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Table 3 Inclusion criteria—health insurance plans

From: Effect of hospital-at-home vs. traditional brick-and-mortar hospital care in acutely ill adults: study protocol for a pragmatic randomized controlled trial

State

Health insurance plan

Arizona

1. Medica—employees only; no midnight rule

2. Medicare—no midnight rule

Florida

1. Medica—employees only; no midnight rule

2. Florida Blue—blue options plan only; no midnight rule

3. Aetna—all Aetna contracted plans; 1 midnight rule

4. Medicare—no midnight rule

Wisconsin

1. Medicare ACO—no midnight rule

2. Medicare—2 midnight rule Removed for CMS waiver go-live on 4/27

3. Medica—employees only; no midnight rule

4. WEA—1 midnight rule

5. Health Tradition—1 midnight rule

6. Security Health Plan—1 midnight rule

7. Anthem—1 midnight rule

  1. ACO, accountable care organization; CMS, Centers for Medicare & Medicaid Services
  2. These are the health plans used at the time of IRB submission; not every patient with these health plans is eligible, and additional health plans might be considered; the local clinical teams will make the decision, i.e., identifying patients who are suitable for either ACH or traditional inpatient care, and will refer eligible patients to the study coordinator for consent and randomization