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@ShahidNShah
@ShahidNShah
Monitoring Acute Heart Patients at Home linked to considerable Cost Savings
Patients monitored at home rather than in the hospital for acute conditions may be associated with cost savings and higher patient satisfaction scores, according to a new study released in September by the Centers for Medicare and Medicaid Services (CMS). Pulmonology was by far the biggest user of the program in the time period due to respiratory issues from COVID-19, but cardiology was No. 2 for program utilization in the areas of myocardial infarction and heart failure.CMS was not a big fan of in-home care for acute care patients prior to the pandemic. However, with hospitals at capacity in late 2020 due to the pandemic and with the COVID-19 Public Health Emergency (PHE) in place to quickly change how care was delivered, CMS created the Acute Hospital Care at Home (AHCAH) initiative.
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This analysis also found that the hospital patient inclusion/exclusion criteria made by hospitals and patients impacted the demographic makeup of the AHCAH population. Patients who participated in at-home care were significantly more likely to be white, live in an urban location and not receive Medicaid or low-income subsidies. Beneficiaries currently served by hospitals with AHCAH waivers are also located in predominantly urban areas with a significant number of academic hospitals participating in the initiative, which likely also influenced patient demographics,
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