Health
Home hospital care brings ‘phenomenal’ benefits to patients and providers, study finds
A growing number of patients and providers are heralding the benefits of bringing hospital care into private homes — but a lack of permanent federal funding could put such programs at risk.
The shift to in-home care began with the onset of COVID in March 2020, when the Centers for Medicare and Medicaid Services (CMS) launched its Acute Hospital Care at Home waiver program in response to a shortage of beds.
The program enables hospitals to receive the same reimbursement for home care as they would for patients who are treated in actual facilities.
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Since the program’s launch, hundreds of hospitals in 37 states have implemented home care for thousands of patients.
One of those is the Mass General Brigham (MGB) network in downtown Boston, which launched its Healthcare at Home program in 2016.
A growing number of patients and providers are heralding the benefits of bringing hospital care into people’s homes, though a lack of permanent federal funding could put such programs at risk. (Mass General Brigham)
MGB’s Home Hospital is one of the largest in the country, serving 66 neighborhoods from five of its facilities.
Since its launch, the program has had over 2,400 home hospital admissions, translating to more than 12,700 acute care bed days saved, according to a press release from the hospital.
Dr. Stephen Dorner, chief clinical and innovation officer at MGB Healthcare at Home, talked to Fox News Digital about the program’s growth and goals, as well as the benefits for patients and providers.
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“In January 2022, we had an average census of nine patients — today, we have an average census of 36 patients with an overall capacity for 40,” he said in a Zoom interview.
“We will continue to grow that in the months and years ahead until we ultimately shift at least 10% of current inpatient volume out of hospitals and into patients’ homes.”
Dorner sees home-based care as a viable solution for the “massive capacity crisis” facing the nation’s hospitals.
Patients are “more willing to accept home hospital care because they spend so much time dealing with their chronic illness and they’d like to be able to spend more time at home,” said one doctor. (Mass General Brigham)
“Health care just costs too much money,” he said. “And especially as we look at the aging baby boomer generation and the amount of care they’re going to need — particularly as longevity increases — we have to find new, lower-cost ways to do things.”
The ability to deliver acute inpatient care in people’s homes is a “phenomenal” way to improve overall access to care and reduce medical costs, Dorner noted.
Patients’ demand for home care
While home hospital care isn’t for everyone, many patients are more than willing to receive it.
“The patients who are most willing to accept home hospital care are those who are most in tune and aware of what their medical needs are,” Dorner told Fox News Digital.
“Health care just costs too much money … We have to find new, lower-cost ways to do things.”
That typically includes patients with chronic conditions that may lead to frequent hospitalizations, such as heart failure or chronic obstructive pulmonary disease, he noted.
“They’re more willing to accept home hospital care because they spend so much time dealing with their chronic illness and they’d like to be able to spend more time at home,” the doctor said.
MGB has also had “great success” in admitting patients with new, acute issues that they’ve never dealt with before, such as cellulitis, kidney infection or pneumonia, Dorner added.
The corporate offices of Massachusetts General Brigham hospitals is pictured in Assembly Square in Somerville, Massachusetts, on Jan. 27, 2022. Mass General Brigham launched its Healthcare at Home program in 2016. (Getty Images)
“Folks want to have the creature comforts of being in their own bed, eating their own food, petting their dog as they’re recovering, being able to have loved ones come and visit, and not having to trek into the city and pay for parking and all of those things,” he said.
Patients enjoy the personalized nature of in-home care, Dorner also said.
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“About 60% to 70% of our visits are actually conducted in the home, not virtually,” he said. “So we’re sending physicians, nurse practitioners and physician assistants into the homes of our patients to be able to see them firsthand, which gives them a unique vantage point of understanding the patients’ home environment.”
He added, “Many of the patients tell us they never want to receive hospital-based care again. They want to know how they can get all of their care from the comfort of their own home.”
“The patients who are most willing to accept home hospital care are those who are most in tune and aware of what their medical needs are,” the chief clinical and innovation officer at MGB Healthcare at Home told Fox News Digital. (Mass General Brigham)
The program also has the potential to alleviate provider burnout.
“We’ve heard from our clinicians that the time they spend in home hospital care delivery is among the most meaningful encounters they’ve had in their entire careers,” Dorner said.
That doesn’t mean that all care can be brought into the home, however.
“We’re not building ICUs in the home, and we’re not looking to conduct surgeries in anybody’s living room,” Dorner said.
“But in the right conditions, we’d like to be able to build a complement in the home-based environment.”
“We’re not building ICUs in the home, and we’re not looking to conduct surgeries in anybody’s living room.”
Dr. Shana Johnson, a physical medicine and rehabilitation physician in Scottsdale, Arizona, also voiced her support of the home hospital model.
“With appropriate patient selection, acute hospital care at home is an important care model to continue,” said Johnson, who is not involved with MGB’s program or research.
Researchers found that the patients who received home care had low rates of mortality (0.5% during hospitalization and 3.2% at 30 days). (Mass General Brigham)
“For certain medical conditions, the quality of care and outcomes appear equal to or better than in-hospital care,” she added.
“In particular, some studies have found fewer complications from inactivity, such as pressure sores, reduced need for skilled nursing facilities, and lower hospital readmission rates.”
Proven benefits
To measure the outcomes of its Home Hospital program, MGB researchers recently conducted a study that was published in Annals of Internal Medicine.
The team analyzed the outcomes of 5,858 U.S. patients who received home hospital care between July 1, 2022, and June 30, 2023.
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The patients in the study had “medically complex conditions,” including 42.5% with heart failure, 43.3% with chronic obstructive pulmonary disease, 22.1% with cancer and 16.1% with dementia, the researchers noted.
The five most common discharge diagnoses were heart failure, respiratory infection (including COVID), sepsis, kidney/urinary tract infections and cellulitis.
The researchers found that the patients who received home care had low rates of mortality (0.5% during hospitalization and 3.2% at 30 days). Only 62.2% of them were “escalated” to the hospital.
Within 30 days of discharge, 2.6% of patients used a skilled nursing facility and 15.6% were readmitted, the MGB researchers found. (iStock)
Within 30 days of discharge, 2.6% used a skilled nursing facility and 15.6% were readmitted, numbers the researchers described as lower than expected.
“Home Hospital is serving very complex and acutely ill patients — these are not ‘cherry-picked’ patients,” study co-author David Michael Levine, M.D., clinical director for research and development for MGB’s Healthcare at Home, told Fox News Digital.
“This is the first time we’ve been able to show the true complexity and acuity of patients cared for in this model on a national basis.”
The researchers also concluded that Home Hospital delivers “equitable care across traditionally underserved populations,” Levine said.
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“We know that traditional hospital care has large disparities in outcomes across underserved groups, and we don’t see that with Home Hospital.”
Johnson, who reviewed the findings of MGB’s study, said she found them to be consistent with previous research.
“This study of acute hospital care at home showed low rates of mortality, hospital escalation and skilled nursing facility use,” she told Fox News Digital. “These positive outcomes were seen for socially vulnerable patients as well.”
Providers are concerned that the Acute Hospital Care at Home program is still a temporary payment mechanism, as the waiver is set to expire in Dec. 2024. (iStock)
The study was limited, however, as it was based on observational data and did not have the capability to compare the numbers to in-hospital patients.
“Comparing home hospital patients to traditional hospital patients takes a lot of additional research,” said Levine. “We wouldn’t want to compare home hospital patients to, say, surgical patients or labor and delivery patients.”
He added, “If you simply look at all hospitalizations, yes, these numbers are better — but that is not a worthwhile comparison. We are currently undertaking this more advanced analysis.”
Barriers to home hospital care
Providers are concerned that the Acute Hospital Care at Home program is still a temporary payment mechanism.
The waiver is set to expire in Dec. 2024 unless Congress takes action to extend it or make it permanent.
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“A permanent payment mechanism is critical in order for more people to have access to Home Hospital care,” Levine told Fox News Digital.
“We wanted to conduct this national analysis so there would be more data for policymakers and clinicians to make an informed decision about extending or even permanently approving the waiver to extend opportunities for patients to receive care in the comfort of home.”
The shift to in-home care began with the onset of COVID in March 2020, when the Centers for Medicare and Medicaid Services launched its Acute Hospital Care at Home waiver program in response to a shortage of beds. (iStock)
When contacted for comment, the American Hospital Association (AHA) provided a statement.
“Emerging evidence suggests hospital care at home is safe, effective and useful to many patients. The AHA supported last year’s congressional extension of the regulatory flexibilities that have enabled hospitals to continue their hospital at home programs, and is working to ensure this innovative model of care remains available to patients and communities.”
Fox News Digital reached out to the Centers for Medicare and Medicaid Services (CMS) requesting comment on the potential extension of the Acute Hospital Care at Home waiver program.
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As snow blanketed parts of the U.S. this week, heart health experts have shared warnings of the physical strain shoveling can take — particularly for older adults.
A 2025 Mayo Clinic review found that just 10 minutes of heavy snow shoveling can push the heart to about 97% of its maximum rate. Exposure to cold air was also found to increase blood pressure and reduce coronary blood flow.
While there isn’t an official age that’s “too old” to shovel, some cardiologists recommend that individuals over 45 should exercise more caution to lower their chances of a cardiac event.
When to take caution
“While there’s no strict age cutoff, generally above the age of mid 40s and above, we tend to be a little more cautious — particularly in people who are less active [without] regular exercise,” Dr. Navjot Kaur Sobti, M.D., an interventional cardiologist at Northwell’s Northern Westchester Hospital in Mount Kisco, New York, told Fox News Digital.
Heart health experts have shared warnings of the physical strain shoveling can take — particularly for older adults. (iStock)
“Certainly in people who are above the age of 65 — and who have risk factors for heart disease, such as high blood pressure, high cholesterol, diabetes, obesity or sedentary lifestyle — we recommend being very, very cautious about shoveling snow,” she advised.
Dr. John Osborne, M.D., a practicing Texas cardiologist and volunteer for the American Heart Association, shared similar guidance for people older than 45, especially males over 65.
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“Unless you are in good cardiovascular shape and conditioned, it may be a good idea to ask someone for help,” he said in an interview with Fox News Digital.
The impact of snow removal is especially concerning for those with existing cardiovascular risks and a history of heart attack or stroke, according to the cardiologist. “People with these characteristics and those who have had bypass surgery or coronary angioplasty simply should not be shoveling snow in any conditions,” he said.
Just 10 minutes of heavy snow shoveling can push the heart to about 97% of its maximum rate, a 2025 Mayo Clinic review found. (iStock)
Osbourne said he often sees cardiac episodes in people who are typically sedentary and sit at a computer most of the day with little or no exercise. “Then once or twice a year, they go out and try to shovel the driveway after a heavy snowfall, and that unexpected exertion can unfortunately lead to tragedy.”
Hidden strain
The stress that is placed on one’s heart while shoveling snow is similar to what occurs during a cardiac stress test, Sobti pointed out, and may even exceed it.
Cold temperatures can cause blood vessels to constrict and blood pressure to spike — which, coupled with existing hypertension and the exertion of lifting snow, can significantly tax the heart, she warned.
“It’s almost like an at-risk person is putting themselves through an unsupervised maximal exertion stress test without a cardiologist actively monitoring them,” Sobti told Fox News Digital.
The stress that is placed on one’s heart while shoveling snow is similar to what occurs during a cardiac stress test. (iStock)
In addition to the exertion of shoveling, frigid temperatures can also strain the heart. Recent research has shown that cold exposure accounts for nearly twice as many cardiovascular deaths as heat exposure, including heat exhaustion.
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That study, published in the Annals of Internal Medicine last month, also found that those over age 65 had higher rates of temperature-related deaths.
“So the risk is very, very high,” Sobti cautioned. “It’s really that sudden rise in blood pressure coupled with the physical stress of snow shoveling itself.”
Safer shoveling tips
The cardiologist said it’s ideal to have someone else help with snow removal — but if you do choose to use a shovel, she recommends pacing yourself and using a “pushing or sweeping” motion instead of heavy lifting.
Recent research has shown that cold exposure accounts for nearly twice as many cardiovascular deaths as heat exposure. (iStock)
To protect against the cold, Sobti also recommends covering your mouth, nose and extremities, wearing a hat and gloves, and using extra caution in windy conditions.
Using an automated snow blower can still raise the heart rate — up to 120 beats per minute, compared to 170 while shoveling, the American Heart Association states on its website.
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It is also important to be aware of any symptoms of a potential cardiac issue while shoveling, Sobti emphasized.
If a person starts to experience warning signs such as chest pain, shortness of breath, a racing heart or palpitations, those should not be ignored.
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Even if the symptoms resolve after a few minutes, a person “could still be experiencing symptoms of a heart attack” and should call 911 for evaluation, Sobti said.
“It’s better really to be safe than sorry.”
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More than three-quarters of the global population is falling short on omega-3 intake, a nutrient gap that may increase the risk of heart disease, cognitive decline, inflammation and vision problems.
That’s according to an analysis published in Nutrition Research Reviews, in which researchers from the University of East Anglia, the University of Southampton and Holland & Barrett analyzed omega-3 intake patterns across multiple countries and age groups.
The review found that 76% of people worldwide are not meeting the recommended levels of two omega-3 fats that are essential for heart health: eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).
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The analysis considered recommendations from global health authorities and assessed how closely populations follow them.
Most adults should aim for at least 250 milligrams of EPA and DHA per day, though actual intake is far lower in many regions, according to the researchers.
A new study found that 76% of people fall short of their recommended omega-3 intake. (iStock)
To explore the health implications of low omega-3 intake, Fox News Digital spoke with Michelle Routhenstein, a New York–based preventive cardiology dietitian at Entirely Nourished.
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Low omega-3 levels can have a noticeable impact on heart health, cognitive function and inflammation throughout the body, the expert confirmed.
Low intake can also increase the risk of heart attacks and sudden cardiac death, she added. It’s also associated with higher triglycerides, irregular heart rhythms and plaque in the arteries.
Most adults should aim for at least 250 milligrams of EPA and DHA per day, researchers say. (iStock)
Inadequate omega-3 levels have also been linked to changes in brain function, including faster cognitive decline, a higher risk of Alzheimer’s disease and increased rates of depression.
Routhenstein noted that low levels may also worsen inflammation in autoimmune conditions such as psoriasis, and can negatively affect eye health, since omega-3s play a key structural role in the retina.
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To improve omega-3 levels, the expert said it’s important to understand how much is needed and where to get it.
“The richest dietary sources of EPA and DHA are oily fish, such as salmon, mackerel, sardines, herring, trout and anchovies,” Routhenstein told Fox News Digital.
Oily fish, such as salmon, are among the richest natural sources of omega-3s. (iStock)
Many people benefit from eating oily fish more frequently, often three to four times per week, Routhenstein noted. For individuals who do not eat fish regularly, supplements can help raise EPA and DHA to healthier levels.
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For those taking omega-3 supplements, dosing should be based on lab results, medications, omega-3 levels and overall medical history, according to Routhenstein. Moderate, quality-controlled supplements are generally considered safe for most people.
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There is also some evidence supporting prescription-strength omega-3 products.
“High-dose EPA, such as 4 grams per day of icosapent ethyl, has been shown to reduce major cardiovascular events in certain high-risk populations, while similar doses of mixed EPA/DHA have not consistently shown the same benefit,” Routhenstein said.
Omega-3 dosing should be individualized based on lab data, medication use, current levels and overall medical history. (iStock)
Testing omega-3 levels can also help determine whether intake is adequate. The omega-3 index, a blood test that measures EPA and DHA in red blood cells, is considered one of the most reliable ways to assess status.
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“Levels around 8% are associated with lower cardiovascular risk, while levels below approximately 4% are considered low,” Routhenstein said.
Understanding baseline levels can help guide more personalized decisions about diet and supplementation.
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Those who are unsure about their omega-3 status or whether supplementation is appropriate should speak with a healthcare provider to determine the best approach.
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As winter weather moves in, cozy essentials like scarves, plush throws and heated bedding become everyday comforts.
But dermatologists caution that these cold-weather favorites can secretly undermine skin health — trapping sweat and bacteria, causing irritation and exposing the skin to excess heat.
Choosing the right materials for wellness — and using them safely — can make a big difference.
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Here are five winter must-haves and gift ideas, with expert tips on how to keep skin healthy and happy while staying warm this season.
Soft scarf, $19.99, Amazon.com
Scarves made of natural fiber, like this one that is 100% cotton, may help if you’re prone to irritation. (Amazon)
A soft scarf is a staple for cold days and an easy way to elevate a winter outfit.
Yet, if breakouts are appearing along the neck, jawline or chest, that favorite accessory may be part of the problem.
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“You should wash your scarf as often as your clothes to prevent breakouts,” Annabelle Taurua, a beauty expert at Fresha, a beauty and wellness booking platform headquartered in London, told Fox News Digital.
Cotton is a better choice than polyester, she also noted, as it’s more breathable and allows sweat to evaporate.
Fluffy blankets, $28.97, Potterybarn.com
Fluffy blankets make for perfect cozy days at home, but their soft fibers can trap sweat, oils and dead skin — which can clog pores and encourage bacteria growth. (Pottery Barn)
Fluffy blankets make for perfect cozy days at home, but their soft fibers can trap sweat, oils and dead skin, which can clog pores and encourage bacteria growth.
Rough textures or infrequent washing can also irritate sensitive skin and worsen breakouts.
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“Regularly wash your blankets, especially those made from synthetic or fluffy materials, to remove built-up oils and dirt,” Taurua advised.
She recommended breathable materials like cotton or linen, as well as hypoallergenic options for anyone prone to irritation.
Good set of sheets, $49.99, Amazon.com
Much like scarves, natural fibers are the way to go for your linens to avoid irritation. (iStock)
Cold weather makes lingering in bed especially tempting, but lying on unwashed bedding can worsen acne.
Pillowcases and sheets quickly collect oil, bacteria and dead skin cells, which transfer directly onto the face.
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“Washing bedding frequently is important,” Taurua said. “You should aim to change and wash your pillowcases every two to three days and your sheets at least once a week.”
Heated blanket, $33.99, Walmart.com
Heated blankets are a great way to stay warm during the winter. (Walmart)
When using a heated blanket, start with the lowest heat setting and limit use, said Taurua.
“Once you’re warm, switch to a regular blanket,” she advised.
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She also said it’s best to avoid direct contact for long periods to reduce irritation.
Hot water bottle, $12.99, Amazon.com
A traditional winter staple, hot water bottles offer quick comfort — but they come with risks similar to heated blankets, including burns, scalding and long-term heat-related skin damage.
Hot water bottles should never be filled with boiling water, experts advise. (Amazon)
“Never fill a hot water bottle with boiling water,” Taurua said.
“Only use hot, not boiling, water, and fill it to a maximum of two-thirds.”
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She recommended wrapping the bottle in a towel or cover to avoid direct skin contact and limiting use to around 20 minutes.
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