Tech companies are rolling out new services to health systems as enticements to launch hospital-at-home (HaH) programs. 370+ health systems have applied for waivers for CMS' Acute Hospital Care program over the past 4 yrs. However, some have not yet launched HaH programs in part bc of cost, staffing shortages & logistical problems, among other challenges. Some may also be waiting to see if Congress will extend the waiver, which is set to expire in Dec. Starting and maintaining HaH programs can be an expensive undertaking for many health systems. CMS requires providers set up command centers staffed by physicians and nurses who make virtual daily visits to patients and are on call around-the-clock in case patients' conditions worsen. Nurses must also make onsite visits 2X a day. Tech companies are looking to cut down on that time—and expense—so more systems can get fledgling programs off the ground. Medically Home is expanding the support services it offers health systems for HaH. The company has offered RPM equipment, advisory and logistical services, as well as clinical staff for in-home visits to ~20 health systems nationwide. But it did not staff command centers for health system partners until recently. Medically Home announced a new partnership with SCP Health last month to staff physicians and nurses at a command center in Dallas that health system partners can use if they don’t want to establish their own hub. The command center services would be an additional cost for health systems, and a soft rollout has begun with Hackensack Meridian Health. Investing in RPM equipment required under the waiver can also be a heavy lift for health systems that choose to launch HaH programs. The equipment is used to monitor patient vitals 24/7. Vivalink last month launched a no-cost pilot program to let nonprofit health systems test RPM equipment. Vivalink will also provide training and support free-of-charge to help hospital staff familiarize themselves with the tech. Three health systems have contacted Vivalink about testing the equipment, with one planning to begin piloting it early next year. Another challenge is getting some acutely ill patients comfortable with the idea of receiving hospital-level care at home, rather than in a facility. Inbound Health introduced an app last summer that could help ease patients' concerns. The company provides tech & mgmt services for HaH programs. The app lets HaH patients contact clinical teams directly, keep track of their own vital signs alongside clinicians and stay advised of when care teams will make in-home visits. The app builds on a care mgmt program Inbound rolled out last year that helps health systems identify patients eligible for HaH and supervise their care. ~400 patients have used the app so far. Inbound provides HaH services to Allina Health & SSM Health, and will expand services to two more health systems in 2025.
Christopher Loumeau, MHA’s Post
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