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![U.S. healthcare systems struggle to meet the needs of an aging population.](https://ca-times.brightspotcdn.com/dims4/default/29e7d8e/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F2e%2Fb3%2F36bf776a43f7a2bc74b7099cacb6%2F2411xx-hospital-at-home-1.jpg)
![The hospital-at-home model expands access to acute care for patients needing hospitalization.](https://ca-times.brightspotcdn.com/dims4/default/4dff210/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F2b%2F85%2F2d29896b40f7b78da390a0587bd3%2F2411xx-hospital-at-home-2.jpg)
![A waiver offers reimbursement for this care of patients with Medicare and Medicaid.](https://ca-times.brightspotcdn.com/dims4/default/6a221e4/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F62%2F52%2F1c29046e4831bf235cb0d6db8fe0%2F2411xx-hospital-at-home-3.jpg)
![The waiver is set to expire on Dec. 31, threatening the sustainability of this option across the country.](https://ca-times.brightspotcdn.com/dims4/default/32ceb8a/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F50%2F47%2Fc5a49d63430bb07559dd91e373db%2F2411xx-hospital-at-home-4.jpg)
![Evidence from the pandemic shows that hospital-at-home is good for vulnerable patients.](https://ca-times.brightspotcdn.com/dims4/default/f29ddb5/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F1b%2F19%2Fd8c84acd46e791eb07a6cd7b14bd%2F2411xx-hospital-at-home-5.jpg)
![While hospitalization is sometimes necessary, there is also an increased risk of complications like infection and weakness.](https://ca-times.brightspotcdn.com/dims4/default/7771a61/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F92%2F04%2F2bb1077c4585b380a3bd1b30b603%2F2411xx-hospital-at-home-6.jpg)
![Hospital-at-home patients are visited by their care team and a physician every day, giving insight into the patient's life.](https://ca-times.brightspotcdn.com/dims4/default/2f0c298/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F43%2F51%2F2eac4ffb4ddd9e821a262f1b1c60%2F2411xx-hospital-at-home-7.jpg)
![We cannot afford to lose momentum in the recent accelerated growth of this model. This critical juncture demands action.](https://ca-times.brightspotcdn.com/dims4/default/7927c62/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F5e%2F80%2F4f5544a04e189cdd9ac643657455%2F2411xx-hospital-at-home-8.jpg)
![Healthcare initiatives that improve outcomes at reduced cost are worth nurturing. We need long-term support for this model.](https://ca-times.brightspotcdn.com/dims4/default/de64d2e/2147483647/strip/true/crop/2400x2400+0+0/resize/2000x2000!/quality/75/?url=https%3A%2F%2Fcalifornia-times-brightspot.s3.amazonaws.com%2F41%2F4f%2F07045c154f54b46c9391efe0674b%2F2411xx-hospital-at-home-9.jpg)
Ankit Mehta is an associate professor of medicine at the University of Minnesota Medical School and a hospitalist with the HealthPartners Medical Group. He is an illustrator and graphic medicine enthusiast.
Chrisanne Timpe is a hospitalist and medical director of home-based care delivery programs for HealthPartners in Minnesota, including hospital-at-home care.
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