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CMS Releases Acute Hospital Care at Home Study
Patients who receive hospital care at home generally have lower mortality rates than their brick-and-mortar inpatient counterparts, according to a Centers for Medicare and Medicaid Services report on the Acute Hospital Care at Home initiative.CMS said it's difficult to conclude that the Acute Hospital Care at Home initiative resulted in lower Medicare spending overall as compared to brick-and-mortar inpatient care.The COVID-19 initiative was extended past the end of the public health emergency, but is scheduled to expire at the end of this year. Congressional action is needed to extend the Acute Hospital Care at Home waivers.The CMS study examined the quality of care for patients treated in the inpatient hospital setting, as compared to individuals with similar conditions and characteristics treated at home. AHCAH patients were found to be meaningfully different from inpatients receiving services furnished by the same hospital facility, CMS said.
Medigy Insights
In general, AHCAH patients were more likely to be white and live in an urban location and less likely to receive Medicaid or low-income subsidies.These different characteristics of the AHCAH population may be partially attributable to the inclusion and exclusion criteria developed by participating hospitals for the purpose of identifying patients appropriate for Hospital at Home care, CMS said.CMS specifically looked at 30-day mortality rates, 30-day readmission rates, and Hospital Acquired Conditions. The study found that beneficiaries who received care under the hospital at home initiative generally had a lower mortality rate than their brick-and-mortar inpatient comparison counterparts.
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