Two health systems have received CMS approval to add new hospitals to their hospital-at-home programs so far in 2026.
The Acute Hospital Care at Home waiver, which lets approved hospitals deliver inpatient-level care to eligible Medicare patients in their homes, was extended through Sept. 30, 2030, as part of a federal spending package signed into law in February. CMS has approved 365 hospital campuses across 137 health systems in 37 states to date.
Below are the systems that added newly approved hospital-at-home locations in 2026, per Becker’s review of CMS data.
January
1. Aurora Medical Center Grafton (Wis.) was approved Jan. 15. The hospital joins Charlotte, N.C.-based Advocate Health’s flagship hospital-at-home program, which launched in March 2020 in the Charlotte market and has since expanded to more than a dozen hospitals in North Carolina, Georgia, Illinois and Wisconsin.
2. Alamance Regional Medical Center in Burlington, N.C., was approved Jan. 15. Greensboro-based Cone Health marked the first year of its Hospital at Home program in June 2026, reporting zero patient deaths, zero care-associated infections, shorter average lengths of stay and fewer 30-day readmissions compared with traditional inpatient care. The program has been capped at six patients at a time, in part because most insurers still don’t cover it, though Cone Health said it plans to expand as more payers come on board.
April
3. Atrium Health Navicent (Macon, Ga.) was approved April 29. Advocate’s overall program has saved tens of thousands of bed days with a sub-1% mortality rate and a readmission rate better than the system’s brick-and-mortar facilities, according to a presentation reported by Healthcare Innovation.
Editor’s note: This is a running list and will be updated throughout the year as CMS approves new hospitals and health systems. If you know of an organization that belongs on this list, please email gbruce@beckershealthcare.com.
What is this list of hospital-at-home approvals based on?
The list tracks hospitals that CMS approved in 2026 to join the Acute Hospital Care at Home waiver program, which lets hospitals provide inpatient-level care in patients’ homes, in order of approval date.
How many hospitals have been approved for hospital at home in 2026?
CMS has approved three hospitals in 2026, all at health systems that already had hospital-at-home programs: Advocate Health’s Aurora Medical Center Grafton in Wisconsin and Atrium Health Navicent in Macon, Ga., and Cone Health’s Alamance Regional Medical Center in Burlington, N.C.
When was this list last updated?
Becker’s last updated the list July 23, 2026, and adds hospitals as CMS approves them.
How many hospitals are approved for hospital at home in total?
Since the program began, CMS has approved 365 hospital campuses across 137 health systems in 37 states for its hospital-at-home program.
Who compiles this list?
Becker’s Hospital Review’s Giles Bruce compiles the list from CMS’ hospital-at-home approvals.
How long will the hospital-at-home waiver last?
The Acute Hospital Care at Home waiver now runs through Sept. 30, 2030, after a federal spending package signed into law in February 2026 extended it.
Cite this: Beckers Healthcare, 2026
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