Dr. Jared Conley at home with his family while receiving intravenous antibiotics Dr. Jared Conley

The Hospital-at-Home (HaH) model under Medicare lets patients receive hospital-level care at home instead of a traditional, brick-and-mortar hospital. But when the waiver funding the program expired on September 30, 2025, hospitals and patients were left navigating a far less efficient system.

Last week, one of my elderly patients, who is typically admitted via HaH for heart failure exacerbations, was disappointed to learn she had to stay overnight in the hospital before returning home. Like many patients across the country, she waited in an overstimulating emergency department for 20 hours before getting to her inpatient room. Headshot of Dr. Jared Conley Dr. Jared Conley

“Patients of

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