In last five years the metro cities and smaller cities in India have become hub of commercialised health care. Owing to huge expense of institutionalised care in private sector, importance of home environment for post surgery, terminal illnesses, and home based care has remained a preferred option. With an increased breakdown of family system as a unit, rise of nuclear family systems and work pressure of female members, the demand for external support for home care has resulted in building home health care as a market. A large number of stakeholders have entered into the arena with a promise of providing best and affordable care packages at doorstep and more of them are private in nature. In this aspect the business entrepreneurs or small private companies have played a pivotal role in defining the norms of the industry. The large private networks such as hospitals and other major health and wellness companies are opting for merger, acquisition or funding these entrepreneurs at a very good price to draw maximum benefit out of the need and create a profitable ecosystem. In this commercialisation of home care the core has been shifted from the real beneficiary and the care worker resulting in negative impacts for both. The home care scenario which as indicated by palliative care literature needs to be human centric, the commercial push and pull have made it more market oriented. This paper will look into the entry points for this market based systems, role of private companies and most importantly the impact on building a healthy care giving system. In this process it will draw an analysis of health care reforms in India and the larger picture of commercialisation creating a suitable environment for integration of home care in existing private care model.