"Commentary: Reducing the cost of acute care by going home" -Kenneth L. Davis
A Texas court's ruling that the Affordable Care Act is unconstitutional is reviving the divisive and damaging political battle that threatens the viability of hospitals and the ability of insurers to offer reasonable health policies. But all Americans, regardless of where they stand on the ACA, can agree on this much: We need to lower the cost of care while improving quality and patient satisfaction. An ideal way to do this is to keep patients out of the hospital whenever possible through proactive, preventive care. Yet even when this fails and patients do need acute care, we can successfully treat many of them outside the hospital. Hospital at Home is an innovative program that provides hospital-level service in the patient's own home, at a fraction of the cost of hospitalization. Health systems across the country are prepared to launch such programs, which would save Medicare hundreds of millions of dollars, once an appropriate payment model is in place. To test the model, HHS' Center for Medicare and Medicaid Innovation provided a three-year grant—which ended in 2017—for Mount Sinai Health System to organize and deliver Hospital at Home services.
— Kenneth L. Davis, MD, President, CEO, Mount Sinai Health System
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