extract: 2021-02-00-mckinsey-facility-to-home-265-billion-shift
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Teleo Agents
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@ -27,6 +27,12 @@ The facility closures in 43 states indicate the crisis has moved beyond "shortag
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None identified. This is a descriptive claim about measured workforce conditions across all 50 states.
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### Additional Evidence (extend)
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*Source: [[2021-02-00-mckinsey-facility-to-home-265-billion-shift]] | Added: 2026-03-15*
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The 3-4x expansion in home-based care required to reach $265B by 2025 will intensify caregiver workforce shortages. Home health is already the fastest-growing RPM segment (25.3% CAGR), but workforce availability is the binding constraint on facility-to-home migration speed. Technology can enable remote monitoring but cannot fully replace in-person caregiving for activities of daily living.
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---
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Relevant Notes:
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@ -28,6 +28,12 @@ The services ready to shift include primary care, outpatient specialist consults
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This facility-to-home migration is the physical infrastructure layer of [[the healthcare attractor state is a prevention-first system where aligned payment continuous monitoring and AI-augmented care delivery create a flywheel that profits from health rather than sickness]]. If value-based care provides the payment alignment and continuous monitoring provides the data layer, the home is where these capabilities converge into actual care delivery. The 3-4x scaling requirement ($65B → $265B) matches the magnitude of the VBC payment transition tracked in [[value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk]].
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### Additional Evidence (extend)
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*Source: [[2021-02-00-mckinsey-facility-to-home-265-billion-shift]] | Added: 2026-03-15*
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The $265B projection represents a 3-4x increase from current ~$65B baseline, requiring massive expansion of home health workforce and technology infrastructure. Services that can shift include: already feasible (primary care, outpatient specialist consults, hospice, behavioral health) and stitchable capabilities requiring technology enablement (dialysis, post-acute care, long-term care, infusions). The gap between current and projected capacity is as large as the entire VBC payment transition.
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---
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Relevant Notes:
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@ -27,6 +27,12 @@ This claim connects the technology layer ([[continuous health monitoring is conv
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The atoms-to-bits conversion happens at the patient's home ([[healthcares defensible layer is where atoms become bits because physical-to-digital conversion generates the data that powers AI care while building patient trust that software alone cannot create]]), and the AI layer makes that data clinically useful ([[AI middleware bridges consumer wearable data to clinical utility because continuous data is too voluminous for direct clinician review]]).
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### Additional Evidence (confirm)
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*Source: [[2021-02-00-mckinsey-facility-to-home-265-billion-shift]] | Added: 2026-03-15*
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RPM market projected to grow from $29B to $138B (2024-2033) at 19% CAGR, with AI in RPM growing $2B to $8.4B (2024-2030) at 27.5% CAGR. Home healthcare is the fastest-growing RPM end-use segment at 25.3% CAGR. 71M Americans expected to use RPM by 2025. This technology stack growth directly enables the $265B facility-to-home care migration.
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---
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Relevant Notes:
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@ -0,0 +1,40 @@
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{
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"rejected_claims": [
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{
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"filename": "hospital-at-home-achieves-19-30-percent-cost-savings-versus-facility-care-through-reduced-overhead-and-shorter-length-of-stay.md",
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"issues": [
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"missing_attribution_extractor"
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]
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},
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{
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"filename": "home-care-for-heart-failure-reduces-costs-52-percent-through-avoided-hospitalizations-and-emergency-visits.md",
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"issues": [
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"missing_attribution_extractor"
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]
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},
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{
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"filename": "94-percent-of-medicare-beneficiaries-prefer-home-based-post-acute-care-creating-demand-pull-for-facility-to-home-transition.md",
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"issues": [
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"missing_attribution_extractor"
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]
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}
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],
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"validation_stats": {
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"total": 3,
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"kept": 0,
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"fixed": 3,
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"rejected": 3,
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"fixes_applied": [
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"hospital-at-home-achieves-19-30-percent-cost-savings-versus-facility-care-through-reduced-overhead-and-shorter-length-of-stay.md:set_created:2026-03-15",
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"home-care-for-heart-failure-reduces-costs-52-percent-through-avoided-hospitalizations-and-emergency-visits.md:set_created:2026-03-15",
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"94-percent-of-medicare-beneficiaries-prefer-home-based-post-acute-care-creating-demand-pull-for-facility-to-home-transition.md:set_created:2026-03-15"
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],
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"rejections": [
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"hospital-at-home-achieves-19-30-percent-cost-savings-versus-facility-care-through-reduced-overhead-and-shorter-length-of-stay.md:missing_attribution_extractor",
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"home-care-for-heart-failure-reduces-costs-52-percent-through-avoided-hospitalizations-and-emergency-visits.md:missing_attribution_extractor",
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"94-percent-of-medicare-beneficiaries-prefer-home-based-post-acute-care-creating-demand-pull-for-facility-to-home-transition.md:missing_attribution_extractor"
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]
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},
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"model": "anthropic/claude-sonnet-4.5",
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"date": "2026-03-15"
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}
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@ -7,9 +7,13 @@ date: 2021-02-01
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domain: health
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secondary_domains: []
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format: report
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status: unprocessed
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status: enrichment
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priority: medium
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tags: [home-health, hospital-at-home, care-delivery, facility-shift, mckinsey, senior-care]
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processed_by: vida
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processed_date: 2026-03-15
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enrichments_applied: ["home-based-care-could-capture-265-billion-in-medicare-spending-by-2025-through-hospital-at-home-remote-monitoring-and-post-acute-shift.md", "rpm-technology-stack-enables-facility-to-home-care-migration-through-ai-middleware-that-converts-continuous-data-into-clinical-utility.md", "caregiver-workforce-crisis-shows-all-50-states-experiencing-shortages-with-43-states-reporting-facility-closures-signaling-care-infrastructure-collapse.md"]
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extraction_model: "anthropic/claude-sonnet-4.5"
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---
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## Content
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@ -54,3 +58,12 @@ tags: [home-health, hospital-at-home, care-delivery, facility-shift, mckinsey, s
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PRIMARY CONNECTION: [[continuous health monitoring is converging on a multi-layer sensor stack of ambient wearables periodic patches and environmental sensors processed through AI middleware]]
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WHY ARCHIVED: Connects the care delivery transition to the technology layer the KB already describes. Grounds the atoms-to-bits thesis in senior care economics.
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EXTRACTION HINT: The technology-enabling-care-site-shift narrative is more extractable than the dollar figure alone.
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## Key Facts
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- 16% of 65+ respondents more likely to receive home health post-pandemic (McKinsey Consumer Health Insights, June 2021)
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- COVID catalyzed permanent shift in telehealth adoption and care delivery expectations
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- Remote patient monitoring market: $29B → $138B (2024-2033), 19% CAGR
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- AI in RPM: $2B → $8.4B (2024-2030), 27.5% CAGR
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- Home healthcare: fastest-growing RPM end-use segment (25.3% CAGR)
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- 71M Americans expected to use RPM by 2025
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