{"id":2292,"date":"2026-07-05T16:33:36","date_gmt":"2026-07-05T16:33:36","guid":{"rendered":"https:\/\/coloradospringsmoverss.com\/?p=2292"},"modified":"2026-07-05T16:33:36","modified_gmt":"2026-07-05T16:33:36","slug":"a-colorado-countys-new-unicorn-home-health-program-fills-gap-left-by-providers-closure","status":"publish","type":"post","link":"https:\/\/coloradospringsmoverss.com\/?p=2292","title":{"rendered":"A Colorado county\u2019s new \u2018unicorn\u2019 home health program fills gap left by provider\u2019s closure"},"content":{"rendered":"
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Abraham Torres Razo smiles as he sits on his living room couch in his Nike sweats and a Mexican soccer jersey. Despite what he\u2019s been through over the past three weeks, he\u2019s pleased to see his nurse arrive at his door on an early April morning.<\/p>\n

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The former cook was admitted to Vail Health in late March with abdominal pain. He ended up having two surgeries, including an ostomy. While he was there, the 46-year-old suffered a stroke.<\/p>\n

As Torres Razo\u2019s medical team prepared him for discharge, they brought in Donna Frimston, a home health nurse with Eagle County Paramedic Services. She now visits Torres Razo twice a week at the two-bedroom apartment in Avon where he lives with his wife, three kids, two cats and a dog. Frimston focuses on ostomy and wound care, monitoring Torres Razo\u2019s diabetes, getting him comfortable with his new insulin injections and educating him on lifestyle changes that can help him better manage his chronic conditions.<\/p>\n

\u201cI just kind of gave up on myself for a bit,\u201d Torres Razo said, but \u201cI\u2019m soaking in all the advice so I can get my health back to where it\u2019s supposed to be.\u201d<\/p>\n

The paramedic service launched Eagle Valley Home Health in October, following the closure in 2023 of the valley\u2019s only home health provider, a private company with the same name. Home health is a skilled nursing service designed to support recovery, manage chronic conditions and help prevent hospitalizations for people who are homebound because it\u2019s difficult or dangerous for them to leave their homes. Home health services are available to anyone who fits those parameters and has a doctor\u2019s order, but they are primarily for an older population enrolled in Medicaid or people who are under- or uninsured.<\/p>\n

\u201cWe recognized there were members of our community who were struggling to access appropriate services,\u201d said Brandon Daruna, CEO of Eagle County Paramedic Services. \u201cHome health is not traditionally our area of expertise, so this was not a hasty decision\u2013we spent considerable time researching the model, understanding the regulatory requirements and assessing whether we could help close some of those gaps.\u201d<\/p>\n

Eagle Valley Home Health works in tandem with the paramedic service\u2019s community paramedicine program, which started in 2010 to serve frequent 911 users and underserved community members with acute care, medication management and behavioral health crisis response. These trained paramedics similarly fill holes in the system and help ease the burden on emergency services. State legislation may further expand similar initiatives by broadening the types of care that emergency services can bill for reimbursement.<\/p>\n

Eagle County Paramedic Services is a health service district, so it\u2019s structured like a local government, but it\u2019s tasked specifically with providing community-based health care services. All of its services are subsidized via an Eagle County mill levy, patient revenues and financial support from community partners, including Vail Health and Eagle County government.<\/p>\n

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Without these types of community health programs, Torres Razo would have to make more frequent visits to a doctor or risk getting readmitted to the hospital, both of which are time-consuming and costly.<\/p>\n

\u201cIt was a relief for me to have someone by my side to help me (when I came home), teach me how to manage everything,\u201d Torres Razo said. \u201cIt took some weight out of my shoulders when they told me they were going to help me.\u201d<\/p>\n

Torres Razo lives centrally in the Vail Valley, but the home health service serves all of Eagle County, with most patients residing along the Interstate 70 corridor. At least one of Frimston\u2019s patients lives more than an hour\u2019s drive away.<\/p>\n

Home health care is not a new concept. In 1965, home care was incorporated into Medicare, Medicaid and the Older Americans Act under the assumption that it would reduce hospital visits and lower health care costs. Today, the Colorado Department of Public Health and Environment regulates and licenses home health services in the state.<\/p>\n

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Home health practitioners can aid with wound care, injections, medication management, physical therapy, occupational therapy, patient and caregiver education and social service resource connections, among other services. It\u2019s not concierge medicine. Rather, a health care provider, such as a physician or nurse practitioner, must order home health, and the service is meant to be temporary\u2013not to replace primary care.<\/p>\n

\u201cBy reducing admissions to the hospital, we save the health care system as a whole a very large sum of money,\u201d said Phil Goldsmith, president of APTA Home Health, an academy of the American Physical Therapy Association. \u201cAdditionally, we keep people in their homes and out of skilled nursing facilities and other long-term care environments, which saves their families money and improves quality of life.\u201d<\/p>\n

A 2025 evaluation of national home health expenditures found that home health users cost Medicare 34% to 43% less than those who didn\u2019t access those services. A review of a community paramedicine program in Massachusetts found that it saved the local health care system nearly $2,000 per case and $6 million over 12 months.<\/p>\n

Home health programs exist across the state and the country. In Colorado, rural locales such as Delta, Trinidad and the Four Corners region offer these services. However, the National Alliance for Care at Home reports that half of all U.S. counties lost at least one home health agency from 2020 to 2024, largely due to reimbursement rates that make it financially difficult to maintain these businesses. Northwest Colorado Health recently revealed that it\u2019s losing around $1 million per year operating its home health and hospice services in Routt and Moffat counties.<\/p>\n

\u201cWe are a unicorn,\u201d said Ryan Bush, Eagle County Paramedic Services\u2019 community health manager, of the program\u2019s financial stability. Eagle Valley Home Health can share resources with the paramedics\u2019 other programs, but it\u2019s not expected to be a money-making endeavor as it would be for a private company.<\/p>\n

Once Medicare and Medicaid reimbursements are set up, they will help further offset some of the costs, but the program is currently \u201cproviding a limited scope of services,\u201d Daruna, the CEO, said.<\/p>\n

The home health service currently employs two nurses: Frimston, who works full time, and Rachel Van Sloun, who works part time. They maintain a total caseload of about 10 patients, who they see during scheduled weekday appointments\u2013around two to four per day, depending on drive times.<\/p>\n

Approximately 30 patients have received home health care through the home health service so far. Around 70% of them are older than 60. Some are supported for just a handful of visits, while others receive aid for months. The paramedics service hopes to hire additional nurses in the future to respond to what it says is a consistent community need.<\/p>\n

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Eagle County Paramedic Services also employs a case coordinator to help patients connect with appropriate social services, such as food, housing and transportation.<\/p>\n

\u201cWe don\u2019t outright provide those resources, but we understand that you can\u2019t heal if you don\u2019t have these things,\u201d Bush said. \u201cWe can overlap the right resource at the right time for the patient.\u201d<\/p>\n

As the population rapidly ages, home health services may become even more critical. Between 2015 and 2050, the World Health Organization estimates the proportion of people 60 or older will jump from 12% to 22%. According to the Colorado Rural Health Center, 20% of the state\u2019s rural population was 65 or older in 2023, and Eagle County, which loosely stretches from Vail to Dotsero, expects its population of residents 65 and older to almost double by 2035. Its Aging Well Roadmap includes goals that support people aging in place.<\/p>\n

Van Sloun, the home health nurse, sees several older patients. One, an 80-year-old man who lives in a converted garage in Dotsero, was previously part of the community paramedicine program. After some recent cardiac issues sent him to the hospital, Van Sloun began visiting him weekly. She performs head-to-toe evaluations and ensures he understands his complex medication regimen, at times counting out individual tablets from nearly a dozen different medications into a day-and-night pill box.<\/p>\n

\u201cIt gets super complex,\u201d she said during the drive back to the paramedics\u2019 station. \u201cI help (people) navigate and make the best of everything.\u201d<\/p>\n

House Bill 26-1069, which was signed into law on June 3, will, among other changes, allow emergency services to be paid for treating patients on scene when appropriate, rather than only after transporting patients to emergency rooms. The paramedics service said this modification will make it easier to expand the treatment-in-place model, which can be particularly beneficial in rural systems where traditional health care facilities are more limited.<\/p>\n

The home health program in Eagle County benefited Kevin Kanne after he stepped on something at his home in Gypsum about a year ago. A severe infection followed, and doctors had to remove one of his toes from his left foot. When he was discharged from the hospital weeks later, he still couldn\u2019t put weight on his recovering foot.<\/p>\n

Frimston began visiting Kanne once a week in September. She dresses his wound, ensures his medications are in order and accessible, and checks on his diabetes and cardiac issues. She\u2019s connected with Kanne\u2019s doctors and follows their care orders.<\/p>\n

\u201cIt\u2019s a big deal,\u201d said Kanne, 68. \u201cIt\u2019s a tremendous service here in the valley to have someone here to do that, to dress wounds, to take care of me.\u201d<\/p>\n

It feels good, he said, to know someone is looking out for him. \u201cThey\u2019re concerned about your whole health package. \u2026 They know resources that I don\u2019t know,\u201d he said. \u201cThey\u2019re my neighbors \u2014 they\u2019re not just professional (nurses).\u201d<\/p>\n

Without Frimston\u2019s help, Kanne would have to drive twice weekly to the wound clinic in Glenwood Springs\u201325 miles away and through a canyon that\u2019s dicey in adverse weather. Surging gas prices add another challenge. Thanks to Frimston, he only has to go to the clinic once a week.<\/p>\n

\u201cHe wasn\u2019t compliant because he couldn\u2019t get in his car and didn\u2019t really have that support at the time to take him to his appointments,\u201d Frimston said of those early weeks. But his ability to manage his care has vastly improved.<\/p>\n

It helps that Kanne doesn\u2019t have to pay for the services out of pocket. While Eagle Valley Home Health is working with Medicare and Medicaid to obtain certification for reimbursement\u2013an application process that can take months \u2014 the program is not currently billing for its services. The program will also eventually accept commercial insurance.<\/p>\n

\u201cVery few other people have this luxury,\u201d Bush said. \u201cWe can shoulder the entire cost even if we don\u2019t get a single penny back.\u201d (On May 13, the federal government announced a six-month \u201cmoratorium on new Medicare enrollments from home health care and hospice providers,\u201d so this process will take even longer than anticipated.)<\/p>\n

\u201cHealth care reimbursement is backward: We have to provide care first and only find out later if we\u2019ll get paid,\u201d he added. But as a tax-supported organization, the service can \u201cafford to launch a home health program, staff it and start seeing patients while we wait for reimbursement to catch up. In other words, the community\u2019s tax support lets us fill a real gap in care now, instead of waiting for the funding system to catch up later.\u201d<\/p>\n

Bush said it\u2019s worth it for Eagle County Paramedic Services to make the funding work because of the impact on patient outcomes. A 2023 analysis found that patients who were referred to but never received home health care after hospitalizations saw readmission rates increase by 35%, mortality rates surge by 43%, emergency department use rise by 16% and overall spending increase by more than 5%.<\/p>\n

\u201cWe are trying to be a stopgap measure,\u201d Bush said. \u201cWe\u2019re working with a care team to care for these patients, just in their home, and that\u2019s going to be a better model for their healing.\u201d<\/p>\n

Freelance journalist Daliah Singer wrote this story for Collective Colorado, a publication of The Colorado Trust. It first appeared at collective.coloradotrust.org and it can be read in Spanish at collective.coloradotrust.org\/es. The Colorado Trust is a philanthropic foundation that works on health equity issues statewide.<\/em><\/p>\n

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Eagle County Paramedic Services launched Eagle Valley Home Health in October, following the closure in 2023 of the valley\u2019s only home health provider, a private company with the same name.<\/p>\n","protected":false},"author":1,"featured_media":2291,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,4],"tags":[],"class_list":["post-2292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-news"],"yoast_head":"\nA Colorado county\u2019s new \u2018unicorn\u2019 home health program fills gap left by provider\u2019s closure - Colorado Springs Moverss<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/coloradospringsmoverss.com\/?p=2292\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Colorado county\u2019s new \u2018unicorn\u2019 home health program fills gap left by provider\u2019s closure - 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