Thursday, Mar 30, 2023 | 12:00 AM ET

S3 Ep26: Removing the Policy Barriers to Home-Based Care—featuring Krista Drobac

When Krista Drobac first started thinking about home-based health care, she assumed that the biggest barriers to adoption would be cultural. But she quickly learned that policy was the problem.

And then came COVID-19. Regulations were loosened, and we were allowed to experiment with caring for patients at home.

So, how do we convince policymakers to preserve the advances in home-based care made during the pandemic and change the rules for good?

Krista serves as Partner at Sirona Strategies, Executive Director of the Alliance for Connected Care and Founder of Moving Health Home, a coalition working to change policy to enable the home to be a clinical site of care.

Krista has 25 years of experience in federal and state government policy and public affairs, and she consults on Medicare, Medicaid, digital health, social determinants of health and new care models.


On this episode of HLTH Matters, Krista joins hosts Dr. Jessica Shepherd, Dr. Gautam Gulati and Dr. Jordan Schlain to explore the innovations in hospital-at-home and SNF-at-home we achieved during the pandemic.

Krista discusses who benefits most from home-based care (and who might want to opt out) and describes how providers can identify environmental risks when they’re in a patient’s home.

Listen in to understand why Krista advocates for value-based reimbursement models and learn what you can do to help persuade legislators to embrace home-based care.

Topics Covered

  • The regulatory barriers to moving health care into the home prior to the pandemic
  • How Moving Health Home was launched to preserve the innovation and advances in home-based care made during COVID
  • Who benefits most from home-based care and who might want to opt out
  • What the hospital-at-home model looks like and how it took off during the pandemic
  • The regulatory challenges Moving Home Health faces in executing SNF-at-home
  • How home-based care allows providers to identify environmental risks
  • Why value-based care reimbursement models are more appropriate for home-based care than fee-for-service
  • How home-based care might improve a patient’s mental and emotional health
  • Why we need a large-scale demonstration of the benefits of home-based care to change policy
  • The power of patient voice in convincing legislatures and hospital systems to embrace home-based care
  • How we might incentivize or persuade Americans to choose healthy food
  • How the social determinants of health or SDOH are influenced by policy


Connect with Krista Drobac

Moving Health Home

Connect with Dr. Jessica Shepherd, Dr. Gautam Gulati & Dr. Jordan Shlain


Dr. Shepherd on Twitter

Dr. Shepherd on LinkedIn

Dr. Gulati on Twitter

Dr. Gulati on LinkedIn

Dr. Shlain on Twitter

Dr. Shlain on LinkedIn


America’s Essential Hospitals


Moving Health Home Studies

White House Conference on Hunger, Nutrition and Health

Social Determinants of Health


Krista DrobacPartner, Sirona Strategies

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