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There is growing interest in an approach that delivers hospital-level care to appropriate patients in their homes. Generally, such programs identify potential candidates for the approach upon their presentation to the ED. Depending on the program, emergency physicians and/or hospitalists determine whether patients should be offered the option of receiving care for their acute condition at home. Investigators have found the approach can deliver equal or superior outcomes to similar hospitalized patients at considerably lower cost, although reimbursement remains a major obstacle.