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Industry Landscape
The healthcare services industry is rapidly evolving, driven by a shift towards value-based care, preventive health, and technology integration. In-home care and remote monitoring are expanding to manage chronic conditions and improve accessibility, especially for vulnerable populations. Data analytics and AI are increasingly vital for personalized care and operational efficiency. Regulatory compliance and patient engagement remain core challenges.
Total Assets Under Management (AUM)
Total Healthcare Expenditure in United States
~4.5 trillion USD
(7.5% CAGR)
- Driven by increased utilization of services post-pandemic.
- Higher prices for medical goods and services.
- Growing demand due to aging population and chronic disease prevalence.
Total Addressable Market
4.5 trillion USD
Market Growth Stage
Pace of Market Growth
Emerging Technologies
Remote Patient Monitoring (RPM)
RPM utilizes digital technologies to collect health data from individuals in one location and electronically transmit that data to providers in a different location for review.
AI-Powered Predictive Analytics
AI and machine learning algorithms analyze vast datasets to predict patient risks, disease progression, and identify optimal intervention strategies, enhancing proactive care.
Virtual Reality (VR) and Augmented Reality (AR) for Training and Therapy
VR/AR technologies offer immersive experiences for healthcare professional training, patient education, and therapeutic interventions, especially in chronic pain management and rehabilitation.
Impactful Policy Frameworks
CMS Medicare Physician Fee Schedule (MPFS) Final Rule (2024)
The 2024 MPFS Final Rule expanded coverage and reimbursement for certain remote therapeutic monitoring (RTM) and chronic pain management services, aiming to integrate virtual care further.
This policy directly benefits HealPros by creating clearer reimbursement pathways for their remote monitoring and chronic disease management services, enhancing the financial viability of such offerings.
Information Blocking Rules under the 21st Century Cures Act (Ongoing Enforcement)
Since 2021, these rules prohibit healthcare providers, IT developers, and health information exchanges from engaging in practices that interfere with the access, exchange, or use of electronic health information (EHI).
HealPros must ensure its data sharing practices with health plans and provider groups are fully compliant, facilitating seamless and secure exchange of patient data to improve coordinated care.
Medicaid Access Rule (Finalized 2024)
The CMS Medicaid Access Rule aims to improve access to care for Medicaid beneficiaries, including provisions for increased transparency in Medicaid managed care and improved home and community-based services (HCBS).
This rule creates opportunities for HealPros to expand its partnerships with state Medicaid programs and managed care organizations to deliver in-home services to a larger, vulnerable population.
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