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Extend the Hospital-at-Home Waiver Before It's Too Late
Hospital-at-home programs have had positive outcomes, in part, because their design embodies the tenets of the Age-Friendly Health Systems movementopens in a new tab or window, which promotes the reliable delivery of evidence-based care that reduces harm and is aligned with what matters to patients and their family caregivers. Age-Friendly Health Systems follow what is known as the "4Ms Framework," focusing on what matters and addressing patient's needs related to their medications, mind, and mobility. Hospital-at-home programs are built on these essential elements of optimal care for older adults.Age-friendly hospital-at-home programs have broad support, including from clinicians. Research from both beforeopens in a new tab or window and afteropens in a new tab or window the waivers began finds that healthcare professionals have positive experiences working in these programs.
Medigy Insights
from the Bipartisan Policy Center recommended a 5-year extension for the Acute Hospital Care at Home waiver, noting that it would not only foster more hospital-at-home programs, but would also provide the opportunity for the federal government to provide technical assistance and do further research that would improve care quality, safety, and cost savings.Even with the continued waiver, hospital-at-home programs must remain attentive to issues of access and equity, ensuring that patients both with and without family caregivers can receive care in their homes. Today, only about a dozen state Medicaid programsopens in a new tab or window have approved hospital-at-home care, a major impediment to equitable hospital-at-home care for the vast majority of the nation's low-income residents.
Continue reading at medpagetoday.com
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