NEJM August 23, 2021
Covid-19 provided unprecedented momentum for Hospital at Home; however, health care leaders will need to address key questions around data, payment, and equity to realize the model’s promise for transforming acute care.
The Covid-19 pandemic has amplified interest in Hospital at Home (HaH) programs in the United States as an alternative care model for acutely ill patients. HaH describes a delivery paradigm where the entirety of an inpatient acute care episode is substituted with intensive at-home treatment enabled by digital technologies, multidisciplinary teams, and ancillary services, and has been implemented in countries such as Australia and piloted by select American health systems. However, HaH programs...