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Guidehouse·February 5, 2026

Hospital-at-Home Waiver Extension Creates Openings for Medicaid MCO Partnerships

CMS's extension of the Acute Hospital Care at Home waiver through 2030 expands opportunities for provider-based acute care delivery in home settings, with potential implications for Medicaid managed care organizations seeking to reduce inpatient costs and improve member experience. While the piece focuses primarily on Medicare fee-for-service hospital waivers, the care model's demonstrated 30% cost reduction and improved outcomes could inform Medicaid MCO network strategies and value-based arrangements with hospital partners. The analysis is hospital-centric but touches on delivery system innovations relevant to managed care populations broadly.

Managed Care

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This is outside commentary from Guidehouse, not part of Medicaid Monitor's independently scored news coverage.

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