‘Par for the Course’: Why Hospital-at-Home Models to so Long to Catch On

 Posted Sunday, March 14, 2021 

The current pandemic has highlighted the importance of the hospital-at-home model, even though it has been a focus since the early 1990s.   Widespread adoption has been crushed by the lack of reimbursement until CMS introduced a dedicated waiver last November.

“Dr. Bruce Leff, a geriatrician and a health services researcher, began working on a hospital-at-home model the first day he joined Johns Hopkins in 1994. The value of such initiatives was the same then as it is now, Leff told Home Health Care News.

“We found that when older adults got acutely ill, a fair number of them would refuse to go to the hospital because they had previously had bad experiences in the hospital,” he said. “And often as geriatricians, I think we recognized the potential problems with hospital care and the potential dangers and illness that comes from being in the hospital.”

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