Payment Reforms and Digital Technologies to Drive Future of Hospital at Home Care Models

Payment Reforms and Digital Technologies to Drive Future of Hospital at Home Care Models

Increasing number of diverse acute conditions to be covered under Hospital at Home Care Model

RELEASE DATE
26-Mar-2021
REGION
Global
Research Code: K5C4-01-00-00-00
SKU: HC03402-GL-MT_25319
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Description

The hospital at home (HaH) care model provides hospital-grade care for acute patients with conditions ranging from asthma and pneumonia to congestive heart failure in a home setting. Stable post-op and ICU patients also can use HaH care. The US Centers for Medicare & Medicaid Services (CMS) states that under this model, the patient home is considered part of the hospital during the tenure of care.

Hospitals can provide an array of services in the home setting, including diagnostics such as electrocardiograms, echocardiograms, and X-rays; treatments such as oxygen therapy, intravenous fluids, antibiotics, and other medicines; and pharmacy and skilled nursing services.

The United States is behind some European countries in implementations; the study considers the intricacies of the US market as a new growth location. In November 2020, the CMS selected 6 US hospitals to be early adopters for HaH programs: Unity Point Health, Brigham and Women’s Hospital, Huntsman Cancer Institute, Mount Sinai, Presbyterian Healthcare Services, and Massachusetts General Hospital.

The study provides a detailed explanation of the HaH framework including the operational process, resources, and reimbursement changes, and explores growth opportunities in the space for both health providers and companies. It also elucidates how care delivery leverages artificial intelligence, remote monitoring, and computer vision, as well as how care coordinators connect hospitals and patients in the ecosystem.

Growth opportunities for virtual critical care solution providers through 2025 are examined based on an evaluation of 10 growth processes. Opportunities have been further tagged on the basis of estimated maximum impact realization timeframe, cumulative revenue potential, and the related quadruple aim focus.

Author: Kaustubh Suresh Savant

Table of Contents

Why is it Increasingly Difficult to Grow?

The Strategic Imperative 8™

The Impact of the Top Three Strategic Imperatives on the Hospital at Home Industry

Growth Opportunities Fuel the Growth Pipeline Engine™

Definition and Scope of Analysis

Hospitalization Burden

HaH Introduction

Common HaH Treatments

HaH Value Chain

HaH Value for Key Stakeholders

Growth Drivers

Growth Restraints

HaH Care Model Assessment

Key Opinion Leader Assessment

Recent Developments

Key Performance Indicators

Patient Experience Assessment

Digital Technologies to Impact Healthcare Delivery

Care Delivery Technologies

HaH Care Model Patient Journey

HaH Care Steps—Patient Selection

HaH Care Steps—Patient Transfer

HaH Care Steps—Care Delivery

HaH Care Steps—Patient Discharge/Hospital Transfer

Factors for Successful HaH Care

Supporting Regulatory and Reimbursement Policies

Supporting Regulatory and Reimbursement Policies (continued)

Physician Compensation Plans

Physician Compensation Plans (continued)

Physician Compensation Plans (continued)

Emphasis on Value Creation

Case Study—Mount Sinai

Growth Opportunity Universe Background

Growth Opportunity Timeframe and Growth Potential

Growth Opportunity 1—Building Evidence-based Solutions/Practices for Value-based Care

Growth Opportunity 1—Building Evidence-based Solutions/Practices for Value-based Care (continued)

Growth Opportunity 2—Technology Integration for Improving Care Delivery

Growth Opportunity 2—Technology Integration for Improving Care Delivery (continued)

Growth Opportunity 3—Integrating Ancillary Functions for Seamless Care

Growth Opportunity 3—Integrating Ancillary Functions for Seamless Care (continued)

Growth Opportunity 4—Optimizing Best Practices for Oncology HaH Model

Growth Opportunity 4—Optimizing Best Practices for Oncology HaH Model (continued)

Growth Opportunity 5—Service Expansion for Rural Healthcare Demand

Growth Opportunity 5—Service Expansion for Rural Healthcare Demand (continued)

List of Exhibits

Legal Disclaimer

Hospital at Home is an innovative care model for healthcare organizations to provide hospital-level care in home for patients who meet acute inpatient admission requirements. CMS states that under this model, the patient home is considered part of the hospital during the tenure of care. The study provides a detailed understanding of the hospital at home framework by explaining various key components like operation process, resources, reimbursement changes, etc, and also explicitly define the growth opportunities in the space for both health providers and companies. Hospital at home is seen as a model which can add value from 360 perspectives for patient experience, health outcome as well as reducing healthcare cost. US has seen late adoption of the hospital at home model compared to some other EU regions. The study has its focus on understanding the intricacies of the US market which is a new growth region for this model. The study also elucidates how different advanced technologies like AI, remote monitoring, computer vision are being leveraged for care delivery.
More Information
No Index No
Podcast No
Industries Healthcare
WIP Number K5C4-01-00-00-00
Is Prebook No
GPS Codes 9600-B1,9A47-B1,9A48-B1,9A4B-B1