Health Affairs March 6, 2025
Rani E. Snyder

Based on evidence that has emerged from the Acute Hospital Care at Home (AHCaH) waiver initiative, policy makers and health systems are waking up to the realization that well-supported family caregivers are essential to the success of efforts to improve health care and outcomes for older patients. The AHCaH allows certain Medicare-certified hospitals to receive hospital-level payment for inpatient-level care provided in patients’ homes. Family caregivers have played a key role in the growing number of Hospital-at-Home programs that have come on line as part of the waiver initiative, launched by the Centers for Medicare and Medicaid Services (CMS) for fee-for-service Medicare patients in November 2020.

Congress has extended the waiver twice, and it is now set to expire...

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