
Authored by:
Jeremy Coombs
Senior Director, Acadian Health
Mobile Integrated Healthcare has evolved rapidly in the past few years, fueled by the Covid pandemic in 2020. In early February 2026, President Trump signed a healthcare bill that includes a five-year extension of the Hospital-at-Home waiver alongside a two-year extension of those Covid-era telehealth provisions. These measures create a clear path for the continued growth of Mobile Integrated Healthcare (MIH) services, while opening the door for expanded programs that bring care directly to patients where they live.
This extension provides important long-term stability for Hospital-at-Home programs and the MIH infrastructure that supports them. It reflects a broader shift in healthcare toward delivering high-quality care beyond traditional hospital settings. Our Acadian Health team supports this shift by partnering with health systems, payers, and providers, and by having experienced paramedics and registered nurses who bring timely, reliable care into the home.
Acadian Health has served as a dependable partner for health systems and communities across Louisiana, Texas, New Jersey, Florida, Georgia, and Wisconsin. Through our integrated care approach, we provide stability, continuity, and trusted support that helps ensure patients receive the care they need, when and where they need it most, all while driving down total cost of care.
As part of our ongoing commitment to advancing MIH programs, Acadian Health remains closely aligned with all forms of outpatient care in the home and Hospital-at-Home models. I am honored to sit on the board of the American Academy of Home Care Medicine (AAHCM), advocating for policies and initiatives that expand access to home-based care and highlight the impact of Mobile Integrated Health and Community Paramedicine programs.
As Hospital-at-Home and MIH programs continue to grow, efforts like these will play an important role in expanding access to high-quality care.




