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Industry Landscape
The community care services industry is experiencing significant growth driven by an aging population, increasing prevalence of chronic conditions, and a strong preference for in-home care over institutional settings. Technological advancements and policy changes supporting integrated care models are also shaping the landscape. Challenges include workforce shortages and funding complexities, especially for non-profit organizations. The sector emphasizes person-centered care and community integration.
Total Assets Under Management (AUM)
Number of individuals receiving home and community-based services in United States
~Approximately 4.3 million individuals (as of 2021 data, Centers for Medicare & Medicaid Services)
(6-8% (estimated for HCBS users) CAGR)
- Increasing demand due to aging population.
- Policy shift towards community-based care.
- Expansion of Medicaid waiver programs.
Total Addressable Market
500 billion USD
Market Growth Stage
Pace of Market Growth
Emerging Technologies
Remote Monitoring & Telehealth
Enables continuous health tracking and virtual consultations, reducing the need for frequent in-person visits and enhancing care accessibility.
AI-Powered Personalization & Predictive Analytics
Utilizes AI to tailor care plans, predict health crises, and optimize resource allocation for more effective and proactive support.
Assistive Robotics & Smart Home Devices
Provides automated support for daily tasks and enhances safety, fostering greater independence within an individual's home environment.
Impactful Policy Frameworks
Medicaid Home and Community-Based Services (HCBS) Final Rule (2014, with ongoing implementation)
This rule mandates that HCBS settings be integrated into the greater community, ensuring individuals receiving services have full access to the benefits of community living and are not isolated.
It requires CLC to ensure their services foster community integration and person-centered planning, potentially necessitating changes in service delivery models and increased documentation.
American Rescue Plan Act (ARPA) HCBS Funding (2021)
ARPA provided a significant temporary increase in federal Medicaid matching funds for HCBS, allowing states to enhance, expand, or strengthen their HCBS programs.
This policy offers CLC a potential opportunity for increased funding and resources to expand services, improve workforce retention, or invest in technology.
CMS Interoperability and Patient Access Rule (2020)
This rule requires certain healthcare providers, including Medicaid managed care plans, to implement policies that facilitate patient access to their health information through APIs.
It will likely push CLC towards greater digital integration and data sharing capabilities, improving coordination of care with other healthcare providers and empowering clients with their health data.
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