This paper aims to describe and analyze the healthcare delivery in a Medical Cooperative's Home Care Program. It is the largest Home Care Program in Brazilian supplementary (private) health system, with 3,300 beneficiaries in 2006. The HCP has been developed due to the need of "organizing the services utilization" especially by those clients who too often attended the first-aid services and who were frequently submitted to in-hospital care. So, it is implicit the idea of corporative costs reduction. The analysis was made through a qualitative study, which used for data collection the following tools: the bibliography research, documental research, mainly on the cooperative's site and the National Agency of Brazilian Supplementary Health, semi-structural interviews with key-informants, observation on the spot and data collection from secondary sources. Data analysis reveals the satisfaction of beneficiaries with results obtained in HCP, cost reduction for Medical Cooperative and transfer of expenses to family. The healthcare delivery analysis suggests there is an economic restructuring in course, considering important changes in work processes.
Home care; health production; economic restructuring of healthcare production; micro-politics