As gold-medal-game winning USA Olympic-team hockey players Jack Hughes and Megan Keller could tell you, a good strategy requires skating to where the puck is going, not where it has been. This is as true in healthcare as in hockey (even if the our industry moves at a comparatively glacial pace), which is why prognostications like Sg2’s annual Impact of Change Forecast are useful for long-term planning. The slowed growth of inpatient services, propped up by rising acuity in an aging population, and the continued expansion of outpatient services, unlocked by new technologies and regulatory changes, has been central to their forecast for years. The new rising star is home-based care, now projected to grow 32 percent by visit volume through 2035. These low-acuity visits will often be delivered by lower-license nurses to an aging and infirmed population, which will reward businesses focused on scale and efficiency more than sophistication. For most health systems, it would be unwise to ignore this emerging channel. For example, health systems evaluating whether and how to move procedural specialties to ambulatory surgery centers should consider this an opportunity to redirect post-op and follow-up visits to the home setting as a complementary low-cost, consumer-friendly option.