As we look forward to 2025, several key trends are expected to shape the healthcare landscape. Understanding these trends and their implications is crucial for stakeholders across the healthcare ecosystem. Here's a detailed look at the top healthcare trends to watch in the coming year and how MPOWERHealth’s value-based care solutions can address these challenges.
PwC projects an 8% increase in commercial healthcare costs for 2025, the highest in 13 years. This rise is driven by inflation, high prescription drug spending, and increased utilization of behavioral health services. Costs related to chronic conditions, deferred care due to the pandemic, and the high price of new drugs like GLP-1s for diabetes and weight management significantly contribute to this trend (PwC) (To Your Health Blog | Providence).
MPOWERHealth’s value-based care models, including our Clinically Integrated Network (CIN), Care Navigation, and Care Management programs, focus on preventive care and chronic disease management. By proactively managing patients' health and coordinating care, these programs can significantly reduce unnecessary hospitalizations and emergency room visits, leading to substantial cost savings. For instance, proactive chronic condition management can save $5,000 to $10,000 per patient annually (CDC).
The shift from traditional healthcare facilities to home-based care is accelerating. McKinsey estimates that up to $265 billion worth of care currently delivered in facilities could shift to the home by 2025, particularly for Medicare patients. This transition includes primary care, outpatient specialist consults, and post-acute care, driven by technological advancements and patient preference for receiving care at home (McKinsey & Company).
MPOWERHealth leverages digital health tools and remote patient monitoring to facilitate home-based care. Our virtual care services, including Virtual Primary Care, Virtual Urgent Care, and Virtual Physical Therapy, ensure patients receive timely and appropriate care at home, reducing the need for costly hospital admissions and improving patient satisfaction.
The demand for behavioral health services is outpacing supply, contributing to rising healthcare costs. The utilization of behavioral health services has increased from 1.8% of commercial insurance claims in 2018 to 3.1% in 2023, highlighting a critical need for more accessible mental health care (PwC) (To Your Health Blog | Providence).
Our Care Navigation services include behavioral health support, ensuring patients receive appropriate mental health care. By integrating behavioral health into primary care and using telehealth platforms, we can provide timely interventions, reducing the strain on emergency services and lowering overall healthcare costs by 15% per patient (Journal of General Internal Medicine).
The adoption of AI and machine learning in healthcare is transforming clinical decision-making, diagnostics, and patient care. AI-driven tools can enhance predictive analytics, personalize treatment plans, and streamline administrative processes, improving both efficiency and outcomes (Deloitte United States) (McKinsey & Company).
MPOWERHealth integrates AI and advanced data analytics into our care management systems to identify high-risk patients and provide targeted interventions. These technologies enable us to deliver personalized care plans, improve patient outcomes, and reduce unnecessary medical expenses.
The healthcare industry continues to shift towards value-based care, emphasizing outcomes over volume. This model encourages providers to focus on quality and efficiency, aligning incentives with patient health outcomes (McKinsey & Company) (PwC).
CMS’s new Transforming Episode Accountability Model (TEAM) will build on previous episode-based payment models, aiming to improve care coordination and patient outcomes for specific surgical procedures. By holding hospitals accountable for the cost and quality of care during and after surgery, TEAM seeks to reduce avoidable readmissions and emergency department use (CMS, Medisolv).
Our Bundled Surgical Episodes program exemplifies value-based care by bundling payments for surgical procedures, reducing administrative costs, and improving care coordination. This approach aligns incentives for providers, leading to better patient outcomes and cost savings of up to $10,000 per episode (New England Journal of Medicine).
Nearly 30% of rural hospitals are at risk of closure due to financial pressures and workforce shortages. Innovative solutions are needed to maintain access to care in these communities (To Your Health Blog | Providence).
MPOWERHealth’s telehealth services and mobile health units extend care to rural and underserved areas, ensuring patients have access to necessary medical services without the need for extensive travel. This approach helps mitigate the impact of rural hospital closures and ensures continuity of care.
The healthcare landscape in 2025 will be shaped by rising costs, technological advancements, and a continued shift towards home-based and value-based care. MPOWERHealth’s comprehensive suite of value-based care solutions, including Clinically Integrated Network, Care Navigation, Care Management, and Bundled Surgical Episodes, is well-positioned to address these trends, improving patient outcomes and containing costs.
Stay ahead with MPOWERHealth and navigate the future of healthcare with confidence.
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