Home Health Law Sheppard Mullin’s High 10 Takeaways from HLTH 2023

Sheppard Mullin’s High 10 Takeaways from HLTH 2023

Sheppard Mullin’s High 10 Takeaways from HLTH 2023


At HLTH 2023, we noticed a concentrate on sure themes, together with the shift in investments and M&A exercise, hospital and well being system innovation and transformation, the implementation of AI, and healthcare administration. Under are our high 10 takeaways from what we heard, and didn’t hear, at HLTH 2023.

  1. Capital and the Coming Well being Startup Reckoning. Corporations elevating capital and the investor group proceed to battle with valuation expectations primarily based on the outlier valuations that appeared in 2021. Issuers might want to increase capital or go to market in 2024, and there will likely be a reckoning when it comes to the valuations they can assist. Stakeholders anticipate that this shift in valuations and tightening of capital will result in an uptick in M&A exercise as soon as there’s a “assembly of the minds” amongst patrons and sellers. Many anticipate consolidation to be notably lively within the digital well being sector.
  2. Hospital and Well being System Innovation and Transformation. Stakeholders are centered on the transformation of hospitals and well being techniques, that are in a fragile state and squeezed by the transfer to outpatient providers, rising labor prices, dropping Medicare payment for service reimbursements, and high quality prices. These stakeholders look to remodel the present fashions by adopting modern applied sciences, together with knowledge analytics and AI, and aligning incentives to make value-based care extra profitable.
  3. A Want for Holistic Care and Coordination. As mentioned in our prior weblog put up, many healthcare firms are centered on care coordination and administration for particular circumstances and specialties, however few are tackling holistic care coordination throughout the assorted sectors in healthcare and within the care supply and cost vertical. Stakeholders need to “wellness by design” and the “quantified self.” “Tremendous apps” had been mentioned as a way to unravel the coordination deficit, by aggregating the huge quantities of knowledge being generated in a multi-faceted wellness house.
  4. Diabetes and Power Situation Care. Diabetes continues to be high of thoughts for payors and suppliers alike, with diabetes in America worsening regardless of elevated funding in diabetes care. Fourteen % of all 2022 medical visits associated to diabetes. Virtually 1 / 4 of all people with diabetes are unaware that they undergo from the illness, additional illustrating the necessity for prevention on the pre-diabetes stage by way of inhabitants well being administration, alignment of incentives, and the creation of incentivized care coordination.
  5. Early Testing and Diagnostics Modalities. Corporations are creating and launching early testing and diagnostics modalities, each for supplier and shopper at-home use. With care coordination, the worth of those merchandise to the general care supply system may very well be enhanced.
  6. Stakeholders Are Discovering AI’s Function in Healthcare. AI was a pervasive subject at HLTH 2023, and it appears nearly-settled that healthcare stakeholders see AI as a device, reasonably than a alternative, for suppliers. It is usually extensively accepted that creating belief is as essential as creating the software program and algorithms to run AI in healthcare. For now, AI’s function is prone to be extra operational than medical in nature, however as belief in AI builds by way of elevated transparency and eliminating inherent biases, AI could make its strategy to the purpose of care.
  7. Bias, Well being Fairness and Checks on AI and Giant Language Mannequin (LLM) Instruments. The speedy tempo of adoption of digital well being options, AI and LLM instruments are inflicting well being fairness issues as some stakeholders lean on these instruments to unravel for inherent bias and enhance well being fairness. Nevertheless, it’s price noting that these instruments themselves typically have the identical biases constructed into them; subsequently, it’s paramount that applied sciences incorporate safeguards to mitigate such biases.
  8. Heightened Enforcement within the Medicare House. There continues to be concern over enforcement exercise regarding the Medicare Benefit program, whether or not on account of Medicare Benefit danger adjustment, ACO REACH, underutilization or in any other case. We anticipate that this can proceed to be an space of focus for DOJ enforcement within the subsequent couple of years, pushed each by latest high-value recoveries in addition to the continued enhance in authorities spend on the Medicare Benefit program. Potential options to reign in exploitation had been debated, with a minority of stakeholders proposing a return to a payment for service mannequin coupled with an growth of the ACO REACH program, which can also be underneath assault, as evidenced by the September decision of the California legislature calling on President Biden to finish ACO REACH.
  9. Meals is Medication. As a part of a concentrate on the social determinants of well being, we noticed a concentrate on addressing meals insecurity and wholesome meals/meals high quality to drive price financial savings and improved outcomes throughout the board.
  10. Few Audio system Mentioned Healthcare Skilled Shortages. Few audio system and presenters at HLTH centered on the rising infrastructure deficiencies that might contribute to or worsen shortages of nurses and different important suppliers. If the trade doesn’t resolve this situation, suppliers will proceed to be stretched skinny and may have little-to-no bandwidth to be taught and undertake the modern applied sciences and options which are meant to enhance these suppliers’ talents, total affected person care and whole price of care.

Along with the above, we anticipate elevated concentrate on extra focused and efficient affected person engagement, in addition to developments in behavioral well being, oncology, and musculoskeletal care to drive the trade ahead as we head into 2024.



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