News: Outpatient care patient volumes projected to grow

CDI Strategies - Volume 20, Issue 32

Outpatient care patient volumes are projected to increase by 20% in the next 10 years, according to Vizient’s 2026 Impact of Change forecast. The forecast is based on disease-based and MS-DRG-based analyses and aims to provide a 10-year projection of anticipated shifts in nationwide healthcare demands.

Overall, the forecast found that inpatient growth slows while patient acuity rises and payer mix deteriorates. Adult inpatient discharges grew 5% between 2023 and 2024 but slowed to 3% between 2024 and 2025. Utilization is moderating, but growth in discharges for the insured population is being outpaced by those without traditional health insurance.

The forecast’s key projections included:

  • Inpatient care patient discharges to grow 7%
  • Outpatient care patient volumes projected to grow 20%
  • Pediatric outpatient volume growth forecasted at 6%
  • Cancer outpatient volumes are expected to grow 20%, while inpatient volumes are expected to grow 2%
  • Emergency department (ED) will grow 6% overall, but growth is driven by high-acuity ED visits
  • Post-acute care to grow 31%

When projected outpatient care growth is examined by service line, the highest percentages of projected growth were cardiovascular (29%), neurosciences (27%), behavioral health (22%), and cancer (20%). While most of these service line projections are in the ballpark of population-based forecasts, Vizient’s behavioral health projection is more than seven times higher (22% compared to 3%).

Pediatric outpatient volumes are also projected to increase 6% over the next decade, compared to the 3% decrease predicted by a population-based forecast. For comparison, pediatric inpatient volumes are projected to decrease 2% during that same period, which lines up with the population-based forecast.

Editor’s note: To read the full report, click here. To read additional coverage from JustCoding, click here.

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