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Hospital-at-Home Programs in Limbo Awaiting Congressional Extension
Unless Congress acts by Sept. 30, the Acute Hospital Care at Home (AHCaH) waiver that allows hospitals to provide hospital-level care in patients’ homes will expire, disrupting programs in 39 states. If no waiver extension happens by that date, patients who still need inpatient care would have to be moved from their homes back to brick-and-mortar hospitals and the programs paused or shut down.
During a Sept. 11 Hospital at Home Users Group webinar, Ashby Wolfe, M.D., M.P.P., M.P.H., regional chief medical officer at the Centers for Medicare & Medicaid Services, spoke about the potential fall-out of congressional inaction.
CMS officials said that 413 hospitals have been approved to participate in the waiver program, and they have served 48,500 patients in the program since November 2020.
Medigy Insights
The AHCaH waiver — which allowed hospitals to deliver hospital‑level acute care at patients’ homes — is set to expire on September 30, 2025, which puts over 400 approved hospitals (across 39 states) and tens of thousands of patients at risk of losing access to home‑based acute care if Congress doesn’t extend it.
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