MedCity News August 27, 2025
Jiang Li

The path to a sustainable HaH program looks different for regional systems. A smaller, more focused program, designed around their unique needs, can deliver strong clinical and operational value.

Despite ongoing uncertainty around Hospital at Home (HaH) reimbursement in the U.S., the model continues to expand, but not evenly. Major academic medical centers and large national systems are growing their programs, adding more virtual beds, and partnering with national vendors to deliver care at home. Meanwhile, regional health systems and mid-size hospitals are still evaluating whether the model is financially feasible.

Most HaH programs today are led by top-tier academic institutions and high-capacity systems with the resources to absorb early losses and commit to long-term investment. That model doesn’t work...

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