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Singapore has instead pursued a nationally coordinated care-at-home framework: Healthier SG re-anchors chronic disease management in primary care, while MIC@Home mainstreams acute hospital care at home. We examine the governance, financing, workforce, and digital infrastructure designed to connect these programs, and draw design insights for U.S. health systems building integrated care-at-home continuums.<\/jats:p>","DOI":"10.1038\/s44401-026-00153-5","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:11:11Z","timestamp":1791378671000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Designing care at home as an integrated continuum: insights from Singapore and application to U.S. health systems"],"prefix":"10.1038","volume":"3","author":[{"given":"Snehal A.","family":"Patel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron C.","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"153_CR1","unstructured":"World Health Organization. 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Reorganisation of healthcare system into three integrated clusters to better meet future healthcare needs. MOH Newsroom https:\/\/www.moh.gov.sg\/newsroom\/reorganisation-of-healthcare-system-into-three-integrated-clusters-to-better-meet-future-healthcare-needs\/ (2017)."},{"key":"153_CR10","unstructured":"Healthier S. G. What is healthcare cluster? Ask.gov.sg https:\/\/ask.gov.sg\/healthiersg\/questions\/cmcjb7omy00iur4eb2mnfbr3r (accessed 2026)."},{"key":"153_CR11","unstructured":"MOH Office for Healthcare Transformation. About MOHT. MOHT https:\/\/www.moht.com.sg\/about-moht\/ (accessed 2026)."},{"key":"153_CR12","unstructured":"Ministry of Health Singapore. Professor Tan Chorh Chuan to take on new roles at the Ministry of Health. 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R.L. is the founding Medical Director of Stanford Health Care at Home and Medical Informatics Director for Digital Health at Stanford Health Care; the description of Stanford Health Care\u2019s care-at-home program in this article reflects his direct operational experience with that program. R.L. is an advisor to and equity holder of Bedside Health and Saha Health, and has served as a paid consultant to companies in the digital health and artificial intelligence sectors. R.L. is an Associate Editor of npj Health Systems. R.L. was not involved in the journal\u2019s review of, or decisions related to, this manuscript. The authors declare no other competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"95"}}