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Nationally, the older population is expected to double in numbers through the year 2030. Health care providers are challenged to develop new models of care delivery for this unique population. Described in this article is one project that demonstrates successful outcomes for a community in eastern North Carolina. The model implemented community-based geriatric case management for frail elderly citizens residing in a private home or in an assisted living facility. Conventional hands-on delivery was combined with the distance-based convenience of telehealth. The outcomes prove this model to be cost-effective while improving quality of life for enrollees.