
Connected Healthcare Market - Global Industry Analysis, Size, Share, Growth, Trends, and Forecast 2032 - By Product, Technology, Grade, Application, End-user, Region: (North America, Europe, Asia Pacific, Latin America and Middle East and Africa)
Description
The global healthcare industry is undergoing a digital transformation, with connected healthcare emerging as a cornerstone of modern medical practices. Fueled by the adoption of advanced technologies, the connected healthcare market is rapidly gaining traction worldwide. According to recent analysis, the market is forecasted to grow from US$84.7 billion in 2025 to US$271.45 billion by 2032, advancing at a CAGR of 18.10%. The demand for cost-effective, accessible, and tech-driven healthcare solutions is accelerating the shift toward connected platforms.
Market Insights
Connected healthcare refers to the integration of digital technologies—such as mobile apps, remote monitoring, artificial intelligence (AI), and telehealth services—into traditional healthcare systems. These tools enable seamless communication and data exchange between patients, physicians, and healthcare facilities. As consumer expectations evolve, there is a growing preference for real-time, personalized, and remote health services.
The market has seen substantial growth in recent years, spurred by the global pandemic, rising healthcare costs, and the proliferation of mobile devices. Wearables and smart devices are helping individuals track vital health data, while AI and blockchain are optimizing analytics and data security. The focus has shifted from treatment to prevention, making the market more dynamic and innovation-driven.
Key Market Drivers
1. Telehealth Expansion
Telehealth services experienced rapid growth as healthcare providers sought alternatives to in-person visits during the pandemic. Virtual consultations continue to gain momentum, enhancing accessibility for patients in rural or underserved regions.
2. Wearable Technology Innovation
Smartwatches, fitness trackers, and biosensors have become integral to health management. These devices allow continuous monitoring and help patients and doctors make informed decisions regarding chronic diseases and overall well-being.
3. Preventive Healthcare Focus
Rising awareness about preventive care is shifting healthcare strategies globally. Consumers are increasingly embracing proactive health monitoring and lifestyle management, encouraging greater adoption of connected health solutions.
Emerging Business Opportunities
1. Artificial Intelligence and Machine Learning Integration
The integration of AI and ML is transforming connected healthcare by enabling predictive analytics, intelligent diagnostics, and personalized treatment plans. These technologies help healthcare professionals identify health risks earlier and intervene proactively.
2. Remote Patient Monitoring (RPM)
With the increasing burden of chronic diseases and aging populations, RPM presents a scalable solution. Using wearable devices and mobile apps, patients can track their health outside clinical settings. This reduces hospital visits, enhances engagement, and enables early intervention.
3. Blockchain in Data Security
Blockchain is being adopted to manage and secure electronic health records (EHRs). The decentralized nature of blockchain ensures data integrity and provides healthcare providers with safe and efficient methods for information exchange.
Regional Outlook
North America is currently leading the connected healthcare market. The region benefits from advanced digital infrastructure, high smartphone penetration, and increased investment in healthcare technologies. The U.S. continues to experience strong adoption of remote care and digital tools aimed at improving patient outcomes and reducing costs.
Europe holds the second-largest market share. The continent is seeing increased mobile usage among both healthcare professionals and patients. Policies like Germany’s Digital Healthcare Act, which allows for mobile-based prescriptions, are driving further integration of connected healthcare platforms.
Asia Pacific is emerging as the fastest-growing region in the market. Government support, improving healthcare access, and rapid smartphone adoption across countries like China and India are fueling growth. The region is also experiencing a boom in health tech startups.
Competitive Analysis
The connected healthcare market is witnessing heightened competition, with major players innovating to stay ahead. Companies are launching new platforms, enhancing their tech stacks, and forming strategic partnerships to deliver value-driven healthcare services. Key players include:
• Agamatrix
• AirStrip Technologies
• AliveCor Inc
• Allscripts
• Apple Inc.
• Athenahealth
• Boston Scientific Corporation
• Cerner
• GE Healthcare
• Honeywell Life Care Solutions
• Medtronic
For instance, Philips has been at the forefront with its HealthSuite platform, providing real-time health insights through data aggregation and cloud integration. Similarly, efforts by companies like SpaceX to expand satellite internet access for remote healthcare delivery are broadening the market’s reach.
Recent Developments
In August 2024, Aster DM Healthcare launched its Tele-ICU services under the Aster Connected Care brand in India. This offering includes 24/7 audiovisual communication, expert monitoring, and timely alerts, enhancing the quality of critical care.
In May 2024, SpaceX introduced its Starlink satellite internet services for healthcare centers in Bali, Indonesia. This initiative supports telemedicine, remote monitoring, and digital healthcare access in remote communities, addressing longstanding connectivity gaps.
Market Outlook and Future Trends
The connected healthcare market is expected to maintain its upward trajectory through 2032. As healthcare systems shift toward digital-first approaches, innovations in AI, cloud computing, wearable tech, and virtual care will remain central to market growth. The push for value-based care and patient-centric models will further accelerate investment and development.
Despite data privacy concerns and regulatory hurdles, the overall industry sentiment remains positive. Standardization of data sharing practices, enhanced cybersecurity frameworks, and flexible regulations will help overcome these barriers and ensure smooth technology adoption across regions.
Market Segmentation
By Type
• mHealth Services
• mHealth Devices
• e-Prescription
By Application
• Diagnosis & Treatment
• Monitoring Applications
• Wellness & Prevention
• Healthcare Management
• Others
By Region
• North America
• Asia Pacific
• Europe
• Latin America
• Middle East & Africa
Please note: Delivery Timelines - 5 working days.
Market Insights
Connected healthcare refers to the integration of digital technologies—such as mobile apps, remote monitoring, artificial intelligence (AI), and telehealth services—into traditional healthcare systems. These tools enable seamless communication and data exchange between patients, physicians, and healthcare facilities. As consumer expectations evolve, there is a growing preference for real-time, personalized, and remote health services.
The market has seen substantial growth in recent years, spurred by the global pandemic, rising healthcare costs, and the proliferation of mobile devices. Wearables and smart devices are helping individuals track vital health data, while AI and blockchain are optimizing analytics and data security. The focus has shifted from treatment to prevention, making the market more dynamic and innovation-driven.
Key Market Drivers
1. Telehealth Expansion
Telehealth services experienced rapid growth as healthcare providers sought alternatives to in-person visits during the pandemic. Virtual consultations continue to gain momentum, enhancing accessibility for patients in rural or underserved regions.
2. Wearable Technology Innovation
Smartwatches, fitness trackers, and biosensors have become integral to health management. These devices allow continuous monitoring and help patients and doctors make informed decisions regarding chronic diseases and overall well-being.
3. Preventive Healthcare Focus
Rising awareness about preventive care is shifting healthcare strategies globally. Consumers are increasingly embracing proactive health monitoring and lifestyle management, encouraging greater adoption of connected health solutions.
Emerging Business Opportunities
1. Artificial Intelligence and Machine Learning Integration
The integration of AI and ML is transforming connected healthcare by enabling predictive analytics, intelligent diagnostics, and personalized treatment plans. These technologies help healthcare professionals identify health risks earlier and intervene proactively.
2. Remote Patient Monitoring (RPM)
With the increasing burden of chronic diseases and aging populations, RPM presents a scalable solution. Using wearable devices and mobile apps, patients can track their health outside clinical settings. This reduces hospital visits, enhances engagement, and enables early intervention.
3. Blockchain in Data Security
Blockchain is being adopted to manage and secure electronic health records (EHRs). The decentralized nature of blockchain ensures data integrity and provides healthcare providers with safe and efficient methods for information exchange.
Regional Outlook
North America is currently leading the connected healthcare market. The region benefits from advanced digital infrastructure, high smartphone penetration, and increased investment in healthcare technologies. The U.S. continues to experience strong adoption of remote care and digital tools aimed at improving patient outcomes and reducing costs.
Europe holds the second-largest market share. The continent is seeing increased mobile usage among both healthcare professionals and patients. Policies like Germany’s Digital Healthcare Act, which allows for mobile-based prescriptions, are driving further integration of connected healthcare platforms.
Asia Pacific is emerging as the fastest-growing region in the market. Government support, improving healthcare access, and rapid smartphone adoption across countries like China and India are fueling growth. The region is also experiencing a boom in health tech startups.
Competitive Analysis
The connected healthcare market is witnessing heightened competition, with major players innovating to stay ahead. Companies are launching new platforms, enhancing their tech stacks, and forming strategic partnerships to deliver value-driven healthcare services. Key players include:
• Agamatrix
• AirStrip Technologies
• AliveCor Inc
• Allscripts
• Apple Inc.
• Athenahealth
• Boston Scientific Corporation
• Cerner
• GE Healthcare
• Honeywell Life Care Solutions
• Medtronic
For instance, Philips has been at the forefront with its HealthSuite platform, providing real-time health insights through data aggregation and cloud integration. Similarly, efforts by companies like SpaceX to expand satellite internet access for remote healthcare delivery are broadening the market’s reach.
Recent Developments
In August 2024, Aster DM Healthcare launched its Tele-ICU services under the Aster Connected Care brand in India. This offering includes 24/7 audiovisual communication, expert monitoring, and timely alerts, enhancing the quality of critical care.
In May 2024, SpaceX introduced its Starlink satellite internet services for healthcare centers in Bali, Indonesia. This initiative supports telemedicine, remote monitoring, and digital healthcare access in remote communities, addressing longstanding connectivity gaps.
Market Outlook and Future Trends
The connected healthcare market is expected to maintain its upward trajectory through 2032. As healthcare systems shift toward digital-first approaches, innovations in AI, cloud computing, wearable tech, and virtual care will remain central to market growth. The push for value-based care and patient-centric models will further accelerate investment and development.
Despite data privacy concerns and regulatory hurdles, the overall industry sentiment remains positive. Standardization of data sharing practices, enhanced cybersecurity frameworks, and flexible regulations will help overcome these barriers and ensure smooth technology adoption across regions.
Market Segmentation
By Type
• mHealth Services
• mHealth Devices
• e-Prescription
By Application
• Diagnosis & Treatment
• Monitoring Applications
• Wellness & Prevention
• Healthcare Management
• Others
By Region
• North America
• Asia Pacific
• Europe
• Latin America
• Middle East & Africa
Please note: Delivery Timelines - 5 working days.
Table of Contents
182 Pages
- 1. Executive Summary
- 1.1. Global Connected Healthcare Market Snapshot
- 1.2. Future Projections
- 1.3. Key Market Trends
- 1.4. Regional Snapshot, by Value, 2025
- 1.5. Analyst Recommendations
- 2. Market Overview
- 2.1. Market Definitions and Segmentations
- 2.2. Market Dynamics
- 2.2.1. Drivers
- 2.2.2. Restraints
- 2.2.3. Market Opportunities
- 2.3. Value Chain Analysis
- 2.4. Porter’s Five Forces Analysis
- 2.5. COVID-19 Impact Analysis
- 2.5.1. Supply
- 2.5.2. Demand
- 2.6. Economic Overview
- 2.6.1. World Economic Projections
- 2.7. PESTLE Analysis
- 3. Global Connected Healthcare Market Outlook, 2019-2032
- 3.1. Global Connected Healthcare Market Outlook, by Type, Value (US$ Bn), 2019-2032
- 3.1.1. Key Highlights
- 3.1.1.1. mHealth Services
- 3.1.1.2. mHealth Devices
- 3.1.1.3. e-Prescription
- 3.2. Global Connected Healthcare Market Outlook, by Application, Value (US$ Bn), 2019-2032
- 3.2.1. Key Highlights
- 3.2.1.1. Diagnosis & Treatment
- 3.2.1.2. Monitoring Applications
- 3.2.1.3. Wellness & Prevention
- 3.2.1.4. Healthcare Management
- 3.2.1.5. Others
- 3.3. Global Connected Healthcare Market Outlook, by Region, Value (US$ Bn), 2019-2032
- 3.3.1. Key Highlights
- 3.3.1.1. North America
- 3.3.1.2. Europe
- 3.3.1.3. Asia Pacific
- 3.3.1.4. Latin America
- 3.3.1.5. Middle East & Africa
- 4. North America Connected Healthcare Market Outlook, 2019-2032
- 4.1. North America Connected Healthcare Market Outlook, by Type, Value (US$ Bn), 2019-2032
- 4.1.1. Key Highlights
- 4.1.1.1. mHealth Services
- 4.1.1.2. mHealth Devices
- 4.1.1.3. e-Prescription
- 4.2. North America Connected Healthcare Market Outlook, by Application, Value (US$ Bn), 2019-2032
- 4.2.1. Key Highlights
- 4.2.1.1. Diagnosis & Treatment
- 4.2.1.2. Monitoring Applications
- 4.2.1.3. Wellness & Prevention
- 4.2.1.4. Healthcare Management
- 4.2.1.5. Others
- 4.3. North America Connected Healthcare Market Outlook, by Country, Value (US$ Bn), 2019-2032
- 4.3.1. Key Highlights
- 4.3.1.1. U.S. Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 4.3.1.2. U.S. Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 4.3.1.3. Canada Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 4.3.1.4. Canada Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 4.3.2. BPS Analysis/Market Attractiveness Analysis
- 5. Europe Connected Healthcare Market Outlook, 2019-2032
- 5.1. Europe Connected Healthcare Market Outlook, by Type, Value (US$ Bn), 2019-2032
- 5.1.1. Key Highlights
- 5.1.1.1. mHealth Services
- 5.1.1.2. mHealth Devices
- 5.1.1.3. e-Prescription
- 5.2. Europe Connected Healthcare Market Outlook, by Application, Value (US$ Bn), 2019-2032
- 5.2.1. Key Highlights
- 5.2.1.1. Diagnosis & Treatment
- 5.2.1.2. Monitoring Applications
- 5.2.1.3. Wellness & Prevention
- 5.2.1.4. Healthcare Management
- 5.2.1.5. Others
- 5.3. Europe Connected Healthcare Market Outlook, by Country, Value (US$ Bn), 2019-2032
- 5.3.1. Key Highlights
- 5.3.1.1. Germany Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 5.3.1.2. Germany Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 5.3.1.3. U.K. Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 5.3.1.4. U.K. Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 5.3.1.5. France Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 5.3.1.6. France Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 5.3.1.7. Italy Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 5.3.1.8. Italy Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 5.3.1.9. Turkey Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 5.3.1.10. Turkey Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 5.3.1.11. Russia Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 5.3.1.12. Russia Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 5.3.1.13. Rest of Europe Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 5.3.1.14. Rest of Europe Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 5.3.2. BPS Analysis/Market Attractiveness Analysis
- 6. Asia Pacific Connected Healthcare Market Outlook, 2019-2032
- 6.1. Asia Pacific Connected Healthcare Market Outlook, by Type, Value (US$ Bn), 2019-2032
- 6.1.1. Key Highlights
- 6.1.1.1. mHealth Services
- 6.1.1.2. mHealth Devices
- 6.1.1.3. e-Prescription
- 6.2. Asia Pacific Connected Healthcare Market Outlook, by Application, Value (US$ Bn), 2019-2032
- 6.2.1. Key Highlights
- 6.2.1.1. Diagnosis & Treatment
- 6.2.1.2. Monitoring Applications
- 6.2.1.3. Wellness & Prevention
- 6.2.1.4. Healthcare Management
- 6.2.1.5. Others
- 6.2.2. BPS Analysis/Market Attractiveness Analysis
- 6.3. Asia Pacific Connected Healthcare Market Outlook, by Country, Value (US$ Bn), 2019-2032
- 6.3.1. Key Highlights
- 6.3.1.1. China Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 6.3.1.2. China Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 6.3.1.3. Japan Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 6.3.1.4. Japan Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 6.3.1.5. South Korea Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 6.3.1.6. South Korea Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 6.3.1.7. India Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 6.3.1.8. India Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 6.3.1.9. Southeast Asia Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 6.3.1.10. Southeast Asia Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 6.3.1.11. Rest of Asia Pacific Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 6.3.1.12. Rest of Asia Pacific Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 6.3.2. BPS Analysis/Market Attractiveness Analysis
- 7. Latin America Connected Healthcare Market Outlook, 2019-2032
- 7.1. Latin America Connected Healthcare Market Outlook, by Type, Value (US$ Bn), 2019-2032
- 7.1.1. Key Highlights
- 7.1.1.1. mHealth Services
- 7.1.1.2. mHealth Devices
- 7.1.1.3. e-Prescription
- 7.2. Latin America Connected Healthcare Market Outlook, by Application, Value (US$ Bn), 2019-2032
- 7.2.1.1. Diagnosis & Treatment
- 7.2.1.2. Monitoring Applications
- 7.2.1.3. Wellness & Prevention
- 7.2.1.4. Healthcare Management
- 7.2.1.5. Others
- 7.2.2. BPS Analysis/Market Attractiveness Analysis
- 7.3. Latin America Connected Healthcare Market Outlook, by Country, Value (US$ Bn), 2019-2032
- 7.3.1. Key Highlights
- 7.3.1.1. Brazil Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 7.3.1.2. Brazil Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 7.3.1.3. Mexico Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 7.3.1.4. Mexico Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 7.3.1.5. Argentina Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 7.3.1.6. Argentina Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 7.3.1.7. Rest of Latin America Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 7.3.1.8. Rest of Latin America Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 7.3.2. BPS Analysis/Market Attractiveness Analysis
- 8. Middle East & Africa Connected Healthcare Market Outlook, 2019-2032
- 8.1. Middle East & Africa Connected Healthcare Market Outlook, by Type, Value (US$ Bn), 2019-2032
- 8.1.1. Key Highlights
- 8.1.1.1. mHealth Services
- 8.1.1.2. mHealth Devices
- 8.1.1.3. e-Prescription
- 8.2. Middle East & Africa Connected Healthcare Market Outlook, by Application, Value (US$ Bn), 2019-2032
- 8.2.1. Key Highlights
- 8.2.1.1. Diagnosis & Treatment
- 8.2.1.2. Monitoring Applications
- 8.2.1.3. Wellness & Prevention
- 8.2.1.4. Healthcare Management
- 8.2.1.5. Others
- 8.2.2. BPS Analysis/Market Attractiveness Analysis
- 8.3. Middle East & Africa Connected Healthcare Market Outlook, by Country, Value (US$ Bn), 2019-2032
- 8.3.1. Key Highlights
- 8.3.1.1. GCC Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 8.3.1.2. GCC Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 8.3.1.3. South Africa Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 8.3.1.4. South Africa Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 8.3.1.5. Egypt Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 8.3.1.6. Egypt Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 8.3.1.7. Nigeria Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 8.3.1.8. Nigeria Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 8.3.1.9. Rest of Middle East & Africa Connected Healthcare Market by Type, Value (US$ Bn), 2019-2032
- 8.3.1.10. Rest of Middle East & Africa Connected Healthcare Market by Application, Value (US$ Bn), 2019-2032
- 8.3.2. BPS Analysis/Market Attractiveness Analysis
- 9. Competitive Landscape
- 9.1. Company Market Share Analysis, 2025
- 9.2. Competitive Dashboard
- 9.3. Company Profiles
- 9.3.1. Agamatrix
- 9.3.1.1. Company Overview
- 9.3.1.2. Therapy Portfolio
- 9.3.1.3. Financial Overview
- 9.3.1.4. Business Strategies and Development
- 9.3.2. AirStrip Technologies
- 9.3.2.1. Company Overview
- 9.3.2.2. Therapy Portfolio
- 9.3.2.3. Financial Overview
- 9.3.2.4. Business Strategies and Development
- 9.3.3. AliveCor Inc
- 9.3.3.1. Company Overview
- 9.3.3.2. Therapy Portfolio
- 9.3.3.3. Financial Overview
- 9.3.3.4. Business Strategies and Development
- 9.3.4. Allscripts
- 9.3.4.1. Company Overview
- 9.3.4.2. Therapy Portfolio
- 9.3.4.3. Financial Overview
- 9.3.4.4. Business Strategies and Development
- 9.3.5. Apple Inc.
- 9.3.5.1. Company Overview
- 9.3.5.2. Therapy Portfolio
- 9.3.5.3. Financial Overview
- 9.3.5.4. Business Strategies and Development
- 9.3.6. Athenahealth
- 9.3.6.1. Company Overview
- 9.3.6.2. Therapy Portfolio
- 9.3.6.3. Financial Overview
- 9.3.6.4. Business Strategies and Development
- 9.3.7. Boston Scientific Corporation
- 9.3.7.1. Company Overview
- 9.3.7.2. Therapy Portfolio
- 9.3.7.3. Financial Overview
- 9.3.7.4. Business Strategies and Development
- 9.3.8. Cerner
- 9.3.8.1. Company Overview
- 9.3.8.2. Therapy Portfolio
- 9.3.8.3. Financial Overview
- 9.3.8.4. Business Strategies and Development
- 9.3.9. GE Healthcare
- 9.3.9.1. Company Overview
- 9.3.9.2. Therapy Portfolio
- 9.3.9.3. Financial Overview
- 9.3.9.4. Business Strategies and Development
- 9.3.10. Honeywell Life Care Solutions
- 9.3.10.1. Company Overview
- 9.3.10.2. Therapy Portfolio
- 9.3.10.3. Financial Overview
- 9.3.10.4. Business Strategies and Development
- 9.3.11. Others
- 9.3.11.1. Company Overview
- 9.3.11.2. Therapy Portfolio
- 9.3.11.3. Financial Overview
- 9.3.11.4. Business Strategies and Development
- 10. Appendix
- 10.1. Research Methodology
- 10.2. Report Assumptions
- 10.3. Acronyms and Abbreviations
Pricing
Currency Rates
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