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3 considerations and 8 steps for creating an HaH program

Healthcare Financial Management, 2022-12, Vol.76 (9), p.28-33

COPYRIGHT 2022 Healthcare Financial Management Association ;Copyright Healthcare Financial Management Association Winter 2022/2023 ;ISSN: 0735-0732 ;EISSN: 0735-0732

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  • Title:
    3 considerations and 8 steps for creating an HaH program
  • Author: Jacobs, M. Orry ; Eggbeer, Bill
  • Subjects: Accountable care organizations ; Caregivers ; Communication ; Company business management ; Cost control ; Forecasts and trends ; Home care services ; Home care services industry ; Hospital patients ; Hospitalization ; Leadership ; Management ; Market positioning ; Market trend/market analysis ; Medicare ; Patient satisfaction ; Planning ; Service enhancement
  • Is Part Of: Healthcare Financial Management, 2022-12, Vol.76 (9), p.28-33
  • Description: The growing interest in HaH programs since early 2021 has been motivated by five key factors that provide evidence of the benefits HaH programs can deliver: * Better clinical outcomes for patients who received HaH care compared with similar patients who received care in an acute care hospital, with lower rates of mortality, better patient and family satisfaction, less caregiver stress and better functional outcomes * Substantial cost savings compared with traditional inpatient care * Improved coverage by payers, spurred by the CMS Acute Hospital Care at Home waiver program, which allows approved HaH Programs to bill traditional inpatient rates for HaH patients * Emergence of new technologies, particularly remote patient monitoring and associated technology * An ongoing increase in the numbers of hospitals taking on risk, with growing numbers of lives included in their risk-bearing or risk-sharing programs When CMS first announced its Acute Hospital Care at Home waiver program on Nov. 25, 2020, six health systems with extensive experience providing hospital care at home were approved to participate. Some health systems have their own provider-sponsored health plan and/or accountable care organization (ACO) with a large enrollment. Because HaH programs have lower costs than comparable hospital stays, adopting a program could reduce an organizations' total cost of care. HaH programs require dedicated leadership teams, composed of an executive sponsor, one or more physician leaders and nurse leaders and potentially others representing key services. Because planning for an HaH program requires significant time and effort, it is critical to ensure the effort is well-resourced. 2 If required, find a partner. Under the current CMS waiver program, HaH patients need to be admitted either from the ED or an inpatient unit. [...]education of the ED staff, hospitalists and selected specialists about HaH is important.
  • Publisher: Westchester: Healthcare Financial Management Association
  • Language: English
  • Identifier: ISSN: 0735-0732
    EISSN: 0735-0732
  • Source: ProQuest Central
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