The rise of home-based care: How Jefferson Health is engaging more patients at scale

Thursday, April 29th, 2021 | 12:00 PM - 1:00 PM CT


COVID-19 has accelerated the need for care-at-home solutions, and many opportunities exist to transfer certain care to the home.

Today, more than 100 hospitals and 40 health systems have been approved for the CMS Acute Hospital Care at Home waiver program that allows Medicare payments for additional services provided in the home. But most hospitals are still trying to determine whether to implement care at home, how to successfully operationalize it, and how to meet all hospital conditions of participation. There is also still resistance to care-at-home models from some providers and payers.

But adding this essential new level of care to a system’s care delivery services is even more pressing with our aging population and patient preference to age in place and receive care in the home and community.

At the start of the pandemic, Philadelphia-based Jefferson Health wanted to move more care to the home to preserve hospital beds for predicted surges and acutely ill Covid patients. Prior to the pandemic, Jefferson had begun developing a Hospital-in-Home program to position itself for value-based payment changes. At the same time, the 14-hospital system was managing a growing number of people with chronic conditions who needed longitudinal care management to avoid episodic care.

During this webinar, Kate Behan, MD, Jefferson's Chief Population Health Officer, will share how the system aligned its resources and partnered with Dina to activate digital technology to manage hundreds of patients in their homes during the public health emergency. She will discuss how Jefferson is continuing to build its Hospital-in-Home program with existing resources and digital health technology. And she will cover some of the barriers to building hospital-at-home care models, creating alignment with value based care, and improving provider and patient/caregiver engagement.

Attendees will learn:
  • Trends in care-at-home models: how to implement, how to receive payment, and how to position organizations for value-based payment.
  • What hospitals can/can't do with/without the CMS waiver.
  • Lessons learned from COVID-19 to engage patients at scale.
  • How to define and measure success.



Dr. Kate Behan

SVP & Chief Population Health Officer, Jefferson Health


Kristen Vogl

Enterprise Vice President, Service Line Executive, Post-Acute Care and Musculoskeletal Services, Jefferson Health


Ashish V. Shah

CEO & Co-founder, Dina

Jefferson 2019 logo (1)