older man and woman with nurse The attraction for insurers is clear: If they can pay for care in a lower-cost setting than the hospital, with good outcomes, they save money. (Photo: Shutterstock)

Hospital-level care at home — some of it provided over the internet — is poised to grow after more than a decade as a niche offering, boosted both by hospitals eager to ease overcrowding during the pandemic and growing interest by insurers who want to slow health care spending. But a host of challenges remain, from deciding how much to pay for such services to which kinds of patients can safely benefit.

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