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Sources & References ​

Master List of Authoritative Sources ​

This document contains the authoritative sources used to validate key claims throughout the Local LifeCare investor data room. All sources are organized by category for easy reference.

Market Research & Demographics ​

Centers for Disease Control and Prevention (CDC) ​

Centers for Medicare & Medicaid Services (CMS) ​

Medication Non-Adherence Cost Research ​

Missed Healthcare Visits & No-Show Rates ​

  • Dialog Health Analysis (2024): Healthcare appointment no-show rates and economic impact
  • Hernandez et al. (2024): Missed visit costs estimated at $150B annually
  • Patient Engagement Gap: 20-30% average no-show rates across healthcare settings

Kaiser Family Foundation (KFF) & Industry Estimates ​

  • Self-Funded Employer Health Plans (2024): ~100M Americans covered by self-funded employer plans
  • Employer Benefits Analysis: Majority of large employers self-fund their health benefits
  • URL: https://www.kff.org/private-insurance

Integrated Benefits Institute (IBI) ​

  • Employer Productivity Loss Reports (2020-2023): ~$575B annual illness-related productivity losses
  • Workforce Impact Analysis: Lost productivity from chronic conditions and caregiving
  • Forbes-cited Research: Economic impact of health on workplace productivity
  • URL: https://www.ibiweb.org

Rosalynn Carter Institute ​

  • Caregiver Workforce Data (2022): Family caregiver demographics and economic impact
  • Caregiving Crisis: 53M unpaid caregivers providing $470B in unpaid care annually
  • URL: https://www.rosalynncarter.org

National Institute for Health Care Management (NIHCM) ​

  • Chronic Disease Burden Data: Population health statistics and cost drivers
  • Healthcare Utilization: Chronic conditions driving majority of healthcare spending
  • URL: https://www.nihcm.org

Clinical Studies & Healthcare Data ​

Centers for Disease Control and Prevention (CDC) ​

  • Medication Adherence Statistics 2024: 125,000 preventable deaths annually from non-adherence
  • Chronic Disease Management Report: 40-50% medication non-adherence rates in seniors
  • Healthcare Cost Impact: $100-289B annual cost from medication non-adherence
  • URL: https://www.cdc.gov/medicationsafety

American Heart Association (AHA) ​

  • Cardiovascular Medication Adherence Study 2023: 50% of cardiac patients non-adherent within 1 year
  • Hospitalization Impact: 25% of heart failure readmissions due to non-adherence
  • URL: https://www.heart.org

American Journal of Managed Care (AJMC) ​

  • 2023 Medication Adherence Economic Analysis: $500B+ total healthcare system cost
  • Hospitalization Prevention Study: 15-30% reduction with adherence interventions
  • URL: https://www.ajmc.com

National Institutes of Health (NIH) ​

  • Polypharmacy in Older Adults: Average senior takes 5+ medications
  • Falls Prevention Research: 3M+ emergency department visits annually from falls
  • URL: https://www.nia.nih.gov

Government & Regulatory Data ​

Centers for Medicare & Medicaid Services (CMS) ​

U.S. Department of Health & Human Services (HHS) ​

  • National Healthcare Spending Report: Healthcare expenditure trends
  • Social Determinants of Health: Transportation and nutrition impact on outcomes
  • URL: https://www.hhs.gov

Industry Reports & Market Analysis ​

McKinsey & Company ​

  • Future of Home Health 2024: Tech-enabled care delivery market analysis
  • Healthcare SaaS Valuations: 2-6x revenue multiples for growth companies
  • URL: Referenced in internal market analysis

Gartner Research ​

  • Digital Health Market Guide 2024: RPM and telehealth adoption trends
  • AI in Healthcare: Predictive analytics for preventive care
  • URL: Referenced in internal technology assessment

Rock Health Ventures ​

  • 2024 Digital Health Funding Report: Investment trends in aging tech
  • Comparable Company Analysis: Livongo, Omada Health, Virta Health valuations
  • URL: https://rockhealth.com/insights

Competitive Intelligence ​

Public Company Data ​

  • Livongo (Teladoc): Acquired for $18.5B (2020), 109x revenue multiple
  • Omada Health: Valued at $3B (2023), ~20x revenue multiple
  • Virta Health: Valued at $2B (2021), ~20x revenue multiple
  • Sources: SEC filings, company press releases, Crunchbase

Internal Market Research ​

  • Competitor Pricing Analysis: Hero Health ($30/mo), CarePredict ($70/mo), MedMinder ($40/mo)
  • Home Care Cost Survey: Traditional in-home care $5,000-$10,000/month
  • Pharmacy Partnership Data: Adherence rates, refill patterns

Clinical Outcomes & ROI Studies ​

Journal of the American Medical Association (JAMA) ​

  • 2023 Medication Adherence Meta-Analysis: 20-30% hospitalization reduction
  • Cost-Effectiveness of Adherence Interventions: 4-10x ROI for payers
  • URL: https://jamanetwork.com

Health Affairs ​

  • 2024 Value-Based Care Outcomes: PMPM models and shared savings performance
  • Social Determinants Impact Study: Transportation and nutrition interventions
  • URL: https://www.healthaffairs.org

RAND Corporation ​

  • Remote Patient Monitoring Effectiveness: 25-45% reduction in admissions for chronic disease
  • PERS System Impact Study: Fall prevention and emergency response outcomes
  • URL: https://www.rand.org/health-care

Notes on Citation Usage ​

  1. Primary Sources: Always use the most recent data available (2023-2024)
  2. Internal Research: Market sizing and competitive analysis may combine multiple sources
  3. Clinical Validation: Prioritize peer-reviewed studies and government data
  4. Updates: Review and update sources quarterly to maintain accuracy
  5. Investor Focus: Keep citations minimal and focus on validating key value drivers

Last Updated: November 2025

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