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 Oct, 2019, by marketsandmarkets.com

[164 Pages Report] The global care management solutions market was valued at USD 7.99 billion in 2017 and is projected to reach USD 19.28 billion by 2023, at a CAGR of 16.1% during the forecast period. Base year considered for the report is 2017 and the forecast period is 2018–2023.

Market Dynamics

Drivers

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.

Restraints

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.

Opportunities

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.

Challenges

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.

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Objectives of the Study:

  • To define, describe, segment, and forecast the market by component, delivery mode, end user, application, and region
  • To provide detailed information about factors influencing market growth (drivers, restraints, opportunities, and challenges)
  • To analyze micromarkets with respect to individual growth trends, prospects, and contributions to the overall market
  • To analyze market opportunities for stakeholders and provide details of the competitive landscape for key players
  • To forecast the size of the market segments with respect to North America, Europe, Asia Pacific, and the Rest of the World (RoW)
  • To strategically analyze the market structure and profile the key players of the global market and comprehensively analyze their core competencies
  • To track and analyze competitive developments such as agreements, collaborations, and partnerships; product deployments; product launches, enhancements, and integrations; acquisitions; and expansions in the market

Research Methodology

Top-down and bottom-up approaches were used to validate the size of the global care management solutions industry and estimate the size of other dependent submarkets. Various secondary sources such as associations like the American Case Management Association (ACMA), American Association of Healthcare Administrative Management (AAHAM), Commission for Case Manager Certification (CCMC), American Association of Managed Care Nurses (AAMCN), Case Management Society of Australia and New Zealand (CMSA), Institute for Health Technology Transformation (iHT2), Healthcare Information and Management Systems Society (HIMSS), directories, industry journals, databases, and annual reports of the companies have been used to identify and collect information useful for the study of this market. Primary sources such as experts from both supply and demand sides have been interviewed to obtain and validate information as well as to assess the dynamics of this market. The breakdown of profiles of primaries is shown in the figure below:

Care Management Solutions Market

To know about the assumptions considered for the study, download the pdf brochure

The major players in the global care management solutions industry include 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).

Target Audience:

  • Healthcare insurance companies/payers
  • Healthcare IT service providers
  • Healthcare institutions/providers (hospitals, medical groups, physician practices, diagnostic centers, pharmacies, ambulatory centers, and outpatient clinics)
  • Venture capitalists
  • Healthcare BPO vendors
  • Healthcare KPO vendors
  • Government bodies
  • Corporate entities
  • Accountable care organizations

Scope of the Report:

The research report categorizes the Healthcare Claims Management market into the following segments and subsegments:

Care Management Solutions Market, by Component

  • Software
  • Services

Care Management Solutions Market, by Delivery Mode

  • On-premise
  • Cloud-based

Care Management Solutions Market, by End User

  • Payers
  • Providers
  • Other End Users

Care Management Solutions Market, by Application

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

Care Management Solutions Market, by Region

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

Available Customizations

With the given market data, MarketsandMarkets offers customizations as per the company’s specific needs. The following customization options are available for the report:

Portfolio Analysis

  • Product Matrix, which gives a detailed comparison of the product portfolio of each company (Top 3 companies)

Company Information

  • Detailed analysis and profiling of additional market players (Up to 5)

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 market.

The report describes and studies the global care management market by component, delivery mode, end user, application, and region. It provides detailed information regarding the major factors influencing the growth of this market

On the basis of application, the global market is segmented into disease management, case management, utilization management, and other applications. The disease management solutions segment is expected to register the highest CAGR during the forecast period. 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.

Based on delivery mode, the market is segmented into on-premise and cloud-based delivery modes. The cloud-based segment is expected to grow at the highest CAGR during the forecast period. The high growth of this segment can be attributed to the advantages provided by the cloud-based solutions such as, low installation and maintenance costs, unlimited storage of information, easy access to information from any place, and reduced spam & web threats.

Care Management Solutions Market

The geographic segments in this report include North America, Europe, Asia, and the Rest of the World. Of these, the North American market is expected to account for the largest share of the market in 2018. The large share of North America can be attributed to the shift of the risk burden from healthcare payers to providers; patient-centric mandates; and the need to improve quality of care and curb healthcare costs in Canada. Additionally, several major global players are based in the US, which has made the country a center for innovation in the care management solutions market.

Europe is expected to grow at the highest CAGR during the forecast period (2018–2023). The efforts made by the governments of European nations such as the UK, Germany, France, Italy, and Spain to promote care coordination and quality of healthcare and reforms to curb healthcare costs by integrating HCIT solutions into healthcare are driving the growth in the forecast period.

However, the lack of interoperability, the high cost of deployment, and the increased instances of data breaches are some of the factors restraining the overall growth of this market.

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 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).

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 Market, By Application, 2018 vs 2023
    4.4 Geographical Snapshot of the 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 Market, By Component (Page No. - 43)
    6.1 Introduction
    6.2 Software
    6.3 Services

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

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

9 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 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 Exlservice 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 Market, By Delivery Mode, 2016–2023 (USD Million)
Table 5 On-Premise Market, By Region, 2016 – 2023 (USD Million)
Table 6 Cloud-Based Market, By Region, 2016–2023 (USD Million)
Table 7 Market, By End User, 2016–2023 (USD Million)
Table 8 Market for Healthcare Payers, By Region, 2016–2023 (USD Million)
Table 9 Market for Healthcare Providers, By Region, 2016–2023 (USD Million)
Table 10 Market for Other End Users, By Region, 2016–2023 (USD Million)
Table 11 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 Market, By Region, 2016–2023 (USD Million)
Table 23 North America: Market, By Country, 2016–2023 (USD Million)
Table 24 North America: Market, By Component, 2016–2023 (USD Million)
Table 25 North America: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 26 North America: Market, By End User, 2016–2023 (USD Million)
Table 27 North America: Market, By Application, 2016–2023 (USD Million)
Table 28 North America: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 29 US: Market, By Component, 2016–2023 (USD Million)
Table 30 US: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 31 US: Market, By End User, 2016–2023 (USD Million)
Table 32 US: 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: Market, By Component, 2016–2023 (USD Million)
Table 36 Canada: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 37 Canada: Market, By End User, 2016–2023 (USD Million)
Table 38 Canada: Market, By Application, 2016–2023 (USD Million)
Table 39 Canada: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 40 Europe: Market, By Country, 2016–2023 (USD Million)
Table 41 Europe: Market, By Component, 2016–2023 (USD Million)
Table 42 Europe: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 43 Europe: Market, By End User, 2016–2023 (USD Million)
Table 44 Europe: Market, By Application, 2016–2023 (USD Million)
Table 45 Europe: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 46 UK: Market, By Component, 2016–2023 (USD Million)
Table 47 UK: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 48 UK: Market, By End User, 2016–2023 (USD Million)
Table 49 UK: Market, By Application, 2016–2023 (USD Million)
Table 50 UK: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 51 Germany: Market, By Component, 2016–2023 (USD Million)
Table 52 Germany: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 53 Germany: Market, By End User, 2016–2023 (USD Million)
Table 54 Germany: Market, By Application, 2016–2023 (USD Million)
Table 55 Germany: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 56 France: Market, By Component, 2016–2023 (USD Million)
Table 57 France: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 58 France: Market, By End User, 2016–2023 (USD Million)
Table 59 France: 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: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 63 Italy: Market, By End User, 2016–2023 (USD Million)
Table 64 Italy: Market, By Application, 2016–2023 (USD Million)
Table 65 Italy: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 66 Spain: Market, By Component, 2016–2023 (USD Million)
Table 67 Spain: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 68 Spain: Market, By End User, 2016–2023 (USD Million)
Table 69 Spain: Market, By Application, 2016–2023 (USD Million)
Table 70 Spain: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 71 RoE: Market, By Component, 2016–2023 (USD Million)
Table 72 RoE: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 73 RoE: Market, By End User, 2016–2023 (USD Million)
Table 74 RoE: Market, By Application, 2016–2023 (USD Million)
Table 75 RoE: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 76 APAC: Market, By Country, 2016–2023 (USD Million)
Table 77 APAC: Market, By Component, 2016–2023 (USD Million)
Table 78 APAC: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 79 APAC: Market, By End User, 2016–2023 (USD Million)
Table 80 APAC: Market, By Application, 2016–2023 (USD Million)
Table 81 APAC: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 82 Japan: Market, By Component, 2016–2023 (USD Million)
Table 83 Japan: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 84 Japan: Market, By End User, 2016–2023 (USD Million)
Table 85 Japan: 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: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 89 China: Market, By End User, 2016–2023 (USD Million)
Table 90 China: Market, By Application, 2016–2023 (USD Million)
Table 91 China: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 92 India: Market, By Component, 2016–2023 (USD Million)
Table 93 India: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 94 India: Market, By End User, 2016–2023 (USD Million)
Table 95 India: Market, By Application, 2016–2023 (USD Million)
Table 96 India: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 97 RoAPAC: Market, By Component, 2016–2023 (USD Million)
Table 98 RoAPAC: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 99 RoAPAC: Market, By End User, 2016–2023 (USD Million)
Table 100 RoAPAC: Market, By Application, 2016–2023 (USD Million)
Table 101 RoAPAC: Disease Management Solutions Market, By Type, 2016–2023 (USD Million)
Table 102 RoW: Market, By Component, 2016–2023 (USD Million)
Table 103 RoW: Market, By Delivery Mode, 2016–2023 (USD Million)
Table 104 RoW: 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: 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 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 Market During 2018–2023
Figure 9 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 Market: Drivers, Restraints, Opportunities, and Challenges
Figure 14 Europe to Grow at the Highest CAGR in the Market in 2018
Figure 15 North America: Market Snapshot
Figure 16 Europe: Market Snapshot
Figure 17 Asia Pacific: Market Snapshot
Figure 18 Rest of the World: Market Snapshot
Figure 19 Key Developments in the Market Between 2014 and 2018
Figure 20 Company Snapshot: Exlservice 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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