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Physician-Led Primary Care for Post-Acute Settings
Consistency That Carries Through Recovery
Primary Care Providers (PCP) delivers physician-led primary care embedded directly within skilled nursing and assisted living facilities across North Florida. Our teams provide consistent clinical oversight, high-touch engagement, and accountable care for patients transitioning from the hospital into post-acute recovery.
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Our hospital readmission rate is only 8.9%
versus the industry average of 24%
Services
Primary Care Coverage Designed for Post-Acute Care
PCP provides physician-led primary care services built specifically for the clinical realities of post-acute settings.M&H Med Housecalls provides physician-led medical services designed to support continuity, accountability, and clinical stability as patients transition from the hospital into post-acute facilities and home-based care.
Our embedded providers work within facility workflows to manage complex medical needs, maintain continuity, and support high-quality outcomes throughout recovery.
Our embedded providers work within facility workflows to manage complex medical needs, maintain continuity, and support high-quality outcomes throughout recovery.
Facility-Based Primary Care
Physician-led primary care delivered directly within skilled nursing and assisted living facilities, providing consistent clinical presence and accountability.
High-Touch Clinical Engagement
Comprehensive admission assessments, routine provider visits, discharge coordination, and proactive management of chronic and acute conditions.
Focus on Reducing Readmissions
Close coordination with hospital teams and early clinical intervention strategies designed to reduce unnecessary ED utilization and hospital readmissions.
Chronic Disease Management
Ongoing management of complex, high-risk conditions with individualized care planning and continuous monitoring.
Care Coordination and Communication
Embedded collaboration with facility staff, families, hospital teams, and community providers to maintain alignment across the care journey.
24/7 Provider Access and Family Engagement
Round-the-clock on-call coverage paired with clear communication and collaborative decision-making with patients and families.
Serving 120+ Facilities in Central Florida
Our teams work within facility workflows to manage complex medical needs, reduce avoidable hospital utilization, and support high-quality outcomes across the continuum.
Meet the Team
Experienced Providers Who Lead With Care
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About PCP
Physician-Led Care Built on Consistency and Trust
Physician-Led, Not Rotating Coverage
Embedded Clinical Partnerships Within Facilities
High-Touch Care Across the Post-Acute Journey
Primary Care Providers Locations
Serving Post-Acute Facilities Across North Florida
PCP partners with skilled nursing and assisted living communities throughout North Florida, maintaining strong local relationships and close coordination with regional hospital systems.
Partner With PCP
A Partner Committed to Better Post-Acute Care
