Beginning in 2021, the National Academy of Medicine (NAM) hosted a series of closed expert meetings on Hospital-at-Home (HaH), an alternative paradigm for the delivery of acute care. While HaH programs have been piloted in both the U.S. and abroad for decades, uptake of the model increased substantially during the COVID-19 pandemic under regulatory flexibilities from the Centers for Medicare and Medicaid Services (CMS). Given the widespread interest from policymakers in HaH, the NAM convened stakeholders from across the health care system to examine the key considerations for HaH following the conclusion of the public health emergency. NAM activities included closed expert meetings in July 2021 and in March 2022, articles published in NEJM Catalyst, Nature Medicine, and the Milbank Quarterly, and a summary of policy priorities identified by experts and submitted to CMS leadership for consideration. Below are links to the event summaries and academic scholarship associated with this project.
Hospital-at-Home Planning Meeting Summary
No Place Like Home: Hospital at Home as a Post-Pandemic Frontier for Care Delivery Innovation
Expert Panel Overview of Post-Pandemic Pathways for Hospital-at-Home Models
The hospital-at-home presents novel liabilities for physicians, hospitals, caregivers, and patients
Hospital-at-Home: Multistakeholder Considerations for Program Dissemination and Scale