Journal of the American Geriatrics Society: Hospital at Home Services: An Inventory of Fee-for-Service Payments to Inform Medicare Reimbursement

Hospital at Home (HaH) is a growing model of care with proven patient benefits. However, for the types of services required to provide an episode of HaH, full Medicare reimbursement is traditionally paid only if care is provided in inpatient facilities. Though existing payment models might be used to pay for many HaH acute services, significant gaps in reimbursement remain. Extending the benefits of HaH to the Medicare beneficiaries that are likely to derive the greatest benefit will require new payment models for FFS Medicare.

Excerpt: “This analysis indicates the need for a Medicare payment model for HaH that allows beneficiaries with traditional FFS to have greater access to HaH. Clinical care in the home has been shown to be feasible and safe, provides a positive experience for patients, caregivers and providers, and even offers a mortality benefit. Reimbursement for HaH and other models of home-based acute care is the only obstacle preventing individuals and families from experiencing health care in the environment they find most comfortable.”

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