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      "text": "Durable Medical Equipment Expenditures: Historic and Projected (CMS) ($bn)1\nCAGR 2010-2018: 4.3%\nCAGR 2019E-2028E: 6.2%\n40 42 44 45 47 49 51 52 55 57 55 66 70 74 78 83 88 93 98",
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      "text": "Highly fragmented market\nBetween 2012 and 2018, the overall number of durable medical equipment, prosthetics, orthotics and supplies suppliers that bill Medicare more than $10mm annually fell from 73 to 57\nThe market remains highly fragmented and competitive",
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      "text": "Continued shift toward home healthcare\nHome healthcare increasingly sought out as an attractive, cost-effective and clinically appropriate alternative to facility-based care\nPandemic environment further emphasized the need for home healthcare as a low-risk setting",
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      "text": "Preference for in-home care\nImproved technology has increased number of treatments administered at home\nPatients prefer the convenience of in-home care",
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      "text": "Aging population\nU.S. population aged 65+ will grow substantially from 15.2% to 20.6% of the population between 2016 and 2030",
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      "text": "Rising incidence of chronic diseases\nIncreasing obesity rates and historically high prevalence of smoking will drive diagnosis rates for a number of chronic conditions\nCertain chronic diseases currently under-diagnosed",
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      "text": "1 The latest projections were published in 2018 and are shown from 2021 through 2028. These projections do not take into account the impact of COVID-19 because of the timing of the report and the highly uncertain nature of the pandemic. 2019 and 2020 actual results were sourced from CMS.",
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      "text": "Source: CMS, United States Census Bureau, Medicare Payment Advisory Commission, HME News, and Henry J. Kaiser Family Foundation",
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