Here’s what healthcare leaders should know:Hospital-at-home, telemedicine lapsesWhile most Medicaid and Medicare services will continue during the shutdown, lawmakers’ inability to reach a deal before midnight affected telehealth and hospital-at-home services. Some leaders told Becker’s in September that if funding lapsed, they would have to end their programs and send home-based patients back to the hospital. The department said it will use its authority under the Anti-Deficiency Act to maintain department activities during the shutdown. Any funding proposal would need their approval. Unlike the 2019 government shutdown that lasted 34 days, Congress has not passed any appropriations bills, so no government offices have been funded.