SPI Digital Health: Hospital-At-Home Model Stutters but General Direction is Good

Published: November 17, 2023

At first glance, the recent decision by two US health systems – ProMedica and Adventist Health – to pull the plug on their ‘hospital-at-home’ programmes was enough to raise an eyebrow or two. Hospital-at-home, we have often reported, is a growing trend, even if the programmes themselves have had some logistical challenges to overcome.  

A subsequent news story clarified that Ohio-based not-for-profit health system ProMedica had cancelled its hospital-at-home programme for seniors in response to a $453M debt in default that had led ratings agency Fitch to classify the company as ‘junk’ status. To pay off the debt, ProMedica’s national home health and hospice division was selected as one of its sacrificial lambs, being sold to Georgia-based Gentiva for $710M. We still don’t know why California-based Adventist Health stopped its programme. 

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