Health Affairs January 25, 2023
Buried in the thousand-page-long omnibus package that recently passed Congress was a provision that could represent the future of hospital care in the United States. The Acute Hospital Care at Home (AHCaH) initiative was one of many programs initiated by Medicare under the regulatory flexibilities of the COVID-19 public health emergency. AHCaH allowed hospitals to receive waivers and Medicare to reimburse for “hospital-at-home” (HaH), a care delivery paradigm in which inpatient-level care is delivered to patients in their home.
Although HaH has been piloted across the world—including at sites in the US—for more than 40 years, the model has never achieved scale in the US, primarily because it was not reimbursable by commercial and federal payers. The pandemic waiver removed...
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