The Hospital at Home in the USA : Current Status and Future Prospects

The Hospital at Home (HaH) model, offering acute-level hospital care in patients' homes, has gained traction in the US due to rising healthcare costs and the COVID-19 pandemic. Despite initial success and technological advancements in remote monitoring and health information technology, widespread adoption faces hurdles. Evaluating peer-reviewed evidence reveals HaH's potential to reduce costs and improve outcomes. Challenges, including reimbursement issues, must be addressed for sustained implementation. As the Centers for Medicare and Medicaid Services' waiver facilitating HaH programs nears expiration, it's imperative to assess HaH's viability as a permanent acute care alternative, leveraging digital innovations and rigorous evaluation.