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CMS Hospital-at-Home Waiver Linked to High-Quality Care
A new federal report provides a detailed analysis of CMS' Acute Hospital Care at Home program, showing it is associated with positive patient experiences and high-quality outcomes, though demographic differences in participation persist.The CMS report assessed the AHCAH initiative launched in November 2020. AHCAH waivers allow hospitals to use remote clinician services in combination with in-home nursing services to provide inpatient-level care in the patient's home.In 2022, Congress passed the Consolidated Appropriations Act, 2023, which extended the AHCAH waiver through Dec. 31, 2024.The 2024 report analyzed several aspects of the AHCAH initiative, including demographic information on beneficiaries treated under the program, clinical conditions treated, quality of patient care relative to patients treated in brick-and-mortar inpatient settings, patient experience, and Medicare spending and utilization.
Medigy Insights
According to the report, AHCAH patient demographics were meaningfully different from those of patients receiving inpatient care services by the same hospital facility. AHCAH patients were 5% more likely to be white and 8% more likely to live in an urban location. They were also 10% less likely to receive Medicaid and 0.4% less likely to receive low-income subsidies.
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