Over $3.4 billion has been invested by healthcare systems in housing programs. 366 hospitals across 139 health systems are now approved for hospital-at-home care. The convergence of housing and health technology is accelerating — and SASH is positioned at the center.
Major health systems and payers have committed billions to affordable housing, recognizing that stable housing is a critical determinant of health outcomes. These organizations represent SASH's highest-priority partnership targets.
Largest payer-led housing investor in the U.S. Integrates on-site health services into mixed-income housing developments across 33 states and DC.
Committed $400M toward housing stability. Screened 1.5 million members for housing insecurity in 2025. Thriving Communities Fund finances multiunit properties.
Medicaid MCO investing directly in housing. Broke ground on Choice Neighborhood Initiative in Winston-Salem connecting residents to healthcare and workforce development.
Operates both hospital-at-home RPM programs and housing investments through A Home For All initiative. Achieves 7% fewer readmissions than expected.
Community Investment Program provides direct and indirect loans for affordable housing. Invested $5M in Freedom West cooperative housing in San Francisco.
CDFI loan for neighborhood revitalization on Chicago's West Side. Targets vacant properties for community health improvement.
Beyond health systems, major insurance payers are increasingly investing in housing as a strategy to reduce claims costs and improve population health outcomes. State Medicaid programs are also leveraging managed care contracts to pursue health-housing alignment.
Operates a housing stability program connecting members to housing resources. Developed the Whole Health Index measuring social determinants including housing. Foundation surpassed $1M in SDOH investments by end of 2025.
SASH homes could serve as a preferred housing referral destination for Elevance members flagged by the Whole Health Index, with embedded RPM reducing downstream claims costs.
Launched Bold Goal program to improve community health by addressing social determinants including housing. Humana Foundation funded VOA's "Residents First" tech-in-housing research blueprint.
Humana already funds tech-in-housing research. SASH offers a production-ready implementation of the blueprint they funded, with proven RPM reimbursement pathways for Medicare Advantage members.
Invested $185M in affordable housing through LIHTC investments and CDFI partnerships. Leverages 9,000+ retail locations as community health access points.
SASH developments near CVS HealthHUB locations create a seamless care continuum: embedded RPM for daily monitoring, MinuteClinic for acute needs, and Aetna coverage for reimbursement.
State Medicaid programs increasingly require managed care organizations to invest in housing-related services. CMS 1115 waivers in multiple states now support housing as a covered SDOH intervention.
SASH qualifies as a housing-health demonstration under multiple state 1115 waivers. MCOs can contract with SASH to fulfill housing investment requirements while gaining RPM data on their enrolled populations.
The CMS Acute Hospital Care at Home waiver, extended through September 2030, has enabled 366 hospitals to deliver hospital-level services in patients' homes using RPM technology — the same core technology SASH embeds directly into its housing.
80%+ of eligible patients
24/7 vitals monitoring, point-of-care testing, in-home x-rays & ultrasounds
7% readmission rate vs. 23% traditional
Lowest readmission rate in the nation for hospital-at-home
Growing program
Daily telehealth physician check-ins, specialty consults, 30-day post-discharge monitoring
Improved sleep quality, reduced hospital-acquired infections
Human-first design with 80+ patient/community feedback sessions
Multiple metro areas
Hybrid in-home visits + virtual check-ins + remote monitoring
7% fewer readmissions than expected
Combines housing investment with RPM deployment
High-volume, disadvantaged areas
RPM, care navigation, lab services, PT/OT, pharmacy
9.2% readmission vs. 16% traditional; 95% satisfaction
Specifically targets underserved communities
Several organizations are piloting smart-home technology within affordable housing — the closest analogs to SASH's embedded sensor approach. These pilots validate the market demand while highlighting the gap SASH fills.
Funded by Humana Foundation
Published "Residents First" blueprint for integrating technology into affordable senior housing. Piloting PingCares smartwatches, online fitness classes, and robotic companion pets.
500+ properties, 20,000+ units, 42 states
Funded by Federal/Foundation
Equipping older adults in affordable housing with internet access, digital hardware, telehealth tools, and digital literacy training.
Targeting 1.6 million HUD-assisted residents
Funded by Research Grants
Advancing sensor technologies that transform everyday household instruments into health monitoring tools. Research on activity patterns, fall detection, and cognitive decline.
Research program
Current programs fall into three categories. No organization combines all three into a single product — except SASH.
| Category | Examples | What They Do | What They Lack |
|---|---|---|---|
| Housing Investment | UHG, Kaiser, Centene, BMC | Finance affordable housing construction/renovation | No embedded health technology or RPM |
| Hospital-at-Home RPM | MGB, UChicago, Advocate, OSU | Deploy RPM devices to patients' existing homes | No purpose-built housing; temporary devices |
| Tech-in-Housing Pilots | VOA, LeadingAge, WSU | Test wearables and sensors in senior housing | Small-scale; no integrated analytics platform |
| SASH Smart Homes | All Three Combined | Purpose-built housing + embedded RPM + LIAM analytics | Complete Solution |
Recent federal policy changes have created a favorable environment for housing-health convergence, providing SASH with a multi-year runway for growth.
Extended through September 2030 via the Consolidated Appropriations Act of 2026. Gives health systems a 5-year runway to invest in home-based care infrastructure.
Medicare reimburses up to $133/patient/month for RPM services across CPT codes 99453, 99454, 99457, 99458, and 99091. Gross margins of 47–70%.
State Qualified Allocation Plans increasingly award bonus points for health service integration in LIHTC applications. SASH's embedded RPM qualifies.
CMS 1115 waivers in multiple states now support housing-related services as Social Determinants of Health interventions. SASH qualifies as a demonstration.
Capital gains deferral and step-up basis for investments in designated Opportunity Zones. SASH target markets include high-concentration OZ tracts.
Tax-exempt health systems must address community health needs. Nearly 50% of hospitals now identify housing as a critical need in their CHNAs.
SASH combines purpose-built affordable housing, factory-installed RPM sensors, and the LIAM predictive analytics platform into a single integrated product. Whether you're a health system, payer, or housing developer — we're building the future of housing-health convergence.
Sources: National League of Cities (2026), CMS AHCAH Data (2026), UnitedHealth Group (2025), Kaiser Permanente (2025), American Hospital Association (2026), Volunteers of America / Humana Foundation (2026), Elevance Health (2025), Centene (2026)
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