While we are entering another new year, health care leaders are watching closely the trends that are ready to reshape the industry.
Leaders of Red cell partners – An investment and incubation company based in McLean, which finances, builds and evolves startups in the health and national security industries – has shared certain trends on which they keep their eyes this year with News from Medcity. Below are three of the most notable trends below that these leaders have highlighted.
Medicaid will see the greatest structural changes since its creation
In 2025, Medicaid will undergo radical structural changes – including ceilings on federal costs sharing and block subsidies, work requirements for beneficiaries, flexibility of reduced eligibility and certain risk derogation programs – stressed Kunal Sethy, an entrepreneur in residence. He directs Sparrow Healthcare, which is a startup incubated by red cells.
“These changes will not all be progressive at the same time and will take time, but they will undoubtedly lead to downward pressure on the overall Medicaid program, which will lead to fewer advantages and covered services and more consumers do not are not assured, “said Sethy.
At the same time, this will create more innovation opportunities among a variety of stakeholders, including startups, regulators, inherited health plans and health systems and governments of states, he noted .
We will see more health organizations using AI agents
Naimish Patel, president of the practice of health care of red cells, identified the adoption of AI agents as a key trend he is watching this year.
“AI agents are increasingly considered to be creating a disproportionate value for health care companies while suppliers seek to go beyond their highly manual and ineffective processes and inherited technology of decades “He said.
Patel thinks that the use of AI agents will probably increase through the pile of health values. These tools can do things like doing administrative tasks independently, helping clinicians to help clinical decision -making and improve the commitment of providers’ patients.
Some examples of health startups selling AI agents include Suki, Kairo Health and Owkin.
Employers will redefine the GLP-1 management executives
This year, employers will continue to examine how to best meet employees’ demand for GLP-1 drugs. While small and medium -sized employers will mainly weigh their coverage decisions, large organizations will probably dive more deeply and assess use management techniques, use management techniques give the best results, A Predicted Borislava Marcheva, the head of the Red Cell market engagement.
“We will see a more open information sharing between employers, pharmacy services, browsers and third-party suppliers in order to manage GLP-1 expenses. Consequently, some significant executives may start to emerge to better define the best UM solutions based on employee demography, the prevalence of chronic diseases, health care consumption models and regional health care dynamics, among others ” , she said.
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