Health Affairs May 12, 2025
Hospital-at-home (HaH), a care model providing inpatient-level care within patients’ homes, has struggled with low rates of health system adoption and growth in the United States despite its strong evidence base and international success establishing robust programs with positive outcomes. Congress gave a boost to the model in November 2020, when it launched the Acute Hospital Care at Home (AHCaH) initiative, which allowed Medicare-certified acute care hospitals paid under the inpatient Prospective Payment System to expand their delivery of inpatient care into traditional Medicare beneficiaries’ homes. This program has been extended three times and is now set to expire on September 30, 2025. Short-duration waiver extensions and uncertainty about the future of AHCaH have undermined confidence in the initiative and...
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