Today we’re talking about a new model for affordable in-home healthcare that steps outside the box of institutionalized medicine and allows physicians to treat patients right from their homes, the old fashioned way!


We’ve moved into a time where institutionalized medicine has taken over and gone are the days where a patient has basic access to their physician. Sure, we can call to make an appointment for a quick check-up, but nowadays we rarely get the actual care and attention that we need. Chances are, we’ve all had the same experience of sitting in a waiting room for much longer than the actual length of the appointment itself.

This is not to fault any of the doctors out there – they have their hands full as it is. And when a patient calls with a complicated issue, the go-to response is to typically recommend they visit the ER and seek immediate care. But, what if we could bring back the ability to not only have direct access to our physicians over the phone, but to also receive their care right from the comfort of our own homes?

Chief Medical Officer, acute care physician, and hospitalist, Dr. Pouya Afshar, joins me today to discuss his new, state of the art model for in-home healthcare that is going to change the world of medicine. He shares the disadvantages that come with institutionalized care, and how in-home care recreates what happens in a hospital with the same tests and physician presence, but in a safe, comfortable, and much more stable environment.


We Discuss:

  • How our emotional issues impact us and show up in our ’tissues,’ or physical body
  • The importance of slowing down, listening to our bodies, and acknowledging our pain
  • How institutionalized healthcare has taken over and the impact that has on our society
  • Why transitioning from one environment to another for care creates significant room for error
  • Who’s qualified and what it costs to become a member of Integrated Healthcare Alliance
  • Why most patients have better outcomes being safely managed in a home setting


“What happens at the emergency department is not magical – the majority of the tests and examinations done there can, and quite frankly, should be done in the home setting. It’s just that we’ve strayed away from this concept.”  –  Dr. Pouya Afshar


About Dr. Afshar:
Image of Dr. Pouya Afshar

Dr. Pouya Afshar is board certified in internal medicine, hospice and palliative medicine, and venous and lymphatic medicine.  

Since 2010, he has served as an assistant clinical professor of medicine at the University of California, San Diego.

He works in different levels of healthcare in an effort to provide continuity of care for all his patients.

As an acute care physician, Dr. Afshar is a hospitalist at UCSD Thornton, UCSD Hillcrest, Scripps Mercy Hospital, and the VA San Diego Hospital.  

A pioneer in transitional care medicine, Dr. Afshar is a medical director for several skilled nursing facilities, where he manages patients’ post-hospitalization during their short-term rehabilitation.

Dr. Afshar founded Integrated Healthcare Alliance (IHA) in 2015, where his primary care physicians lead a multidisciplinary team that delivers in-home medical care.

Outside of medicine, Dr. Afshar is an avid soccer player, former personal trainer, and has completed 14 marathons, including two trips as a qualifying runner for the Boston Marathon.


“Healthcare has become siloed. We’ve moved towards institutionalized medicine, and we’ve taken away a patients basic access to a physician.”  –  Dr. Pouya Afshar


Resources Mentioned:


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Check out the video below to watch our live interview: