diff --git a/domains/health/home-based-care-could-capture-265-billion-in-medicare-spending-by-2025-through-hospital-at-home-remote-monitoring-and-post-acute-shift.md b/domains/health/home-based-care-could-capture-265-billion-in-medicare-spending-by-2025-through-hospital-at-home-remote-monitoring-and-post-acute-shift.md index e9b2b754..5ca51fbb 100644 --- a/domains/health/home-based-care-could-capture-265-billion-in-medicare-spending-by-2025-through-hospital-at-home-remote-monitoring-and-post-acute-shift.md +++ b/domains/health/home-based-care-could-capture-265-billion-in-medicare-spending-by-2025-through-hospital-at-home-remote-monitoring-and-post-acute-shift.md @@ -28,6 +28,12 @@ The services ready to shift include primary care, outpatient specialist consults 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]]. + +### Additional Evidence (extend) +*Source: [[2021-02-00-mckinsey-facility-to-home-265-billion-shift]] | Added: 2026-03-16* + +McKinsey projects the $265B shift requires a 3-4x increase in home care capacity from current $65B baseline. Johns Hopkins hospital-at-home demonstrates 19-30% cost savings vs. in-hospital care, while home-based heart failure management shows 52% lower costs. The enabling technology stack includes RPM market growing from $29B to $138B (2024-2033) at 19% CAGR, with AI in RPM growing 27.5% CAGR ($2B to $8.4B, 2024-2030). 71M Americans expected to use RPM by 2025. Demand signal: 94% of Medicare beneficiaries prefer home-based post-acute care, with 16% of 65+ respondents more likely to receive home health post-pandemic. + --- Relevant Notes: diff --git a/domains/health/rpm-technology-stack-enables-facility-to-home-care-migration-through-ai-middleware-that-converts-continuous-data-into-clinical-utility.md b/domains/health/rpm-technology-stack-enables-facility-to-home-care-migration-through-ai-middleware-that-converts-continuous-data-into-clinical-utility.md index 5ec7a22e..63140c3a 100644 --- a/domains/health/rpm-technology-stack-enables-facility-to-home-care-migration-through-ai-middleware-that-converts-continuous-data-into-clinical-utility.md +++ b/domains/health/rpm-technology-stack-enables-facility-to-home-care-migration-through-ai-middleware-that-converts-continuous-data-into-clinical-utility.md @@ -27,6 +27,12 @@ This claim connects the technology layer ([[continuous health monitoring is conv 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]]). + +### Additional Evidence (confirm) +*Source: [[2021-02-00-mckinsey-facility-to-home-265-billion-shift]] | Added: 2026-03-16* + +McKinsey identifies RPM as the fastest-growing home healthcare end-use segment at 25.3% CAGR, with home healthcare specifically as the fastest-growing RPM application. The technology stack enables dialysis, post-acute care, long-term care, and infusions to become 'stitchable capabilities' that can shift home. COVID catalyzed permanent shift in care delivery expectations through telehealth adoption. + --- Relevant Notes: diff --git a/inbox/archive/2021-02-00-mckinsey-facility-to-home-265-billion-shift.md b/inbox/archive/2021-02-00-mckinsey-facility-to-home-265-billion-shift.md index dee67167..77561583 100644 --- a/inbox/archive/2021-02-00-mckinsey-facility-to-home-265-billion-shift.md +++ b/inbox/archive/2021-02-00-mckinsey-facility-to-home-265-billion-shift.md @@ -7,9 +7,13 @@ date: 2021-02-01 domain: health secondary_domains: [] format: report -status: unprocessed +status: enrichment priority: medium tags: [home-health, hospital-at-home, care-delivery, facility-shift, mckinsey, senior-care] +processed_by: vida +processed_date: 2026-03-16 +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"] +extraction_model: "anthropic/claude-sonnet-4.5" --- ## Content @@ -54,3 +58,16 @@ tags: [home-health, hospital-at-home, care-delivery, facility-shift, mckinsey, s 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]] 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. EXTRACTION HINT: The technology-enabling-care-site-shift narrative is more extractable than the dollar figure alone. + + +## Key Facts +- Up to $265 billion in Medicare care services (25% of total cost of care) could shift from facilities to home by 2025 +- Current home-based care serves approximately $65B, requiring 3-4x capacity increase +- Johns Hopkins hospital-at-home program achieves 19-30% cost savings vs. in-hospital care +- Home care for heart failure patients shows 52% lower costs in systematic review +- 16% of 65+ respondents more likely to receive home health post-pandemic (McKinsey Consumer Health Insights, June 2021) +- 94% of Medicare beneficiaries prefer home-based post-acute care +- RPM market projected to grow from $29B to $138B (2024-2033) at 19% CAGR +- AI in RPM market projected to grow from $2B to $8.4B (2024-2030) at 27.5% CAGR +- Home healthcare is fastest-growing RPM end-use segment at 25.3% CAGR +- 71M Americans expected to use RPM by 2025