in-home visits, FDA-cleared remote monitoring, 24/7 telehealth, and the CMS GUIDE dementia program as an affiliate of Essen Health Care.

Ownership category

akta.pro rank

Product category

Home Healthcare Services

NAICS

Home Health Care Services (621610), Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Home-Based Primary Care / Medical House Call Practices (HLAFAEAI)

akta.pro secondary industries

Hospital-at-Home & Acute-at-Home Remote Monitoring (step-down, escalation workflows) (HLALAFAH), Hospital-at-Home & Acute Virtual Care Platforms (HLALABAC), Home-Based Chronic Disease Management (Skilled) (HLADAFAL), Dementia & Wandering-Safety 24/7 In-Home Care (HSABAHAE)

Keywords

• Home-based clinical care
• Physician house calls
• Remote patient monitoring
• Dementia care programs
• Care coordination services

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medicare Fee-for-Service Reimbursement: Services delivered to Medicare beneficiaries are billed through traditional Medicare fee-for-service, including physician visits, care coordination, and remote monitoring. The GUIDE program is covered under Medicare with no additional cost to patients beyond standard cost-sharing.
2. Medicaid Reimbursement: Most Medicaid plans are accepted across service areas, covering home-based clinical services for eligible beneficiaries.
3. Health Plan Value-Based Contracts: Partnerships with health plans and risk-bearing entities focus on reducing total cost of care through avoided ER visits and hospitalizations, with shared accountability for member health outcomes and potential quality-based incentive payments.
4. Provider Group and IPA Partnerships: Complementary to fee-for-service billing, providing interdisciplinary care planning and post-discharge coordination that extends provider reach without replacing existing billing relationships.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Intention Healthcare delivers physician-led home-based clinical services to patients who cannot easily access a doctor's office, including in-home primary and post-discharge visits, FDA-cleared continuous remote vital-sign monitoring, urgent care at home (IV therapy, antibiotics, wound care), and behavioral health support via telehealth. The organization coordinates in-home care with patients' existing providers, home health aides, and health plans, and operates the CMS-approved GUIDE program for dementia care and caregiver support across the New York metropolitan area.

Product overview

Intention Health Care is a physician-led home-based care platform providing coordinated clinical services for high-need patients who cannot easily access traditional doctor's offices. The company operates as a unified platform combining in-home medical visits (House Calls), remote health monitoring with FDA-cleared devices, urgent care at home, behavioral health support via telehealth, and the specialized GUIDE Program for dementia patients. All services are coordinated through physician-led teams available 24/7, with care plans developed in collaboration with existing healthcare providers, home health agencies, and family caregivers. The company previously operated as Essen House Calls before rebranding to Intention Health Care.

Differentiator

Problem solved

Functional benefit

Products and services

• GUIDE Program CMS-approved dementia care program providing dedicated clinical teams, care navigators, caregiver training, and paid respite hours covered by Medicare for dementia patients in NYC, Nassau County, and Westchester County.
• House Calls (In-Home Medical Visits) Physician-led in-home clinical visits including full evaluations, lab orders, medication adjustments, and care plan creation for homebound patients who cannot easily access a doctor's office. Most visits scheduled within 24-48 hours.
• Remote Health Monitoring FDA-cleared continuous monitoring devices tracking blood pressure, oxygen, glucose, and weight with real-time data transmission to clinical teams for early intervention before health crises occur.
• Urgent Care at Home Home-based acute care including IV fluids, antibiotics, wound care, and acute evaluations available 24/7 in select service areas to avoid unnecessary ER visits.
• Behavioral Health Support Mental health screening and support services delivered via telehealth, coordinated directly with patients' medical care plans.
• Labs & Diagnostic Imaging In-home or nearby laboratory services including blood draws, urinalysis, EKGs, x-rays, and ultrasounds arranged in select markets.
• Care Coordination Physician-led coordinated care services working alongside existing doctors, home health aides, and family caregivers to ensure unified care delivery.
• Hospital Discharge Follow-Up Post-hospitalization in-home visits within days of discharge including medication reconciliation, recovery monitoring, and care continuity coordination to reduce 30-day readmissions.
• Telehealth/Virtual Care 24/7 personalized virtual clinical support available in all markets, providing remote consultations, urgent symptom assessment, and care coordination without requiring in-person visits.

Quantifiable outcome

• 40% relative reduction in 30-day readmissions
• +3 more outcomes

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• CMS (Centers for Medicare & Medicaid Services)coreStrategic or Co-development PartnerApproved GUIDE (Guiding an Improved Dementia Experience) program participant - 1 of 21 in New York State. The GUIDE program is a Medicare innovation model designed to improve care for people living with dementia and support their caregivers through proactive, ongoing clinical support delivered at home.

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• DispatchHealth: DispatchHealth delivers on-demand acute and urgent care in the home, including IV fluids, antibiotics, and wound care — directly mirroring Intention's 'hospital-level care without the hospital' service line and serving the same Medicare-eligible population.
• Heal: Heal (acquired by Humana) pioneered physician house calls for primary, urgent, and post-acute care delivered at home, with integrated telehealth and RPM — closely aligned with Intention's core house-call and remote-monitoring offering.
• Landmark Health: Landmark Health (owned by Optum/UnitedHealth Group) provides physician-led home-based medical care for high-need, polychronic patients typically covered by Medicare Advantage — the closest comparable to Intention's physician-led home model targeting complex elderly patients in the New York metro.

Broad incumbents

• Amedisys: Amedisys is a national home health and hospice operator serving Medicare patients across the continuum of post-acute care, providing both a competitive overlap with Intention and a benchmark for scaled home-based service delivery.
• CareMore Health: CareMore (an Anthem subsidiary) delivers integrated chronic and post-acute care through in-home and community-based clinical teams for high-need Medicare patients — a structural analogue to Intention's integrated physician-led care model.
• Signify Health: Signify Health (acquired by CVS Health) sends clinicians into the home for health evaluations and post-acute care coordination for Medicare Advantage members, overlapping with Intention's value-based contract layer and health-plan-facing use cases.
• LHC Group: LHC Group (acquired by UnitedHealth/Optum) operates a large network of home health, hospice, and community-based services — overlapping with Intention's home health partnerships and post-discharge coordination, but at national scale.
• Humana CenterWell Home Health: CenterWell (formerly Kindred at Home), Humana's home health arm, is one of the largest U.S. home health providers and overlaps with Intention on skilled home health, primary care, and home-based complex care for Medicare Advantage members.

Emerging players

• Aledade: Aledade partners with primary care physicians and IPAs to deliver value-based care, with capabilities in care coordination and chronic disease management — relevant to Intention's provider-group and IPA partnership channel, though Aledade focuses on physician enablement rather than direct in-home visits.
• P3 Health Partners: P3 Health Partners operates a value-based care platform for high-need Medicare patients, including in-home clinical services — comparable to Intention's payer-facing, high-acuity home care focus but more recently formed and growth-stage.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Intention Healthcare