Advocate Health uniquely combines a hospital-at-home RPM program with direct affordable housing investment — making them the closest existing model to SASH's integrated vision. They launched hospital-at-home in 10 days during the pandemic, achieved 7% fewer readmissions, and invested $21M+ in housing since 2019. This case study examines how SASH would unify their two separate programs into a single integrated platform.
Among all healthcare systems in the United States, Advocate Health is the only one that simultaneously operates a mature hospital-at-home program with remote patient monitoring and makes direct investments in affordable housing. These two programs currently operate independently — the hospital-at-home team deploys RPM devices into existing homes temporarily, while the housing investment team finances new construction without health technology integration.
SASH represents the missing link that would unify these two capabilities into a single, permanent infrastructure. Instead of deploying temporary RPM devices into homes that weren't designed for them, SASH builds homes with health monitoring embedded from day one — creating a permanent care delivery platform rather than a temporary intervention.
Advocate Health's hospital-at-home program is one of the most rapidly deployed and clinically validated in the country, operating under the CMS Acute Hospital Care at Home (AHCAH) waiver extended through September 2030.
Launched hospital-at-home program in just 10 days during the pandemic, demonstrating exceptional operational agility. Expanded to multiple metro areas across the Advocate Health network.
Combines in-home nurse visits with virtual physician check-ins and remote patient monitoring. This hybrid approach delivers hospital-grade care while maintaining patient comfort at home.
Achieved 7% fewer readmissions than expected, compared to 9% more readmissions in traditional inpatient settings — a 16-percentage-point swing in readmission performance.
Expanded from initial pandemic response to a permanent care delivery model across multiple metropolitan areas, including Charlotte, NC and Chicago, IL markets.
Multiple housing investments since 2019 in the Charlotte metropolitan area, targeting affordable housing in underserved communities.
Contribution to 'A Home For All' initiative in February 2026, supporting community-wide affordable housing strategy.
SASH would unify Advocate Health's two separate programs — hospital-at-home RPM and affordable housing investment — into a single integrated platform. Instead of deploying temporary RPM devices during acute episodes and separately funding housing without health tech, SASH builds housing with permanent RPM infrastructure that supports both chronic disease management and acute care transitions.
If SASH technology were integrated into a 200-unit Advocate Health-funded development in Charlotte, with 60% RPM enrollment and the existing hospital-at-home clinical protocols applied, the impact model shows significant value creation.
| Metric | Value |
|---|---|
| SASH-equipped units | 200 |
| RPM-enrolled residents (60% enrollment) | 120 |
| Monthly RPM revenue per patient | $133 |
| Annual RPM revenue | $191,520 |
| RPM gross margin (47–70%) | $90K – $134K |
| Readmission reduction (7% improvement) | ~8.4 avoided readmissions/year |
| Readmission cost savings (at $15,200 avg) | $127,680/year |
| Combined annual value creation | $218K – $262K per development |
Based on CMS 2025 Physician Fee Schedule, Advocate Health's published readmission reduction data, and AHRQ hospital readmission cost estimates.
Advocate's $21M+ housing investment is concentrated in Charlotte. Initial outreach should target the community health investment lead with a proposal to integrate SASH into their next housing development.
Position SASH as the bridge between Advocate's two programs. A 50-unit SASH development in Charlotte would serve as both affordable housing and a permanent hospital-at-home-ready environment.
Advocate's hospital-at-home team has already developed RPM clinical protocols. SASH's LIAM platform would integrate with these protocols, reducing implementation time and clinical risk.
Advocate Health operates extensively in the Chicago metropolitan area. After Charlotte validation, expand SASH integration to Illinois — a market where SASH already has leadership presence through Dr. Ruby Mendenhall at UIUC.