A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. : Physician and clinical services spending is projected to grow an average of 5.6% per year over 2021-2030. New drugs expected to be approved from 2021-2026 are expected to influence retail prescription drug spending utilization and prices over the remainder of the projection period; over 2025-2030, retail prescription drug spending growth is anticipated to average 5.2%. Over 2022 and 2023, Medicaid spending growth is expected to slow to 5.7% and 2.7%, respectively, as a result of projected enrollment declines, after the end of the COVID-19 PHE, when the continuous enrollment condition under the Families First Coronavirus Response Act expires and states begin to disenroll beneficiaries no longer eligible for Medicaid. CMS projects that the average annual growth for national healthcare spending from now through 2031 will be 5.4 percent. Conversely, downward pressure on spending growth is expected for Medicare (related to the end of the Baby Boomers enrollments), as well as for private health insurance and out-of-pocket spending in lagged response to slowing income growth earlier in the period. CMS estimated that the number of insured individuals in the United States was projected to reach a high of 92.3 percent in 2022 and would decrease to 90.5 percent by 2031. Growth in state and local government health care spending rose 5.8% in 2021 following a decline of 1.9% in 2020. Higher volume is associated with better outcomes. Medicare spending is projected to grow to more than $1.8 trillion in 2031 from $944.2 million in 2022. How well the surrounding community is represented in the population treated by the hospital. Learn about the symptoms, causes and treatment options in the chronic fatigue syndrome condition guide at U.S. News and World Report. Expenditures in these areas follow: Previous vintages of the National Health Expenditure estimates have been revised to reflect the most recent and up-to-date source data that is available. Thank you for visiting GRSconsulting.com! 7500 Security Boulevard, Baltimore, MD 21244, National Health Spending in 2020 Increases due to Impact of COVID-19 Pandemic. Provider applications open later this summer. The acceleration in growth was due to an increase in the use of prescription drugs in 2021. The 2021 National Health Expenditures (NHE) Report found that U.S. health care spending grew 2.7% to reach $4.3 trillion in 2021, slower than the During this time, average annual expenditure growth is projected to be 7.5 percent. The 2020 National Health Expenditures data and supporting information will appear on the CMS website at: For more information on the Provider Relief Fund, visit: For more information on the Paycheck Protection Program, visit: https://www.sba.gov/funding-programs/loans/covid-19-relief-options/paycheck-protection-program, https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical, https://www.hrsa.gov/provider-relief/about/, National Health Spending Grew Slightly in 2021, CMS Administrator Seema Verma Statement on the 2019 Medicare Trustee's Report, Medicare Trustees Report shows Hospital Insurance Trust Fund will deplete in 7 years, CMS Office of the Actuary Releases 2018-2027 Projections of National Health Expenditures, CMS Office of the Actuary releases 2017-2026 Projections of National Health Expenditures. Medicare enrollment The NHE report also includes spending on government public health, investment in structures and equipment, and non-commercial research, as well as information on insurance enrollment and uninsured estimates. Total national health expenditures (constant dollars) were 30% higher in 2019 ($3,453 billion) than in 2009 ($2,658 billion). The action you just performed triggered the security solution. Webo increased visitor spending, which will support retail trade, food and beverage, lodging and other service sectors within local economies; o trail administration and implementation Federal government websites often end in .gov or .mil. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Kingman Community Hospital in Kingman, KS is a general medical and surgical facility. The 2019 National Health Expenditures data and supporting information will appear on the CMS website at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html. Near-term expected trends in health spending and insurance enrollments are significantly influenced by the COVID-19 public health emergency (PHE). Major payer spending in 2020 was as follows: Health care spending in 2020 for the three largest goods and service categories hospital care, physician and clinical services, and retail prescription drugs, was as follows: Additional highlights from the report include: Sponsors of health care include estimates of spending by the businesses, households, other private funds and governments that are responsible for financing, or sponsoring, health care payments. Spending is projected to exceed $1 trillion for the first time in 2023. An article about the study is also being published by Health Affairs and is available here: CMS News and Media Group After the end of the COVID-19 PHE, enrollments are projected to begin returning to pre-pandemic distributions. Medicaid expenditures are expected to grow by 5 percent on average in 20222031. : Spending growth for retail prescription drugs is projected to increase over 2021-2030 at an average rate of 5%. Seasonal allergies are on the rise, but you don't need to suffer through them. distribution of spending among the services, payers, and sponsors of health care. Over time, policy changes such as Inflation Reduction Act of 2022 provisions targeting prescription drug costs will tend to constrain spending while others, such as enhanced health insurance exchange subsidies, will tend to increase expenditures, according to the Office of the Actuary. More nursing care per patient is associated with better outcomes and better patient experience. The share of the economy devoted to health spending was relatively stable in 2019, at 17.7% compared with a 17.6% share in 2018. Health insurance companies will spend $2.06 trillion on healthcare in 2031, compared with $1.85 trillion by Medicare and $1.2 trillion by Medicaid, the actuaries predict. For context, private health insurance is projected to reach nearly $2.1 trillion in 2031. Table 3. . 202-690-6145. In 2021, the number of uninsured individuals declined for the second consecutive year as Medicaid and private health insurance enrollment increased. Recovery at home is preferred by most patients and families. Medicare spending increased in 2020 by 3.5%, compared to 6.9% During this time, upward pressure on spending growth for Medicaid is expected, in part due to the expiration of Disproportionate Share Hospital payment cap reductions statutorily scheduled to end in 2027. Medicaid spending growth is expected to have accelerated to 10.4% in 2021, associated with rapid gains in enrollment. The 2021 National Health Expenditures data and supporting information will appear on the CMS website at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical, National Health Spending in 2020 Increases due to Impact of COVID-19 Pandemic, Medicare Trustees Report shows Hospital Insurance Trust Fund will deplete in 7 years, CMS Administrator Seema Verma Statement on the 2019 Medicare Trustee's Report, CMS Office of the Actuary Releases 2018-2027 Projections of National Health Expenditures, CMS Office of the Actuary releases 2017-2026 Projections of National Health Expenditures. These hospitals are the best of the best that helpparents find the rightcare for the sickestchildren. Medicaid and Exchange Enrollment Update September 2018, Medicaid and Exchange Enrollment Update January 2019, Medicaid and Exchange Enrollment Update December 2016/January 2017, To treat residents with OUD, nursing facilities must improve practices and reduce stigma, The CMS managed care proposed rule: three implications for local and regional MCOs, New report highlights hybrid (in-person & virtual visits) as the future of child welfare service, Takeaways from the Early Medicaid Unwinding Actions. The net cost of health insurance declined 3.8% in 2019 largely because of a suspension of the health insurance providers tax. In 2021, hospital spending growth is expected to be 5.7%, a deceleration from 6.4% in 2020, largely due to declining federal supplemental payments. The slower growth in 2021 was driven by a 3.5% decline in federal government expenditures for health care that followed strong growth in 2020 due to the COVID-19 pandemic response. Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on @CMSgov. FFCRA established a temporary increase in the federal matching rate for Medicaid expenditures, provided states comply with certain conditions, including that they maintain enrollment of all individuals enrolled or determined eligible for Medicaid as of March 18, 2020, through the end of the month in which the COVID-19 public health emergency ends. James Schroeder Managing Principal HMA Catherine Howden, DirectorMedia Inquiries Form Health Spending by Major Funds Sources was as follows: Health care spending in 2021 for the largest three serviceshospital care, physician and clinical services, and retail prescription drugswas as follows: Sponsors of health care include estimates of spending by the businesses, households, other private funds and governments that are responsible for financing, or sponsoring, health care payments. Webexpenditures (accounting for 54 percent of total Medicare expenditures) and a 14.1 percent increase in Medicare private health plan spending. CMS provides a historical and projected breakdown of expenditures by category for Medicaid only (CHIP is bundled with Department of Defense and other public spending). ###Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter CMS Administrator @SeemaCMS and @CMSgov. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. However, when spending for federal public health and other federal programs (which includes COVID-19 supplemental funding) is removed, NHE growth was only 1.9%, a slower rate of growth from the 4.3% increase in 2019, largely due to reduced use of medical care goods and services because of the pandemic. Per capita national health expenditures: $11,582 (2019) Total national health expenditures: $3.8 trillion (2019) Total national health expenditures The historical and projected estimates of NHE measure. strong growth in spending for medical goods and services, due to both increased utilization and increased enrollment in 2021. The recent annual report on national health spending from the Office of the Actuarys National Health Expenditures Accounts Team in the Centers for Medicare Projected spending growth of 11.3% in 2021 is expected to be mainly influenced by an assumed acceleration in utilization growth, while growth in 2022 of 7.5% is expected to reflect more moderate growth in use, as well as lower fee-for-service payment rate updates and the phasing in of sequestration cuts. However, growth in hospital spending for Medicare, Medicaid, and private health insurance are expected to have grown faster compared to 2020 due to a partial rebound in utilization. CMS estimated that total Medicaid and CHIP annual spending in 2022 was $828.4 million; by 2031, it is projected to hit $1.2 trillion. Spending is projected to exceed $1 trillion for the first time in 2028. "Health spending over the course of the next 10 years is expected to grow more rapidly, on average, than the overall economy," CMS actuaries wrote in the journal Health Affairs. In addition, retail prescription drug spending is projected to increase by an average of 5% per year, hospital spending growth is projected to average 5.7%, and physician and clinical services spending is projected to increase an average of 5.6% per year. June 29, 2023 HMA is pleased to welcome new experts to our family of companies in May 2023. Projected spending growth of 11.3% in 2021 is expected to be mainly influenced by an assumed acceleration in utilization growth, while growth in 2022 of 7.5% is expected to reflect more moderate growth in use, as well as lower fee-for-service payment rate updates and the phasing in of sequestration cuts. Over 2025-2030, spending growth is projected to increase an average 5.6%, in part due to the expiration of Disproportionate Share Hospital payment cap reductions set for late-2027. KS, 67068-0376. WebTrend: 20092018, 2019 The percentage of people under age 65 who had private health insurance coverage decreased from 63.3% in 2009 to 61.8% in 2011 and then increased to 65.3% in 2018. An official website of the United States government. This week, ourIn Focussection reviews the projected healthcare expenditure and enrollment data from the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary, published June 14, 2023. The 2030 insured rate is projected to be 89.8%. The following are some of the more interesting takeaways from the analysis: The jump in MA came at the expense of traditional fee-for-service, which experienced a drop in enrollment of 2.2 percent relative to 2019. Out-of-pocket expenditures are projected to grow at an average rate of 4.6% over 2021-2030 and to represent 9% of total spending by 2030 (ultimately falling from its current historic low of 9.4% in 2020). Performance & security by Cloudflare. Improve your cardiovascular system with natural dietary choices. 5.161.57.15 The share of the Gross Domestic Product (GDP) devoted to health increased sharply from 17.6% in 2019 to 19.7% in 2020, the largest increase in the history of the NHE reports. The slower growth in 2021 reflected a substantial decrease in funding from federal programs, includingCOVID-19 relief. Discover what stiff person syndrome is, its types, symptoms and how to manage this rare neurologic condition. Following the public health emergency unwinding, average expenditure growth would pick up to 5.6 percent in 20252031. As with hospital care, this slower growth was largely due to a decline in funding from federal programs that provided COVID-19 relief. For treating everything from epilepsy to stroke in kids, these medical centers are the best of the best. Click to reveal U.S. News has extensive information in each doctor's profile to help you find the best one for you. Conversely, downward pressure on spending growth is expected for Medicare (related to the end of the Baby Boomers enrollments), as well as for private health insurance and out-of-pocket spending in lagged response to slowing income growth earlier in the period. The NHE has been published annually since 1960 and is often referred to as the official estimates of U.S. health spending. Over 2025-2030, spending growth is projected to increase an average 5.6%, in part due to the expiration of Disproportionate Share Hospital payment cap reductions set for late-2027. Also, you can decide how often you want to get updates. The recent annual reporton national health spending from the Office of the Actuarys National Health Expenditures Accounts Team in the Centers for Medicare and Medicaid Services (CMS) documents some of the dramatic shifts the pandemic caused in U.S. health care, including changes in the sources and uses of system funding. Table 1. Spending for such other federal programs declined 62.7% from $193.1 billion in 2020 to $71.9 billion in 2021; however, this was still higher than the level in 2019 of $14.0 billion. In 2022, however, overall retail prescription drug spending growth is projected to slow to 4.3%, as declines in Medicaid enrollment are expected to lead to slower drug spending for that program and more than offset faster Medicare spending for drugs in that year. Privately Owned Vehicle Mileage Rates Privately Owned Vehicle (POV) Mileage Reimbursement Rates GSA has adjusted all POV mileage reimbursement rates effective January 1, 2023. Discover foods that boost blood flow and circulation for better health. Learn about the symptoms, causes and treatment options in the chronic fatigue syndrome condition guide at U.S. News and World Report. Through 2030, average total physician and clinical services spending growth of 5.5% is expected to primarily reflect decelerating spending growth for private health insurance enrollees in lagged response to projected slower growth in incomes earlier in the period. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. ), and type of sponsor (businesses, households and federal/state governments). Examining constant dollars removes the effect of inflation on spending. of the effects of the coronavirus disease 2019 (COVID-19) pandemic on health care spending. Expenditures in these areas were: Previous versions of the NHE estimates have been revised to reflect the most recent and up-to-date source data that is available. total annual U.S. spending for the delivery of health care goods and services by type of good or service (hospital, physician, prescription drugs, etc. Among the major payers for health care, projected growth in average annual spending for Medicare (7.2%) and Medicaid (5.6%) are significant contributors to the rate of national health expenditure growth from 2021 through 2030. The 2021 National Health Expenditures (NHE) Report found that U.S. health care spending grew 2.7% to reach $4.3 trillion in 2021, slower than the increase of 10.3% in 2020. Scores are determined for the hospital service area as a whole, not individual hospitals, and all hospitals in a given hospital service area received the same score. An official website of the United States government. Improve your cardiovascular system with natural dietary choices. CMS will test the program in Colorado, Massachusetts, Minnesota, New Jersey, New Mexico, New York, North Carolina and Washington. U.S. News evaluates hospital performance in health equity by analyzing data on various dimensions of equity for historically underserved patients. Over 2025-2030, as health spending trends by private payers tend to be influenced on a lagged basis by changes in income growth, average growth for private health insurance spending is then expected to slow to 4.8% by 2030 in response to slowing income growth earlier in the projection period. Selected highlights in national health expenditures by major payer include: Medicare: Medicare spending growth is projected to average 7.2% over 2021-2030, the fastest rate among the major payers. The COVID-19 pandemic has been a transformative global event with far-reaching effects that are still unfolding. June 30, 2023 CMS Releases Health Equity Measure TEP Report In November 2022 the Centers for Medicare & Medicaid Services (CMS) convened a technical expert panel (TEP) to provide input on the development of a health equity structural composite measure for home health and hospice providers (Home Health & Also, you can decide how often you want to get updates. increased 4.4% in 2021 to reach $1.3 trillion; however, this was a slower growth rate compared to the 6.2% growth experienced in 2020. Also, you can decide how often you want to get updates. In 2031, hospital spending will reach $2.34 trillion dollars, according to the report. 202-690-6145. The NHE has been published annually since 1960, and is often referred to as the official estimates of U.S. health spending. A summary of other key takeaways from the actuarial report follows. SOURCE: National Center for Health Statistics, National Health Interview According to CMS,national health care spending in 2021 slowed to 4.2% from 9.7% in 2020. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Demand for care is expected to remain elevated in 2022, along with a projected acceleration in price growth; as a result, hospital spending growth is likewise expected to accelerate to 6.9% in 2022. The NHE is published annually contains data from 1960 through 2021 and is often referred to as the official estimate of U.S. health spending. ), and type of sponsor (businesses, households and federal/state governments). Modern Healthcare empowers industry leaders to succeed by providing unbiased reporting of the news, insights, analysis and data. By 2030, Medicare spending growth is expected to slow to 4.3% as the Baby Boomers are no longer enrolling and as further increases in sequestration cuts occur. By 2030, Medicare spending growth is expected to slow to 4.3% as the Baby Boomers are no longer enrolling and as further increases in sequestration cuts occur. GRS is a national actuarial and benefits consulting firm. Over 2023 and 2024, growth is expected to normalize (5.6% per year) and transition away from pandemic-related impacts on utilization, federal program funding, and changes in insurance enrollment, and remain similar on average through 2030 (5.5% per year). These hospitals are the best of the best that helpparents find the rightcare for the sickestchildren. Discover the best way to get rid of belly fat, including exercise, diet tips and lifestyle changes. The summary report is available here and additional information is available here. By 2024, federal, state and local governments are projected to finance 46% of total national health spending, down from a record high of 51% in 2020. The NHE report also includes spending on government public health, investment in structures and equipment, and non-commercial research. The 2020 National Health Expenditures data and supporting information will appear on the CMS website at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsHistorical, For more information on the Provider Relief Fund, visit: https://www.hrsa.gov/provider-relief/about/, For more information on the Paycheck Protection Program, visit: https://www.sba.gov/funding-programs/loans/covid-19-relief-options/paycheck-protection-program. With the pandemic still running its course, it is too early to know if the patterns that emerged in 2020 will have lasting effects. Total national healthcare spending in 2019 grew 4.6%, which was similar to the 4.7% growth in 2018 and the average annual growth since 2016 of 4.5%, according to a study conducted by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) and published today ahead of print by Health Affairs. The report notably shows that despite the increased demand for patient care in 2021, the growth in national health spending is estimated to have slowed to 4.2%, from 9.7% in 2020, as supplemental funding for public health activity and other federal programs, specifically those associated with the COVID-19 pandemic, declined significantly. An official website of the United States government. Discover foods that boost blood flow and circulation for better health. Similar to the spending trends for hospital care, spending growth for physician and clinical services accelerated in 2021 for the major payers - Medicare, Medicaid, private health insurance, and out-of-pocket spending. The U.S. was underprepared for the COVID-19 pandemic, which meant Congress had to scramble to come up with a response plan in early 2020. Are you wondering if you might be pregnant? The decrease is mainly due to the expected decline in COVID-19 federal supplemental funding between 2021 and 2024. For almost all health care services, in particular for hospitals, physicians, and nursing homes, increased federal spending in response to the COVID-19 pandemic far outweighed the negative or slow growth in private health insurance, Medicare, and out-of-pocket spending that was associated with less use of care in 2020. All rights reserved. The Office of the Actuary, which is independent from CMS leadership, projects that the government, businesses and households spent $4.44 trillion on healthcare in 20224.3% more than the prior yearor 17.4% of GDP. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. In 2022, spending growth dropped to 4.8 percent compared with 8.4 percent in 2021 because fee-for-service beneficiaries were using fewer emergency department services and as a result of reinstated payment rate cuts associated with the Medicare Sequester Relief Act of 2022. Learn about the early signs of pregnancy and when to take a pregnancy test. This website is using a security service to protect itself from online attacks. Under current law, national health spending is projected to grow at an average rate of 5.1% per year from 2021 through 2030, reaching $6.8 trillion by 2030. : Average annual growth of 5.6% is projected for Medicaid spending for 2021-2030. increased 8.4% to reach $900.8 billion in 2021 following slower growth of 3.6% in 2020. Over 2022 and 2023, Medicaid spending growth is expected to slow to 5.7% and 2.7%, respectively, as a result of projected enrollment declines, after the end of the COVID-19 PHE, when the continuous enrollment condition under the Families First Coronavirus Response Act expires and states begin to disenroll beneficiaries no longer eligible for Medicaid. Sign up for enewsletters and alerts to receive breaking news and in-depth coverage of healthcare events and trends, as they happen, right to your inbox. The report also contains information on insurance enrollment and uninsured estimates. spending increased 7.8% to $378.0 billion in 2021, a faster rate than in 2020 when spending increased by 3.7. Pandemic-related effects are expected to diminish through 2024. ); and type of sponsor (businesses, households and federal/state governments). Home / Insights / Blog / CMS Releases National Healthcare Expenditure and Enrollment Projections through 2031. Key factors influencing hospital spending growth over 2025-30 is faster projected growth in Medicaid spending due to the scheduled expiration of Disproportionate Share Hospital payment cap reductions, as well as slower expected growth in Medicare spending (slower enrollment growth and larger sequestration-based cuts) and private health insurance spending (in lagged response to slowing income growth). CMS proposes 2.2% Medicare pay cut for home health providers, Healthcare deals may slow under FTC proposal, ESG: The Implementation Imperative Summit, Sponsored Video Series - Checking In with Dan Peres, enhanced health insurance exchange subsidies, Takeaways from health systems' first-quarter earnings results, Healthcare spending growth slowed in 2021 as COVID funding waned, High inflation and housing costs forcing many Americans to delay care, More healthcare organizations at risk of credit default, Moody's says, Centene fills out senior executive team with new president, COO, SCAN, CareOregon plan to merge into the HealthRight Group, Blue Cross Blue Shield of Michigan unveils big push that lets physicians take on risk, reap rewards, Bright Health weighs reverse stock split as delisting looms. This increase was driven by. Total national health expenditures (constant dollars) were 30% higher in 2019 In 2021, growth is expected to accelerate (4.7%) compared to 2020 (3%) due to faster growth in utilization by Medicaid beneficiaries and those enrolled in private health insurance. Healthcare expenditures grew 2.7% in 2021, 10.3% in 2020 and 4.2% in 2019, the year before the COVID-19 pandemic began. Medicare spending totaled $829.5 billion in 2020, representing 20% of total health care spending. As a result, growth in federal government spending on health care increased 36.0% in 2020. Growth in the nations Gross Domestic Product (GDP) is also projected to be 5.1% annually over the same period. WebMedicaid & CHIP Populations, 2020-2022; Deductible, Coinsurance, and Premium Amounts, CY 2023; Original Medicare Persons Served and Payments by Type of Expenditures in these areas included: Previous versions of the NHE estimates have been revised to reflect the most recent and up-to-date source data that is available. Zoom out: The new experiment builds on CMS's past primary care enhancement programs. Learn to recognize the signs and symptoms of burnout, and discover practical strategies for recovery. Private Health Insurance and Out-of-Pocket. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. As a share of the gross domestic product (GDP), health care spending is projected to remain nearly the same at 19.7% in 2020 and 19.6% in 2030. ), type of payer (private health insurance, Medicare, Medicaid, etc. CMS projects the largest loss in 2024, with 8 million people leaving Medicaid and CHIP that year alone. Historical and Projected Medicaid/CHIP Enrollment (in Millions). The U.S. gross domestic product (GDP) increased 10.7% in 2021 after contracting in 2020. The Office of the Actuarys report will appear at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html, South Dakota Expands Medicaid Bringing Health Coverage to More than 52,000 State Residents, Health and Human Services (HHS) Proposed Rule Clarifying Eligibility for a Qualified Health Plan through a Marketplace, Advance Payments of the Premium Tax Credit, Cost-sharing Reductions, a Basic Health Program, and Some Medicaid and Childrens Health In, HHS Releases Proposal to Expand Health Care for DACA Recipients, HHS Notice of Benefit and Payment Parameters for 2024 Final Rule, HHS Finalizes Policies to Make Coverage More Accessible and Expand Behavioral Health Care Access for Millions of Americans in 2024.
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