# Care Utilization * **Definition:** The extent to which healthcare services are used by individuals or populations, encompassing the consumption of healthcare services for various health issues, including urgent care, hospital admissions, and treatments. * **Taxonomy:** Healthcare Topics / Care Utilization ## News * Selected news on the topic of **Care Utilization**, for healthcare technology leaders * 6K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 4/1/2025 | [**Study reveals stark racial disparities in IBD care across the United States**](https://medicalxpress.com/news/2025-03-reveals-stark-racial-disparities-ibd.html) | [[MedicalXpress]] | | 1/16/2025 | [**KBrax Achieves HITRUST Certification, Setting the Standard for Data Security in Digital Healthcare**](https://www.prweb.com/releases/kbrax-achieves-hitrust-certification-setting-the-standard-for-data-security-in-digital-healthcare-302351605.html) | [[PRWeb]] | | 1/3/2025 | [**Artificial Intelligence, Digital Tools and the Future of Healthcare**](https://www.cioreview.com/cxoinsight/artificial-intelligence-digital-tools-and-the-future-of-healthcare-nid-40679-cid-31.html) | [[CIO Review]] | | 12/23/2024 | [**China's Digital Healthcare Transformation: Local Vendors Lead 2025 EHR Adoption ...**](https://finance.yahoo.com/news/chinas-digital-healthcare-transformation-local-150000005.html) | [[Yahoo Finance]] | | 12/20/2024 | [**Future Market Revenue for Healthcare Artificial Intelligence Projected at 13.1AGR from ...**](https://www.linkedin.com/pulse/future-market-revenue-healthcare-artificial-intelligence-9ndyc) | [[Linkedin]] | | 12/18/2024 | [**Healthcare AI News 12/18/24**](https://histalk2.com/2024/12/18/healthcare-ai-news-12-18-24/) | [[HISTalk]] | | 12/11/2024 | [**Studies, Surveys and Reports: What Can We Learn?**](https://www.healthitanswers.net/studies-surveys-and-reports-what-can-we-learn-3/) | [[Health IT Answers]] | | 12/10/2024 | [**Smart Healthcare Market to Grow by USD 125.7 Billion (2023-2028), Segmented by Channel, Solution, and Geography, with AI Impacting Market Trends - Technavio**](https://www.prnewswire.com/news-releases/smart-healthcare-market-to-grow-by-usd-125-7-billion-2023-2028-segmented-by-channel-solution-and-geography-with-ai-impacting-market-trends---technavio-302326632.html) | [[PR Newswire]] | | 12/7/2024 | [**With an anticipated CAGR of 7.5the Invasive Blood Pressure Monitoring Sensors Market ...**](https://www.linkedin.com/pulse/anticipated-cagr-75-invasive-blood-pressure-monitoring-ymmbe) | [[Linkedin]] | | 12/4/2024 | [**5 Leading AI Companies Transforming Healthcare - by Technology,Ai,Tech,Health,Fitness - Medium**](https://medium.com/@arijitghosh646/5-leading-ai-companies-transforming-healthcare-74da16f8585c) | [[Medium]] | | 11/26/2024 | [**Mount Sinai Center to Combine AI, Data Science, Genomics - Healthcare Innovation**](https://www.hcinnovationgroup.com/analytics-ai/artifical-intelligence-machine-learning/news/55246083/mount-sinai-center-to-combine-ai-data-science-genomics) | [[Healthcare Innovation]] | | 11/23/2024 | [**Future Growth Trends in Offsite Medical Case Management Market with a Forecasted 11.1 ...**](https://www.linkedin.com/pulse/future-growth-trends-offsite-medical-case-management-pjnuc) | [[Linkedin]] | | 11/12/2024 | [**5 Hospital Stocks Set to Thrive Amid Robust Industry Trends - Nasdaq**](https://www.nasdaq.com/articles/5-hospital-stocks-set-thrive-amid-robust-industry-trends) | [[Nasdaq]] | | 11/12/2024 | [**Post-Roe, Your Period App Can - And Will - Be Used Against You - Forbes**](http://www.forbes.com/sites/abigaildubiniecki/2024/11/12/post-roe-your-period-app-can---and-will---be-used-against-you/) | [[Forbes]] | | 11/11/2024 | [**Population Health Management Market to Grow by USD 22.55 Billion from 2024-2028 ...**](https://www.prnewswire.com/news-releases/population-health-management-market-to-grow-by-usd-22-55-billion-from-2024-2028--driven-by-rising-adoption-of-healthcare-it-report-with-ai-impact-on-trends---technavio-302300769.html) | [[PR Newswire]] | | 11/11/2024 | [**Healthcare Cloud Computing Market to Grow by USD 98.6 Billion from 2024-2028, as Integrated Services Drive Demand with AI-Powered Market Evolution - Technavio**](https://www.prnewswire.com/news-releases/healthcare-cloud-computing-market-to-grow-by-usd-98-6-billion-from-2024-2028--as-integrated-services-drive-demand-with-ai-powered-market-evolution---technavio-302300785.html) | [[PR Newswire]] | | 11/11/2024 | [**5 Hospital Stocks Set to Thrive Amid Robust Industry Trends - Yahoo Finance**](https://finance.yahoo.com/news/5-hospital-stocks-set-thrive-170200996.html) | [[Yahoo Finance]] | | 10/22/2024 | [**Healthcare SaaS Market Revolution: Size, Share & Emerging Trends (2024 - 2031)**](https://www.linkedin.com/pulse/healthcare-saas-market-revolution-size-share-emerging-trends-fizpf) | [[Linkedin]] | | 9/16/2024 | [**Patient Engagement Tech Market to Grow by USD 37.4 Billion (2024-2028) with Chronic Disease Rise, AI's Influence on Market Trends - Technavio Report**](https://finance.yahoo.com/news/patient-engagement-tech-market-grow-212000314.html) | [[Yahoo Finance]] | | 8/30/2024 | [**Qstic accuracy in the ED for Medicare beneficiaries with and without Alzheimer's disease**](https://www.msn.com/en-us/health/other/q-a-diagnostic-accuracy-in-the-ed-for-medicare-beneficiaries-with-and-without-alzheimers-disease/ar-AA1pJar2) | msn.com | | 8/5/2024 | [**Digital Therapeutics Alliance CEO joins FDA Digital Health Advisory Committee and more ...**](https://www.mobihealthnews.com/news/digital-therapeutics-alliance-ceo-joins-fda-digital-health-advisory-committee-and-more-digital) | [[MobiHealthNews]] | | 8/2/2024 | [**Population Health Management Market to Reach Market Valuation of USD 171.94 Billion by 2031**](https://www.conchovalleyhomepage.com/business/press-releases/ein-presswire/732459986/population-health-management-market-to-reach-market-valuation-of-usd-171-94-billion-by-2031-skyquest-technology) | conchovalleyhomepage.com | | 8/2/2024 | [**Population Health Management Market to Reach Market Valuation of USD 171.94 Billion by 2031**](https://www.ketk.com/business/press-releases/ein-presswire/732459986/population-health-management-market-to-reach-market-valuation-of-usd-171-94-billion-by-2031-skyquest-technology) | ketk.com | | 7/3/2024 | [**Healthcare IT Market Poised for Explosive Growth, Projected to Reach $1.83 Trillion by 2031**](https://www.whatech.com/og/markets-research/medical/851706-healthcare-it-market-poised-for-explosive-growth-projected-to-reach-1-83-trillion-by-2031) | whatech.com | | 12/13/2023 | [**6 Best Mid-Cap Tech Stocks to Buy Right Now**](https://money.usnews.com/investing/articles/best-mid-cap-tech-stocks-to-buy-now) | [[US News]] | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **Quantum Health**: A healthcare organization providing clinical support services, focusing on utilization management and value-based care. - **Curai Health**: A virtual healthcare provider utilizing AI to enhance access to primary and urgent care, improving patient engagement and reducing costs. - **Inovalon**: A data analytics company that provides insights into healthcare utilization and disparities, particularly in emergency department visits. - **MemorialCare Health System**: Recognized for achieving high levels in acute and ambulatory care categories, emphasizing innovative technology and improved patient outcomes. - **Medical Resource Group (MRG Health)**: A digital healthcare management services company that offers a virtual care management platform aimed at improving chronic care management. - **Rightway**: A healthcare navigation platform that simplifies access to care and enhances member satisfaction through coordinated services. - **Optum**: A key player in Offsite Medical Case Management, enhancing service delivery through technology. - **KBrax, Inc.**: A company offering a Care Coordination Platform that has achieved HITRUST Certification, focusing on patient engagement and care workflow optimization. - **Iodine Software**: Ranked highest in client satisfaction for mid-revenue cycle management, focusing on utilization management and clinical coding. - **Tabia Health, Inc.**: A healthcare technology company focused on integrating AI-powered platforms to enhance patient adherence and CarePlan utilization in cardiac care. - **Genex Services**: A player in Offsite Medical Case Management, leveraging technology for better care coordination. - **Thyme Care**: A healthcare company focused on value-based cancer care, enhancing patient outcomes and reducing costs through innovative care models. - **Universal Health Services**: A significant for-profit hospital company that is also expected to capitalize on growth trends in the healthcare industry. - **CHIME**: The College of Healthcare Information Management Executives, providing insights into best practices and trends in healthcare technology. - **MedRisk**: A major provider in the Offsite Medical Case Management sector, focusing on improving patient outcomes. - **VSee Health**: A telehealth platform that partners with organizations like Tele911 to provide on-demand telemedicine consultations, aiming to reduce emergency room overcrowding. - **Kaiser Permanente**: A healthcare organization leveraging AI technology through partnerships to enhance clinical documentation and patient interaction. - **Independence Blue Cross**: A health insurance provider that collaborates with healthcare institutions to improve patient care and reduce costs through supportive oncology programs. - **Google Health**: Innovating in medical imaging and predictive analytics to improve healthcare outcomes. - **HCA Healthcare**: A leading for-profit hospital company that provides a range of healthcare services and is poised to benefit from industry growth. ### Partnerships and Collaborations - **Rightway and Curai Health**: Strategic partnership to enhance care navigation and pharmacy benefits, providing 24/7 virtual urgent care access. - **Thyme Care and Medicare Advantage**: Partnership aimed at reducing overall care costs and enhancing patient outcomes in oncology populations. - **Independence Blue Cross and Jefferson Health**: Collaboration to study the impact of supportive oncology programs on patient care and healthcare utilization. - **VSee Health and Tele911**: A partnership aimed at addressing emergency room overcrowding through telehealth technology, diverting low-acuity calls to on-demand consultations. - **Kaiser Permanente and Abridge**: A partnership aimed at enhancing clinical documentation, allowing physicians to focus more on patient interaction. - **Netsmart, Epic Systems, and MedAllies**: Collaborated to launch a closed-loop data exchange referral system to enhance the sharing of behavioral health and primary care information. - **Inovalon and Genentech**: Collaboration to analyze disparities in emergency department visits among patients with liver cancer. - **CrossTx and Artemis Global RPM**: This partnership aims to enhance Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) programs across the U.S. - **Tabia Health and American Heart Association**: Tabia Health plans to integrate AHA CarePlans into its platform to enhance cardiac care. - **Northwestern Medicine and Qventus**: Collaboration to implement an AI assistant to reduce administrative workload for healthcare staff. - **eVisit and MedStar Health**: Strengthened partnership through strategic investment, focusing on clinical expertise and health equity. - **eVideon Health and Samsung/WebMD Ignite**: Strategic partnerships aimed at advancing Smart Hospital initiatives and integrated technology ecosystems. ### Innovations, Trends, and Initiatives - **Value-Based Care Models**: Healthcare systems are increasingly adopting value-based care models to improve patient outcomes and reduce costs. - **Value-Based Care**: A payment model focusing on rewarding providers for high-quality care and improved patient outcomes, shifting from traditional fee-for-service models. - **CommunityRx-Hunger Program**: A low-intensity intervention connecting caregivers to community resources, significantly reducing acute care usage for food-insecure families. - **Long COVID Care Models**: Evolving treatment patterns for long COVID patients, shifting from acute care to outpatient services, highlighting the need for comprehensive care models. - **Offsite Medical Case Management Growth**: Projected to grow at a CAGR of 11.1% from 2024 to 2031, driven by technological advancements and rising patient expectations. - **Population Health Management (PHM)**: Government initiatives driving growth in PHM applications, with a focus on improving information exchange and care coordination. - **Telehealth and Remote Patient Monitoring**: Innovations that enhance patient experiences and clinical outcomes, especially post-pandemic. - **AI in Healthcare**: The integration of AI technologies in healthcare delivery is enhancing patient engagement and streamlining care coordination. - **Telehealth Expansion**: The acquisition of teleconsult platforms and investments in telehealth technologies are enhancing care delivery across various settings. - **Remote Patient Monitoring (RPM)**: A growing market focusing on cost control and efficiency improvement, projected to grow at an annual rate of 5.8% from 2024 to 2031. - **Generative AI in Healthcare**: Transforming patient care by creating personalized treatment plans and improving operational efficiency. - **Healthcare SaaS Market**: Expected to grow at a CAGR of 14.7% from 2024 to 2031, offering cloud-based applications for managing healthcare operations. - **Generative AI**: Emerging as a key focus in healthcare technology, with potential applications in clinical documentation and patient communication. - **Electronic Health Records (EHR)**: Technology that digitizes patient information, improving care coordination, clinical decision-making, and patient engagement. - **AI and Software Innovations**: Advancements in AI analytics are enabling healthcare professionals to make informed decisions, improving patient outcomes and identifying high-risk patients. - **Telehealth Solutions**: The collaboration between VSee Health and Tele911 has already served over 7 million lives and saved approximately $28.8 million in healthcare costs. - **AI-Powered Clinical Decision Support Systems**: Enhancing oncologists' capabilities with evidence-based recommendations. ### Challenges and Concerns - **Utilization Management Issues**: Concerns over AI-driven tools leading to disproportionate denial of prior authorization requests for post-acute care. - **Healthcare Utilization Disparities**: Significant disparities in healthcare utilization exist among racial and ethnic groups, impacting access to care. - **Regulatory Compliance**: Healthcare providers must adapt to regulatory changes while leveraging new opportunities in case management. - **Procedural Prescription Denials**: Denials can lead to increased acute care utilization and overall healthcare costs, negating short-term savings. - **Chronic Conditions in Aging Adults**: Increased healthcare utilization and costs due to chronic conditions in aging populations pose significant challenges. - **Racial and Socioeconomic Disparities**: Studies reveal significant disparities in healthcare utilization, particularly in emergency department visits among different racial groups. - **Aging Population**: The increasing demand for care due to an aging population necessitates sustainable solutions for optimal care delivery. - **Emergency Room Overcrowding**: The partnership between VSee Health and Tele911 aims to alleviate this issue by diverting low-acuity calls, but challenges remain in managing high demand. - **Integration of Technology**: The need for effective integration of digital health technologies into existing healthcare systems to improve care coordination and patient outcomes. - **Staffing Issues**: Healthcare organizations face challenges in rehiring staff post-pandemic, impacting care delivery and operational efficiency. - **Integration Complexities**: Challenges in integrating new technologies into existing healthcare systems can hinder growth. - **Infrastructure for AI**: Concerns regarding inadequate infrastructure for AI in healthcare, as expressed by Dr. Daniel Yang from Kaiser Permanente. - **Data Privacy and Compliance**: As AI technologies are integrated into healthcare, concerns regarding data privacy, regulatory compliance, and ethical standards are paramount. - **Nursing Shortages**: Ongoing nursing shortages are leading to high turnover rates, prompting healthcare facilities to better understand and meet the needs of nurses. - **Cybersecurity Threats**: Increasing focus on cybersecurity in digital health strategies due to rising threats and the need for secure platforms. - **Data Security**: Despite advancements, there are ongoing concerns regarding data security and privacy in the digital health market. - **Data Privacy and Bias in AI**: Risks associated with AI implementation, including potential biases affecting underrepresented communities and the need for careful evaluation. ## Related Topics [[Care Access]]; [[Utilization Management]]