The last mile in value-based care: closing critical gaps between healthcare facilities and home
“We believe there is a not-so-distant future when medication non-adherence becomes a far more manageable issue.” – T.J. Griffin, Chief Clinical Officer, PharMerica
As seniors and rural patients face increasing mobility challenges, pharmacy and hospital closures and complex medical regimens, all of that (and more) is becoming the reality for those in value-based care.
- Avoidable utilization
- Rising mortality risk
- Fragmented care delivery
- Weakened performance in value-based models
It’s a no-win reality: seniors facing declining access and outcomes, rural communities left with fewer care options and healthcare organizations asked to deliver better results with fewer touch points and shrinking infrastructure.
Patient isolation and the “last mile” of medication management are where these challenges become system-level risks.
But they also represent a system-level opportunity.
A model built for scale
A new public-private Rural Health Innovation Initiative is focused on delivering pharmacy services, virtual care and medication management directly into homes.
The initiative is driven by Ōmcare, PharMerica , Mayor Alicia Pearson of Lanesboro, Minnesota and the University of Minnesota Center for Healthy Aging and Innovation, all committed to extending care beyond traditional facilities while maintaining quality, continuity and accountability for seniors and rural populations.
Why it matters to you
Key takeaways for value-based care leaders
- Acting now can stabilize rural access. With rural hospitals under financial strain and service lines disappearing, healthcare organizations must proactively extend care into the home to prevent gaps in access and continuity.
- Home-based pharmacy and virtual care are essential. Mobility barriers and medication complexity are driving avoidable utilization. Pharmacy-to-home and virtual care models directly improve adherence and outcomes.
- It’s possible to scale without new facilities. Technology-enabled medication management and remote care allow organizations to expand reach in low-density regions without significant capital investment.
- Connected-care data can be used to drive transformation. In-home care models generate continuous clinical and behavioral data that support early intervention, population health analytics and system-wide improvement.
“What can we do to bring healthcare back to rural America? We know we must approach it differently, and we recognize that change is never easy. For generations, these communities have endured, but endurance alone is not enough. Together, through public-private collaboration, we have the opportunity to make a real difference and improve lives across rural America.” – Lisa Lavin, CEO, Ōmcare
Explore how the Rural Health Innovation Initiative can strengthen your organization’s rural footprint, improve adherence and close the last-mile gap dragging down value-based outcomes.
Rural healthcare gap in Fillmore County looks to be filled by in-home pharmacy device
A rural health pilot initiative that started in Lanesboro and Whalen is expanding across Fillmore County with an at-home device that dispenses prescription drugs.
The pilot initiative is part of a study run by the University of Minnesota’s Center for Healthy Aging and Innovation. The decision to bring the study to Lanesboro comes after the city’s mayor Alicia Pearson, who is not acting in her official capacity, issued a Community Healthcare Needs Survey in which she found of the 134 participants, just under 50% said they have difficulty accessing healthcare.
Watch the full news clip from ABC 6 News here.
Ōmcare named to Fast Company’s 2026 list of World Changing Ideas
Ōmcare® is honored to be on this year’s list of Fast Company’s World Changing Ideas. This recognition celebrates our Rural Health Innovation Initiative, a pilot designed to tackle one of the most persistent challenges in the U.S. healthcare landscape: rural health deserts.
With our partners, PharMerica and the University of Minnesota Center for Healthy Aging and Innovation, we’re testing a scalable, virtual-first care model that brings essential services directly into the homes of rural seniors.
This approach integrates:
- Virtual care management
- Pharmacy home delivery
- Medication support
- All connected through an easy-to-use home technology platform, the Ōmcare Home Health Hub®.
Our vision is clear: Create a replicable, scalable model that delivers pharmacy and care services directly into the home, transforming access to care in underserved rural communities nationwide.
“This initiative reflects our commitment to changing the way the world cares for our aging and rural populations,” said Ōmcare CEO Lisa Lavin. “With a growing caregiver shortage, the need has never been greater. By bringing care directly into the home, we can expand access, ease the burden on families, and deliver a more equitable model of healthcare.”
Alicia Pearson, mayor of Lanesboro, Minnesota, is enthusiastic about the participation of residents of her city.
“Rural communities do an enormous amount of the work that keeps this country running, yet they face the greatest barriers to healthcare. People should not have to travel miles away for healthcare or lose their lives because they forgot to take their medication. We have the tools to deliver care into homes and help people take the right medication at the right time. We can do better, and we have a responsibility to do so,” she said.
Being part of Fast Company’s World Changing Ideas is much more than a “vanity metric.” The selection process is rigorous and independent and this award is an authoritative validation. The recognition elevates the Rural Health Innovation Initiative into a globally recognized benchmark.
A massive thank you to our incredible team, our partners and the visionary community leaders working together to bridge the healthcare gap across rural America.
Read more about the incredible impact of this year’s honorees here. Or connect with Lisa Lavin to see how the Rural Health Innovation Initiative model can benefit your organization.
Transforming Rural Health Care Through a First-of-its-Kind Collaborative
May 27, 2026
Transforming Rural Health Care Through a First-of-its-Kind Collaborative
A study designed to address rural pharmacy deserts by bringing pharmacy services directly into the home
BLOOMINGTON, Minn. (May 27, 2026) – Ōmcare and PharMerica are proud to announce the launch of the Rural Health Innovation pilot study.
Nearly half of all U.S. counties contain at least one pharmacy desert, leaving millions of older adults, particularly those in rural communities, without consistent access to the medication services they depend on. Traveling long distances for pharmacy and medication management is a persistent barrier for rural populations, their families, and healthcare professionals.
The Rural Health Innovation Initiative is a 6-month pilot study designed to address rural pharmacy deserts by demonstrating a scalable model for remote pharmacy access delivered through an easy-to-use home technology platform.
The model combines medication management, pharmacy home delivery, 24/7 pharmacy support, automated medication scheduling and dispensing, and monthly nurse check-in services to provide older adults in rural communities with consistent, reliable access to pharmacy and care services regardless of their proximity to a physical pharmacy.
The University of Minnesota Center for Healthy Aging & Innovation is leading the pilot evaluation, assessing both observed and reported outcomes associated with the use of the Ōmcare Home Health Hub® to ensure older adults in rural communities have consistent, reliable access to pharmacy services and medication management regardless of proximity to a physical pharmacy, as well as the model’s potential for broader adoption across rural communities nationwide.
Collaborators include:
- A Minnesota Mayor, Alicia Pearson, is personally invested in the initiative and provides local leadership support.
- Ōmcare – Delivering services through its pharmacy-integrated Ōmcare Home Health Hub®, a platform designed to enable in-home care and medication management.
- PharMerica – Delivering integrated pharmacy and medication management.
Objectives of the Study:
- Demonstrate the potential benefits of a technology-enabled integrated virtual pharmacy and med-management model in a rural setting.
- Evaluate feasibility and scalability of the model for broader national application.
“Rural communities do an enormous amount of the work that keeps this country running, yet they face the greatest barriers to healthcare. People should not have to travel miles away for healthcare or lose their lives because they forgot to take their medication. We have the tools to deliver care into homes and help people take the right medication at the right time. We can do better, and we have a responsibility to do so,” said Mayor Alicia Pearson.
“This initiative reflects our commitment to changing the way the world cares for our aging and rural populations,” said Lisa Lavin, CEO of Ōmcare Inc. “With a growing caregiver shortage, the need has never been greater. By bringing care directly into the home, we can expand access, ease the burden on families, and deliver a more equitable model of healthcare.”
“Medication access and adherence are critical to keeping people healthy, especially in rural areas where resources are limited,” said Brett Bearfield, COO at PharMerica. “Through this initiative, we’re bringing the pharmacy directly into the home, ensuring safe, timely delivery of medications and integrated management that supports better outcomes for patients and peace of mind for families.”
This pilot is designed to show what’s possible when technology, pharmacy, and healthcare come together.
Potential Outcomes
- A rural healthcare model that is perceived as useful and beneficial by older adults living in rural areas.
- Indications of improved medication adherence, better health outcomes, and patient satisfaction.
- Potential for reduced ER visits and hospitalizations.
- Demonstration of a scalable rural healthcare model.
- Recommendations to guide scalable rural healthcare solutions in future research and programmatic efforts.
Alignment with National Rural Health Priorities
This initiative also aligns closely with emerging federal efforts to modernize care delivery in rural communities. The Rural Health Innovation pilot reflects the goals of the Rural Health Transformation (RHT) Program and the Centers for Medicare & Medicaid Services’ new ACCESS Model (Advancing Chronic Care with Effective, Scalable Solutions), which will test outcome-aligned payment approaches. Like these national programs, the pilot seeks to expand access to technology-supported care for chronic conditions that affect more than two-thirds of Medicare beneficiaries. By bringing integrated virtual pharmacy services and medication support into the home, this study offers a real-world example of how rural communities can benefit from innovative care models that improve health outcomes, reduce preventable hospitalizations, and strengthen the path toward long-term sustainability in rural healthcare delivery.
Discover more about the project and follow the documentary film production showcasing the stories and real-world impact of the pilot. (https://omcare.com/rural-health-innovation-study/)
About Ōmcare
Ōmcare is a digital health company Changing the way the world cares® by integrating technology with pharmacy and care services to help older adults live where they want to live, longer. Ōmcare enables a more efficient, tech-enabled care delivery model that addresses workforce shortages and serves as the last mile of pharmacy into the home, ensuring the right medication is taken at the right time.
To learn more, visit https://omcare.com/
Media contact:
Molly Mulvehill Steinke
952-925-4848
About PharMerica
PharMerica delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. With 30 years of senior care pharmacy experience, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. PharMerica operates over 180 long-term care, home infusion, and specialty pharmacies across 50 states. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients’ success.
For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter and LinkedIn.
Media Contact
Leigh White
Leigh.white@brightspringhealth.com
502.630.7412
HIGH LEVEL PITCH POINTS:
- The Rural Health Innovation Initiative is launching as a 6-month pilot study, led by the University of Minnesota Center for Healthy Aging & Innovation, designed to address rural pharmacy deserts by demonstrating a scalable model for remote pharmacy access.
- The pilot begins in a small town in southern Minnesota and combines pharmacy home delivery, 24/7 pharmacy support, medication adherence support, medication management, and monthly nurse check-in services delivered through a comprehensive in-home technology platform. The goal is to bring pharmacy services directly into homes and improve outcomes for underserved rural populations.
- The Rural Health Innovation model aligns with federal priorities such as the Rural Health Transformation Program and CMS’s ACCESS Model to expand technology-enabled care for rural communities.
Ōmcare talks about how new technology helps seniors and caretakers stay on top of their meds with CBS News Minnesota, 6/29/25
For the many who are caregivers, doling out meds can be tricky. It can be tricky, too, for those trying to maintain their independence. In fact, medication mismanagement is the leading cause of hospitalizations among older adults.
Watch the full news clip from CBS News Minnesota here.
Ōmcare helps seniors keep track of their medicine and stay healthy with Twin Cities Live, 5/20/25
TCL Reporter Kelli Hanson introduces us to a device called Ōmcare that helps seniors keep track of their medicine and keeps them healthy.
Watch the full news clip from Twin Cities Live here.
Twin Cities Home Care Providers Launch Innovative In-Home Medication Assistance Service to Improve Health and Independence
MINNEAPOLIS, MN – May 5, 2025 — Two leading Twin Cities home care agencies, CareAparent and Right at Home (Bloomington), have launched a new In-Home Medication Assistance Service, powered by the Ōmcare Home Health Hub®, to help aging adults stay healthier and live independently at home longer.
Medication mismanagement is the leading cause of hospitalization among older adults and a major contributor to loss of independence. With 80% of adults aged 65+ managing multiple prescriptions daily, timely and accurate adherence is essential.
Today, the responsibility of managing complicated medication routines often rests on family caregivers—most often an adult daughter or son. This role can require juggling multiple pharmacy visits, organizing pill boxes, tracking paper schedules, and providing daily oversight. These time-consuming and manual processes can erode the quality of the parent/child relationship and can lead to errors, often resulting in missed doses, confusion, and avoidable medical emergencies.
The new service is a comprehensive, turnkey solution designed to reduce medication errors and hospitalizations by supporting patients where they need it most—at home. It includes:
- Home-delivered, pouched medications from a national pharmacy
- Medication loading by trained home care professionals into the Ōmcare Home Health Hub®
- Automated alerts and dispensing when it’s time to take medications
- Verification of medication intake and real-time adherence tracking
- Easy one-touch video calls with family and caregivers
“This is exactly the kind of innovation we need in home care,” said Jody Hahn, CEO of CareAparent. “Medication adherence is one of the most critical components of healthy aging. The combination of human care and digital precision offers our clients greater peace of mind.”
“We’re proud to bring this transformative service to our clients and our community,” said Paul Blom, Co-Owner & CEO of Right at Home (Bloomington). “It aligns with our mission to Improve the Quality of Life for Those We Serve. Ōmcare will help us further empower individuals to age with dignity and independence, and it adds a new layer of safety and support.”
“At Ōmcare, our mission is to Change the way the world cares® for our aging population,” said Lisa Lavin, Founder and CEO of Ōmcare. “Everyone deserves the opportunity to live a vibrant, independent life—surrounded by connection, supported by care. We designed the Ōmcare platform to be a simple hub for health, connection, and wellbeing—empowering people to thrive in the place they call home.”
This groundbreaking service is now available to clients of CareAparent and Right at Home in the Twin Cities. Contact Ōmcare at 952-456-6848 or omcare.com/homecare to learn more.
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About Ōmcare
Ōmcare is a digital health company that is Changing the way the world cares® for our aging population by seamlessly integrating innovative technology and compassionate service—making connection and care easier. Learn more at omcare.com/homecare
About CareAparent
CareAparent is a full-service home care provider in the Twin Cities. With a strong culture of hospitality and a genuine dedication to the people they serve, CareAparent is a supportive, responsive partner across the care journey. Contact CareAparent at https://careaparent.com/
About Right at Home
Right at Home Bloomington is a locally owned and operated in-home care agency offering personalized care plans for seniors who wish to remain in their homes. Their team is dedicated to improving quality of life and supporting families with trusted caregiving services. Contact Right at Home at https://www.rightathome.net/twin-cities
Ōmcare Debuts “Phygital” Home Health Platform at CES
The Digital Health Technology Leader to Showcase How it’s Changing the Way the World Cares® for the Aging Population
MINNEAPOLIS (Dec. 10, 2024) – Ōmcare®, a Minnesota-based leader in digital health technology, will make its CES debut. The Ōmcare Home Health Hub® will showcase how it's transforming the way the world cares® for the aging population through its new “phygital” approach to remote healthcare at the world’s most influential technology event from January 7-11 in Las Vegas, NV.
More than 11,000 Americans turn 65-years-old every day, leaving more than 1 in 5 adults — a total of 53 million Americans — as unpaid family caregivers. For many, the journey of caring for aging loved ones can be challenging, both emotionally and financially. The Ōmcare Home Health Hub is giving caregivers the crucial support they need to help keep their aging loved ones in their own homes while helping them maintain their wellness and independence from afar.
Through its adaptive “phygital” approach to remote health management, the Ōmcare Home Health Hub seamlessly blends the physical aspects of health support with the benefits of digital connectivity. By linking patients, pharmacies and care providers with technology through its comprehensive, user-friendly system, the Ōmcare Home Health Hub fosters a sense of community and human connection while providing a holistic caregiving experience, ensuring aging individuals feel supported and connected at all times. The core system features include:
- Easy video calls available through a one-touch audiovisual system helping aging adults stay connected to their caregiving team at all times.
- Dispensing pouched medications direct from the pharmacy helping aging adults and their caregivers seamlessly and efficiently manage medication regimens.
- A three-camera system that enables visual confirmation of medication adherence, ensuring the right medication is taken at the right time.
- Biometric monitoring integration that offers a transparent view of the care recipient’s health.
“As caregiving options for aging loved ones grow increasingly scarce and the costs of in-home and facility care continue to rise, families are urgently seeking dependable and affordable solutions for essential needs like medication management,” said Lisa Lavin, CEO of Ōmcare. "For years, medication management has been a significant challenge for aging adults, with many struggling to manage complex regimens. This issue often leads to hospitalizations and a loss of independence. Ōmcare offers a breakthrough solution by directly integrating with pharmacy systems to automate medication scheduling and ensure timely, accurate dispensing. Our platform not only enhances adherence to prescribed medications, but also keeps caregivers informed and provides clear insights into their loved ones’ well-being, ensuring peace of mind for families."
The Ōmcare Home Health Hub was designed with accessibility in mind to meet the needs of older adults. Thoughtfully engineered, the system addresses solutions to common age-related challenges that can create barriers with in-home technology such as reduced vision and limited dexterity. By prioritizing design features such as intuitive functionality, visual clarity, enhanced screen sensitivity and high decibel sound, the platform is not only user-friendly but also highly accessible, empowering individuals to manage their care needs with confidence and ease.
Ōmcare will be exhibiting at CES as a portfolio company of AgeTech Collaborative™ from AARP, an unparalleled innovation ecosystem bringing together cutting-edge thinkers in the longevity tech space to champion meaningful advances so that everyone can choose how they live as they age. For more information about the Ōmcare Home Health Hub and its leading remote care technology, please visit Ōmcare.com.
Lisa Lavin visits KARE 11 News at Noon to share more about Ōmcare and the shortage of caregivers in Minnesota, 11/27/24
About 1 in 5 Americans operate as an unpaid caregiver. This device could ease the labor.
The device includes remote care, video connection and medication dispensing so that caregivers are able to check in and care for their loved ones or patients virtually.
Lavin visited KARE 11 News at Noon to share more about Ōmcare and the shortage of caregivers in Minnesota.
According to AARP and the National Alliance for Caregiving, more than 20% of Americans were unpaid family caregivers in 2020. To ease the labor for caregivers, Minneapolis resident Lisa Lavin invented Ōmcare’s Home Health Hub device.
Watch the full news clip from Kare 11 here.
Ōmcare Appoints Healthcare Industry Veteran Martha Goldberg Aronson to its Board in preparation for scale
MINNEAPOLIS, November 19, 2024 -- Today Ōmcare announced the appointment of Martha Goldberg Aronson to its Board of Directors. Martha is a distinguished healthcare industry leader with over 25 years of experience who brings extensive expertise in scaling medical device businesses.
"Martha's appointment to our board comes at a critical inflection point for Ōmcare as we prepare to scale," said Lisa Lavin, CEO of Ōmcare. "Martha’s proven ability to guide companies through rapid expansion while maintaining operational excellence makes her an ideal addition to our board. We look forward to benefiting from Martha’s leadership and expertise as we continue to revolutionize medication adherence and remote care delivery."
Ms. Goldberg Aronson currently serves as Chair of the Board for ConMed Corporation and comes with extensive board experience in medical technology. She has held executive leadership positions at several leading healthcare companies including Medtronic, Hill-Rom and Ecolab. During her tenure at Medtronic, she led the business unit that successfully launched the InterStim sacral neuromodulation device, demonstrating her ability to bring innovative medical technologies to market and scale operations effectively.
"I'm honored to join Ōmcare's Board of Directors at this important juncture," said Ms. Goldberg Aronson. "As our population continues to age, medication non-adherence and our caregiver shortage become even more pressing challenges. Ōmcare's innovative technology platform addresses these critical issues and supports an individual’s wellness and independence. I look forward to working alongside the board and management team to help scale this transformative platform and create meaningful impact for healthcare providers, patients, and their families.”