Care Management Solutions Market

Care Management Solutions Market by Component (Software and Services), Delivery Mode (On-Premise and Cloud-Based), End User (Payers, Providers), Application (Disease Management, Case Management, Utilization Management) - Global Forecast to 2023

Report Code: HIT 2715 Sep, 2018, by marketsandmarkets.com
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The global care management solutions market is projected to reach USD 19.28 billion by 2023 from USD 9.15 billion in 2018, at a CAGR of 16.1% during the forecast period. The key factors driving the growth of this market are the implementation of initiatives to shift the burden of risk from healthcare payers to providers, government initiatives and regulations promoting patient-centric care, initiatives to promote healthcare IT, rising geriatric population, and need to reduce healthcare costs are driving the growth of the care management solutions market.

Care Management Solutions Market

By application, disease management solutions are expected to account for the largest share of the market in 2018

On the basis of applications, the care management solutions market is broadly segmented into disease management, case management, utilization management, other applications. In 2018, the disease management segment is expected to account for the largest share of this market. The high growth in this segment can be attributed to the ability of these solutions to reduce the cost of care with the help of protocol management and prevent episodes of ill health through comprehensive health management.

By end user, the payers segment is expected to command the largest share of the market in 2018

On the basis of end user, the market has been segmented into payers, providers, and other end users. The payers segment is expected to command the largest share of the market in 2018. The deployment of care management solutions is increasing among payers as it helps them in the effective management of patient health records, claims processing and reimbursement tasks, coordinating care for their members, and ensuring better health outcomes to mitigate their risk burden. The growing stringency of regulations for payers is another important factor driving the adoption of care management solutions in this end-user segment.

Care Management Solutions Market

North America to dominate the market in 2018

North America is expected to account for the largest share of the care management solutions market in 2018, followed by Europe. The large share of North America can be attributed to the increased adoption of care management solutions by healthcare providers and payers to meet the healthcare goals of better quality care and lower healthcare costs. Also, several major global players are based in the US, owing to which the US has become a center for innovation in the care management solutions market.

Market Dynamics

Driver: Implementation of initiatives to shift the burden of risk from healthcare payers to providers

Globally, various initiatives are being implemented to shift the burden of risk borne by healthcare payers to providers. This shift promotes the adoption of healthcare information technology (HCIT) solutions (such as care management solutions) to increase the efficiency of healthcare delivered and reduce unnecessary costs. For instance, in 2015, Medicare applied the Value-based Payment Modifier program to payments under the Medicare Physician Fee Schedule (PFS) for physicians in groups of 100 or more eligible practitioners. The Value-based Payment Modifier program offers differential payment to a physician or group of physicians based on the quality of care furnished instead of the cost of care. Value-based care is also promoted through alternative payment models such as bundled payments, physician incentives, and consumer incentives, among others. These models of payment are designed to encourage healthcare providers to accept the accountability of care delivered, thus leading to the shift of risk from payers to providers.

Healthcare organizations across the globe are aiming to provide coordinated, comprehensive care across the continuum to ensure patient satisfaction and improve overall health outcomes. As care management solutions aid stakeholders in the healthcare sector to achieve this objective, their adoption is expected to increase in the coming years.

Restraint: High cost of deployment

Healthcare IT systems are high-priced software solutions. Moreover, the maintenance and software update costs of these systems may be more than the price of the software. Support and maintenance services (which include software upgrades as per changing user requirements) form a recurring expenditure, which amounts to almost 30% of the total cost of ownership. Lack of internal IT expertise in the healthcare industry necessitates training for end users in order to maximize the efficiency of various healthcare IT solutions, thereby adding to the cost of ownership of the systems. Hospitals often prefer investing in core technologies directly linked to the quality of care for patients than investing in technologies for allied departments of healthcare organizations. Thus, the high cost of deployment and maintenance restricts smaller healthcare organizations from investing in healthcare IT solutions, especially in the emerging markets across the APAC and Latin American regions.

Opportunity: Emerging markets

In Asia and Australasia, the rollout of public healthcare programs combined with growing consumer wealth is anticipated to boost healthcare spending at an average of 8.1% from 2014 to 2018 (Source: The Economist Intelligence Unit). Government initiatives for the implementation of HCIT solutions, rise in government spending on healthcare systems, and the presence of skilled IT experts are favoring the growth of the care management solutions market in the Asia Pacific region.

Challenge: Data breaches and loss of confidentiality

The digitization of medical/patient information has created greater data risks and liabilities and increased the chance of data breaches. This could be mainly due to a lack of internal control over patient information, adherence to outdated policies and procedures/non-adherence to existing ones, and inadequate personnel training.

The Information Commissioner’s Office (ICO), the UK’s independent body set up to uphold information rights, received 545 new cases of data breaches in the first quarter of 2016—a ~22% increase on the number of cases received in the previous quarter (448).

The potential for data security and confidentiality breaches associated with digitization may affect the adoption of HCIT solutions in the short term until measures are taken to address current issues. As a result, this may negatively impact the growth of the market.

Scope of the report

Report Metric

Details

Market size available for years

2016-2023

Base year considered

2017

Forecast period

2018-2023

Forecast units

Value (USD)

Segments covered

Component, Delivery Mode, End User, Application and Region

Geographies covered

North America (US & Canada), Europe (Germany, UK, France, Italy, Spain, & RoE), APAC (Japan, China, India, & RoAPAC), RoW

Companies covered

EXL Service Holdings, Inc. (US), Casenet, LLC (US), ZeOmega Inc. (US). Major 16 players covered.

This research report categorizes the care management solutions market based on component, delivery mode, end user, application and region.

On the basis of Component, the care management solutions market has been segmented as follows:

  • Software
  • Services

On the basis of Delivery Mode, the care management solutions market has been segmented as follows:

  • On-premise
  • Cloud-based

On the basis of End User, the care management solutions market has been segmented as follows:

  • Payers
  • Providers
  • Other End Users

On the basis of Application, the care management solutions market has been segmented as follows:

  • Disease Management
  • Case Management
  • Utilization Management
  • Other Applications

On the basis of Region, the care management solutions market has been segmented as follows:

  • North America
    • US
    • Canada
  • Europe
    • UK
    • Germany
    • France
    • Italy
    • Spain
    • Rest of Europe (RoE)
  • Asia Pacific
    • Japan
    • China
    • India
    • RoAPAC
  • RoW

Key Market Players

EXL Service Holdings, Inc. (US), Casenet, LLC (US), Medecision Inc. (US), ZeOmega Inc. (US), Cognizant Technology Solutions (US), Cerner Corporation (US), Allscripts Healthcare Solutions, Inc. (US), and TCS Healthcare Technologies (US) are the key players in the care management solutions market. Other players involved in this market are Koninklijke Philips N.V. (Netherlands), IBM Corporation (US), Health Catalyst Inc. (US), Harmony Information Systems, Inc. (US), Salesforce.com, Inc. (US), i2i Systems, Inc. (US), Pegasystems Inc. (US), and Epic Corporation Inc. (US).

Recent Developments:

  • February 2016, ZeOmega partnered with Vivify Health, Inc. (US) to integrate ZeOmega’s Jiva platform with Vivify mobility applications
  • In 2016 EXL Service Holdings, Inc. partnered with Novu LLC, to develop solutions to enhance consumer satisfaction and reduce costs for payers and providers.

Key questions addressed by the report:

  • Which end user segment will dominate the care management solutions market in the future?
  • Emerging countries have immense opportunities for the growth and adoption care management solutions, therefore will this scenario continue in the next five years?
  • What are the upcoming growth geographies for care management solutions?
  • Where will all the advancements in technology offered by various companies take the industry in the mid to long term?

To speak to our analyst for a discussion on the above findings, click Speak to Analyst

Table of Contents

1 Introduction (Page No. - 16)
    1.1 Objectives of the Study
    1.2 Market Definition
    1.3 Market Scope
           1.3.1 Markets Covered
           1.3.2 Years Considered for the Study
    1.4 Currency
    1.5 Limitations
    1.6 Stakeholders

2 Research Methodology (Page No. - 19)
    2.1 Research Data
           2.1.1 Secondary Data
                    2.1.1.1 Secondary Sources
           2.1.2 Primary Data
                    2.1.2.1 Sampling Frame: Primary Research
                    2.1.2.2 Key Data From Primary Sources
                    2.1.2.3 Breakdown of Primaries
                    2.1.2.4 Key Industry Insights
    2.2 Market Size Estimation
    2.3 Market Breakdown and Data Triangulation
    2.4 Assumptions for the Study

3 Executive Summary (Page No. - 29)

4 Premium Insights (Page No. - 32)
    4.1 Care Management Solutions: Market Overview
    4.2 Care Management Solutions Market, By End User (2018)
    4.3 Care Management Solutions Market, By Application, 2018 Vs. 2023
    4.4 Geographical Snapshot of the Care Management Solutions Market

5 Market Overview (Page No. - 36)
    5.1 Introduction
    5.2 Market Dynamics
           5.2.1 Drivers
                    5.2.1.1 Implementation of Initiatives to Shift the Burden of Risk From Healthcare Payers to Providers
                    5.2.1.2 Government Initiatives & Regulations Promoting Patient-Centric Care
                    5.2.1.3 Initiatives to Promote Healthcare It
                    5.2.1.4 Rising Geriatric Population
                    5.2.1.5 Need to Reduce Healthcare Costs
           5.2.2 Restraints
                    5.2.2.1 Lack of Skilled Professionals
           5.2.3 Opportunities
                    5.2.3.1 Emerging Markets
                    5.2.3.2 Technological Advancements in Healthcare It Solutions
           5.2.4 Challenges
                    5.2.4.1 Lack of Interoperability
                    5.2.4.2 High Cost of Deployment
                    5.2.4.3 Data Breaches and Loss of Confidentiality

6 Care Management Solutions Market, By Component (Page No. - 43)
    6.1 Introduction
    6.2 Software
    6.3 Services

7 Care Management Solutions Market, By Delivery Mode (Page No. - 47)
    7.1 Introduction
    7.2 On-Premise Solutions
    7.3 Cloud-Based Solutions

8 Care Management Solutions Market, By End User (Page No. - 51)
    8.1 Introduction
    8.2 Healthcare Payers
    8.3 Healthcare Providers
    8.4 Other End Users

9 Care Management Solutions Market, By Application (Page No. - 56)
    9.1 Introduction
    9.2 Disease Management
    9.3 Case Management
    9.4 Utilization Management
    9.5 Other Applications

10 Care Management Solutions Market, By Region (Page No. - 64)
     10.1 Introduction
     10.2 North America
             10.2.1 US
             10.2.2 Canada
     10.3 Europe
             10.3.1 UK
             10.3.2 Germany
             10.3.3 France
             10.3.4 Italy
             10.3.5 Spain
             10.3.6 Rest of Europe
     10.4 Asia Pacific (APAC)
             10.4.1 Japan
             10.4.2 China
             10.4.3 India
             10.4.4 Rest of Asia Pacific (RoAPAC)
     10.5 Rest of the World (RoW)

11 Competitive Landscape (Page No. - 115)
     11.1 Overview
     11.2 Competitive Scenario
             11.2.1 Product Launches and Enhancements
             11.2.2 Agreements, Partnerships, and Collaborations
             11.2.3 Acquisitions
             11.2.4 Expansions
     11.3 Care Management Solutions Adoption Assessment

12 Company Profiles (Page No. - 119)
(Introduction, Products & Services, Strategy, & Analyst Insights, Developments, MnM View)*
     12.1 EXL service Holdings, Inc.
     12.2 Casenet, LLC
     12.3 Medecision, Inc.
     12.4 ZeOmega Inc.
     12.5 Cognizant Technology Solutions
     12.6 Cerner Corporation
     12.7 Allscripts Healthcare Solutions
     12.8 Koninklijke Philips N.V.
     12.9 IBM Corporation
     12.10 TCS Healthcare Technologies
     12.11 Health Catalyst, LLC
     12.12 Harmony Information Systems, Inc. (A Part of Mediware Information Systems, Inc.)
     12.13 Salesforce.Com, Inc.
     12.14 i2i Population Health
     12.15 Pegasystems Inc.
     12.16 Epic Systems

*Details on Marketsandmarkets View, Introduction, Product & Services, Strategy, & Analyst Insights, New Developments Might Not be Captured in Case of Unlisted Companies.

13 Appendix (Page No. - 157)
     13.1 Discussion Guide
     13.1 Knowledge Store: Marketsandmarkets’ Subscription Portal
     13.2 Available Customizations
     13.3 Related Reports
     13.4 Author Details


List of Tables (111 Tables)

Table 1 Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 2 Care Management Software Market, By Region, 2016–2023 (USD Million)
Table 3 Care Management Services Market, By Region, 2016–2023 (USD Million)
Table 4 Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 5 On-Premise Care Management Solutions Market, By Region, 2016 – 2023 (USD Million)
Table 6 Cloud-Based Care Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 7 Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 8 Care Management Solutions Market for Healthcare Payers, By Region, 2016–2023 (USD Million)
Table 9 Care Management Solutions Market for Healthcare Providers, By Region, 2016–2023 (USD Million)
Table 10 Care Management Solutions Market for Other End Users, By Region, 2016–2023 (USD Million)
Table 11 Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 12 Disease Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 13 Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 14 Cancer Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 15 COPD Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 16 Diabetes Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 17 Cardiovascular Disease Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 18 Other Disease Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 19 Case Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 20 Utilization Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 21 Care Management Solutions Market for Other Applications, By Region, 2016–2023 (USD Million)
Table 22 Care Management Solutions Market, By Region, 2016–2023 (USD Million)
Table 23 North America: Care Management Solutions Market, By Country, 2016–2023 (USD Million)
Table 24 North America: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 25 North America: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 26 North America: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 27 North America: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 28 North America: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 29 US: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 30 US: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 31 US: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 32 US: Care Management Solutions Market, By Payer Type, 2016-2023 (USD Million)
Table 33 US: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 34 US: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 35 Canada: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 36 Canada: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 37 Canada: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 38 Canada: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 39 Canada: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 40 Europe: Care Management Solutions Market, By Country, 2016–2023 (USD Million)
Table 41 Europe: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 42 Europe: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 43 Europe: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 44 Europe: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 45 Europe: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 46 UK: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 47 UK: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 48 UK: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 49 UK: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 50 UK: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 51 Germany: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 52 Germany: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 53 Germany: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 54 Germany: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 55 Germany: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 56 France: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 57 France: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 58 France: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 59 France: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 60 France: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 61 Italy: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 62 Italy: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 63 Italy: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 64 Italy: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 65 Italy: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 66 Spain: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 67 Spain: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 68 Spain: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 69 Spain: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 70 Spain: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 71 RoE: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 72 RoE: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 73 RoE: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 74 RoE: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 75 RoE: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 76 APAC: Care Management Solutions Market, By Country, 2016–2023 (USD Million)
Table 77 APAC: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 78 APAC: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 79 APAC: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 80 APAC: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 81 APAC: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 82 Japan: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 83 Japan: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 84 Japan: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 85 Japan: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 86 Japan: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 87 China: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 88 China: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 89 China: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 90 China: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 91 China: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 92 India: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 93 India: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 94 India: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 95 India: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 96 India: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 97 RoAPAC: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 98 RoAPAC: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 99 RoAPAC: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 100 RoAPAC: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 101 RoAPAC: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 102 RoW: Care Management Solutions Market, By Component, 2016–2023 (USD Million)
Table 103 RoW: Care Management Solutions Market, By Delivery Mode, 2016–2023 (USD Million)
Table 104 RoW: Care Management Solutions Market, By End User, 2016–2023 (USD Million)
Table 105 RoW: Care Management Solutions Market, By Application, 2016–2023 (USD Million)
Table 106 RoW: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 107 Product Launches and Enhancements (2014–2018)
Table 108 Agreements, Partnerships, and Collaborations (2014–2018)
Table 109 Acquisitions, 2014–2018
Table 110 Expansions (2014–2018)
Table 111 Care Management Solutions Adopted in the US (2014–2018)
 
 
List of Figures (27 Figures)
 
Figure 1 Research Methodology: Care Management Solutions Market
Figure 2 Research Design
Figure 3 Market Size Estimation Methodology: Bottom-Up Approach
Figure 4 Market Size Estimation Methodology: Top-Down Approach
Figure 5 Data Triangulation Methodology
Figure 6 Software to Dominate the Care Management Solutions Market, By Component, in 2018
Figure 7 On-Premise Solutions to Account for the Larger Market Share in 2018
Figure 8 Europe to Witness the Highest Growth in the Care Management Solutions Market During 2018–2023
Figure 9 Care Management Solutions Market to Witness a High, Double-Digit Growth Rate From 2018 to 2023
Figure 10 Healthcare Payers to Account for the Largest Market Share in 2018
Figure 11 Disease Management Solutions Will Continue to Dominate the Care Management Solutions Market in 2023
Figure 12 Europe to Witness the Highest Growth Rate During the Forecast Period
Figure 13 Care Management Solutions Market: Drivers, Restraints, Opportunities, and Challenges
Figure 14 Europe to Grow at the Highest CAGR in the Care Management Solutions Market in 2018
Figure 15 North America: Care Management Solutions Market Snapshot
Figure 16 Europe: Care Management Solutions Market Snapshot
Figure 17 Asia Pacific: Care Management Solutions Market Snapshot
Figure 18 Rest of the World: Care Management Solutions Market Snapshot
Figure 19 Key Developments in the Care Management Solutions Market Between 2014 and 2018
Figure 20 Company Snapshot: EXL service Holdings, Inc. (2017)
Figure 21 Company Snapshot: Cognizant Technology Solutions (2017)
Figure 22 Company Snapshot: Cerner (2017)
Figure 23 Company Snapshot: Allscripts Healthcare Solutions (2017)
Figure 24 Company Snapshot: Koninklijke Philips N.V. (2017)
Figure 25 Company Snapshot: IBM Corporation (2017)
Figure 26 Company Snapshot: Salesforce.Com, Inc. (2017)
Figure 27 Company Snapshot: Pegasystems (2017)


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Report Code
HIT 2715
Published ON
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