Health Affairs March 26, 2024
Robert M. Zimbroff, Robert M. Wachter

In 1996, two journal articles described potentially paradigm-shifting models for acute care: the hospitalist concept and Hospital at Home (HaH). Both models quickly accrued an evidence base demonstrating similar value propositions: providing care equal to or better than traditional hospital care at a significantly lower cost, all with high patient satisfaction. Yet, within a decade, the hospitalist model came to define inpatient medical care, while HaH gained little traction in the US health care system.

The COVID-19 pandemic catalyzed important regulatory changes and supply-chain investments that have markedly eased previous financial and logistical barriers to HaH. Hundreds of health systems sought and implemented the Centers for Medicare and Medicaid Services’ (CMS’s) HaH waiver and invested in the ecosystem necessary to...

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Topics: CMS, Govt Agencies, Health System / Hospital, Home, Insurance, Medicare, Patient / Consumer, Physician, Provider
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