This November 4, 2016 New York Times Article talks about how Community paramedicine programs are expanding and

are increasingly tending to older patients in their homes, solving problems there and eliminating costly ambulance trips.

In 2009, when Medstar Mobile Healthcare began enrolling patients in Fort Worth, it was one of four emergency services in the nation to adopt community paramedicine (sometimes called mobile integrated health care), said Matt Zavadsky, a company spokesman.

By 2014, when the National Association of Emergency Medical Technicians surveyed the field, it identified more than 100 such services. The association now knows of 260

Source: Going to the Emergency Room Without Leaving the Living Room – The New York Times