Reimagining Care at Home.
Home Health, Palliative, and Hospice — carried by the same team, the whole way through. Six Northeast states, since 2012. Twenty-four hours a day. Above all else — home.
Start here.
Whether you’re finding care for your family, sending us a patient, or joining the team — Pathways was built for the moment you found us.
For Providers.
One number, one team, one referral — from the discharge call to the first home visit and every visit after. Here’s how to refer, who we’re built for, and what we promise back.
- Same-day response, often same-hour
- Built for the complex case — wound, IV, oxygen, behavioral, dementia
- Provider-to-provider communication, by design
For Families.
If a doctor mentioned hospice, home health, or palliative care — we bring the clinical team to you. Most patients heal faster at home: lower infection risk, better sleep, less delirium, and the people who know them at the bedside. We arrive on your timeline, alongside the team your family already has.
- 100% care delivered in your home
- Medicare-covered (hospice) · insurance verified day one
- One team, the whole way through — even as needs change
For Clinicians.
We hire for our values, support our team like adults, and protect the work that matters most. The people who do this work are the reason families remember us.
- Roles in nursing, therapy, social work, chaplaincy, operations
- Real culture, real development, real respect
- The team that does this work is the one that stays
One team. Every moment. The whole way through.
Pathways is built for the cases other agencies can’t take — and structured so the team in your home doesn’t change when your needs do. Home health to palliative to hospice. Same nurses. Same physicians. Same plan.
Declines the complicated discharges — complex wounds, IV therapy, oxygen, behavioral, advanced dementia. Back to the hospital.
Refer with confidence. Our in-house physicians and nurse practitioners give us the depth to take the case — including the ones that need careful handling.
Hands the patient off to a different team when needs change — new clinician, new orientation, new chart.
One team across recovery, palliative, and hospice. The relationship continues — with you, with the family, and with the patient’s own physician.
Phone tag during business hours. After 5 p.m.: an answering service or “go to the ER.”
A Pathways clinician answers at 3 a.m. Often we can manage the situation at home and report back — saving the ER visit and the call to the on-call doctor.
SNF at Home and Hospital at Home programs are talked about. Few agencies are actually built to operate them.
We’ve built the physician infrastructure these programs require — not as a marketing line, as our model since 2012.
A separate hospice brand kept arm’s length from the main agency.
Same name. Same standard. Hospice is part of the continuum — we stand by it the way we stand by everything we put our name on.
Same team. Different moment.
Three distinct services. Most patients only need one. But for the families whose needs do change — recovery into serious illness, serious illness into end of life — the team doesn’t change. Same nurses. Same physicians. Same plan.
Home Health.
An innovative physician-led model for patients recovering from a hospital stay or managing a medically complex condition. Our physicians and nurse practitioners on staff mean rapid medical intervention happens in the home — not the ER.
- Physician & nurse practitioner on staff
- Skilled nursing · PT · OT · speech therapy
- Medical social work & home health aides
- Programs: SNF at Home · Hospital at Home
Palliative Care.
For patients living with serious illness who want symptom relief alongside their treatment. We focus on how you actually feel — pain, breathing, sleep, energy — and coordinate with your specialty team.
- Pain & symptom management at home
- Coordination with oncology, cardiology, pulmonology
- Goals-of-care conversations with families
- Caregiver education & support
Hospice Care.
We arrive when families have already been through a great deal. Our job is to make the rest of it gentler — for the patient, for the people who love them, and for everyone in the house.
When the priority becomes comfort, comfort is what we protect.
- Board-certified hospice physicians on staff
- 24/7 nursing · pain & symptom management
- Social work · chaplaincy · bereavement support
- We answer the phone at three in the morning.
We track the things that actually matter.
Most home care marketing leans on adjectives — "compassionate", "quality", "trusted". We'd rather show you the operating metrics a discharge planner or family member would ask. These are the numbers we run on.
One team, the whole way through.
Recovery → palliative → hospice — all under one Pathways. One team, one care plan, one phone number. When the patient’s needs change, the team doesn’t.
Built for the providers with the same mission — keep them home.
Hospital discharge planners, SNF social workers, primary care physicians — we share your mission: keep patients home. One referral, one team, one number — here’s the fast way to send us a patient.
Refer the patient. We take it from there.
Simple discharge or complicated, weekday morning or 5 p.m. on a Friday — one call gets you a live clinician and an answer. Our in-house physicians and NPs — backed by a clinical team that also trains the next generation of clinicians — give us the depth to accept the case.
Refer a patient. We take it from here.
One short form, straight to our admissions team — not a general inbox. We confirm receipt fast, and a clinician follows up the same day for anything urgent. Prefer to talk? Call admissions at 800.939.1855.
Pick the door that fits today.
Pathways carries three service lines — Recovery, Relief, and Comfort — with one team across them. Below are the three doors. Each one leads into its own page, where the work is described in detail.
Home Health.
The morning after the hospital, your living room becomes a recovery room.
Medicare-certified skilled care after surgery, hospital stay, fall, or for chronic disease. A nurse, therapist, aide, and physician’s eye — at your door. Episodes are sixty days. Most patients discharge.
Read Home Health →Palliative Care.
Living well through serious illness — alongside the treatment that’s keeping you alive.
Physician-led symptom management and care planning. For patients pursuing curative or active treatment AND needing help with pain, breathlessness, nausea, fatigue, family conversations. Not yet eligible for hospice.
Read Palliative →Hospice Care.
Above all else — time. Lived well, at home, with people who know the way.
End-of-life care focused on comfort and presence. For patients whose disease can no longer be cured but whose remaining time can still be lived well. Fully Medicare-covered — including medications, equipment, and bereavement for the family afterward.
Read Hospice →Hospice or palliative? See the difference, side by side →
One team carries across. We come to you. We stay with you. Whatever you need — and whatever comes next.
Talk to a clinician now.
No referral needed. No commitment. A real person picks up — usually within seconds — and walks you through what makes sense for your family.
Why our team stays.
A three-time Boston Globe Top Place to Work and USA Today Top Workplace (2023, 2024 & 2025) — three years running — isn’t a slogan. It’s a measurement of what our own team said about working here.
We come to you. In six states.
12 active Pathways offices across six states — tap any pin for details, or look up a ZIP / town below. Home health in all six — palliative in MA, NH, PA — hospice in MA, NH, PA.
Six states. Twelve offices.
Pathways delivers home health care across Massachusetts, Rhode Island, New Hampshire, Maine, Pennsylvania, and Virginia. Palliative care in MA, NH, and PA; hospice in MA, NH, and PA — with the same physician-led standard everywhere we operate.
They knew us. They came when they said they would. They didn't make us leave home — and they didn't make us figure it out alone.