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Industry Landscape
The healthcare industry is undergoing a significant transformation towards value-based care, driven by a need to control costs and improve patient outcomes. Government initiatives like Medicare's shift from fee-for-service to models like ACOs and MSO arrangements are accelerating this change. Technology and data analytics are crucial enablers, allowing for better care coordination and risk management.
Total Assets Under Management (AUM)
Number of Accountable Care Organizations (ACOs) in United States
~Over 500 ACOs (as of 2023)
(5-10% CAGR)
- Growth in new ACOs and expansion of existing ones.
- Increased participation in advanced value-based care models.
- Shift from fee-for-service to outcome-based payment.
Total Addressable Market
250 billion USD
Market Growth Stage
Pace of Market Growth
Emerging Technologies
AI-powered Predictive Analytics
Utilizing artificial intelligence and machine learning to predict patient health trajectories, identify high-risk individuals, and optimize care interventions before adverse events occur.
Remote Patient Monitoring (RPM)
Employing wearable devices and connected health tools to continuously collect patient physiological data outside traditional clinical settings, enabling proactive management of chronic conditions.
Blockchain for Healthcare Data Management
Implementing distributed ledger technology to create secure, transparent, and immutable records of patient health information, improving data interoperability and privacy.
Impactful Policy Frameworks
CMS Medicare Shared Savings Program (MSSP) Pathways to Success (2019)
This policy revised the MSSP to encourage more ACOs to transition to two-sided risk models, aiming to increase accountability for costs and quality.
This policy pushes Genuine Health Group's MSSP ACO towards greater financial risk, but also potentially higher rewards, necessitating robust risk management and care coordination capabilities.
CMS ACO Realizing Equity, Access, and Community Health (REACH) Model (2023)
Replacing the Direct Contracting Model, ACO REACH focuses on health equity, care access, and community partnerships, allowing for capitation payments for traditional Medicare beneficiaries.
The ACO REACH Model directly benefits Genuine Health Group's Genuine Health Direct by enabling monthly capitation payments for traditional Medicare patients, enhancing financial predictability for participating physicians.
Information Blocking Rule (21st Century Cures Act, 2021)
This rule, implemented under the 21st Century Cures Act, prohibits healthcare providers from knowingly interfering with the access, exchange, or use of electronic health information (EHI).
This policy mandates greater data sharing and interoperability, requiring Genuine Health Group to ensure its 'Genuine Insights™' and MSO services facilitate seamless exchange of patient data with other providers and patients.
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