In this episode of WHAHC Congress Catch-Up, we move beyond clinical success to tackle the next great challenge for Hospital at Home (HaH): scaling up and sustaining programs as part of mainstream healthcare systems. Drawing from the WHAHC 2025 session “Scaling HaH”, chaired by Itamar Offer (Founder and Co-Chair of WHAHC), this episode brings together powerful lessons from Singapore, France, Israel, and the United States on what it really takes to turn small pilots into permanent system-wide models of care.

You’ll also hear about:
• The “success trap” — why programs that mature too smoothly may be most at risk of decline (WHAHC Co-Chair Itamar Offer)

• Israel’s rapid rise and plateau, where strong clinical results couldn’t overcome temporary funding and policy fragility

• France’s 70-year HaH journey and how a national performance agency helped smaller public providers break free of systemic inertia

• Singapore’s data-driven approach to scaling, using implementation science frameworks and AI tools to guide real-world expansion

• U.S. Medicaid data showing HaH’s safety, equity, and cost-effectiveness — and why permanent federal legislation remains critical

• The unifying insight: scaling HaH is now less a clinical challenge than a strategic, political, and financial one

This episode is essential listening for health system leaders, policymakers, and innovators navigating the realities of growing HaH programs — from sustainability planning and funding transitions to cultural and operational alignment.

This podcast was created using AI to provide a quick and insightful summary of a WHAHC 2025 session. While every effort has been made to ensure accuracy, listeners are encouraged to refer to original Congress materials and recordings for detailed information.

The World Hospital at Home Congress, WHAHC 2025, took place on 27–29 March 2025, in Vienna, Austria.

For more information visit https://whahc.kenes.com/