We are seeing a significant reduction in readmissions across our operations. Does the company have any success stories or metrics to share? Let’s talk about Medically Home’s outcomes. I think the biggest barriers to hospital-at-home programs that remain are related payment and regulatory policies.Īgain, though, COVID-19 has been the most significant catalyst to date for the hospital-at-home model because of the dual needs of hospitals needing more capacity and patients’ concerns surrounding hospitals. Patients’ willingness to be cared for at home - and their concerns around that - is also a barrier that’s largely gone. For example, understanding the relevance of the program is a barrier that is now gone. I think some of the other barriers I would have pointed to six months ago don’t exist anymore. It’s just a lack of a cohesive national strategy for payment. In your view, what are the current barriers to the hospital-at-home model? I’m not sure if that’s the single root cause, but COVID-19 is definitely a significant propellant to what’s happening to our company right now. Our growth has been exploding as a result. My view is that’s what’s really driving the market right now. There are real concerns about patients going back to the hospital because of the infection risk. The triggers for market growth were initial capacity constraints, then value-based model exploration. ![]() But as soon as the data started coming out of China and Italy, as soon as the coronavirus started to hit the United States in early March, it felt like a tsunami. I think value-based programs were starting to get traction, though in a limited way. I think this was primarily driven by hospitals that were full, taking a second look at their alternatives. In 2019, there was an enormous amount of movement. Rakowski: I would say that it was anemic from 2017 through 2018. ![]() HHCN: Can you talk about Medically Home’s growth leading up to and during COVID-19? You can read the highlights from HHCN’s conversation with Rakowski below, edited for length and clarity.
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