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As Acute Care Moves Home, Who Owns the Next 30 Days?
Hospital-to-Home, DpC, Hospitalist Brian Bost 4/29/26 Hospital-to-Home, DpC, Hospitalist Brian Bost 4/29/26

As Acute Care Moves Home, Who Owns the Next 30 Days?

A hospital-at-home program in Portland just shared five years of hard-won lessons. The takeaway isn't about hospital-at-home — it's about the thirty days that come after, the ones nobody owns. Here's why that gap is what B2 Direct Care was built for.

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  1. B2 Direct Care does not bill insurance.

  2. B2 Direct Care memberships are not insurance and do not replace health insurance coverage.

  3. Due to current CMS regulations and Colorado state law, services are not available to patients enrolled in Medicare or Colorado Medicaid at this time.

  4. B2 Direct Care is not an emergency service. In the event of an emergency, call 911 or go to the nearest emergency department.

  5. Submitting forms or contacting the practice does not establish a physician–patient relationship.

Medicine works best when relationships come first.

Physician-led direct care focused on continuity, clarity, and connection — from hospital to home.

Brian P. Bost, MD, MPH

Board Certified Internal Medicine & Pediatrics

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