2022/09/01 by KUSHAL T. KADAKIA, Kushal T. Kadakia, Celynne Balatbat +11
Economics, Econometrics and Finance · Health Professions · #Geriatric Care and Nursing Homes #Health Systems, Economic Evaluations, Quality of Life #Healthcare Policy and Management
paper · doi:10.1111/1468-0009.12586
openalex publication_date 2022/09/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28
Policy Points Hospital-at-Home (HaH) is a home-based alternative for acute care that has expanded significantly under COVID-19 regulatory flexibilities. The post-pandemic policy agenda for HaH will require consideration of multistakeholder perspectives, including patient, caregiver, provider, clinical operations, technology, equity, legal, quality, and payer. Key policy challenges include reaching a consensus on program standards, clarifying caregivers' issues, creating sustainable reimbursement mechanisms, and mitigating potential equity concerns. Key policy prescriptions include creating a national surveillance system for quality and safety, clarifying legal standards for care in the home, and deploying payment reforms through value-based models.