Treating patient’s at home: good idea or potential liability?

An article in the Wall Street Journal (August 13, 2024) titled “Hospital’s New Push: Treat Patients in Their Homes”, describes the over 23,000 Medicare treated at home through April this year. The rules require the patients to be less than 30 minutes away from the hospital, and their care is monitored remotely and through site visits. Hospitals get paid the same rate for home care as for in hospital stay. Currently, such care is offered for stable patients who are ambulatory but require hospital level monitoring. While patients are kept comfortable, their home length of stay is shown to take an additional day, with associated costs, while keeping quality of care constant. Should such programs be expanded to enable hospitals to expand without adding physical space ? Should choices regarding the care location be a patient choice ? Do we expect to see independent home care hospital equipment that will be setup and administered by third parties subcontracted by hospitals to manage logistics ?

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