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iRhythm Technologies (IRTC) investor relations material
iRhythm Technologies Evercore ISI 8th Annual HealthCONx Conference summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Market overview and product differentiation
Zio Monitor enables 14-day continuous cardiac monitoring, collecting 1.5 million heartbeats per patient, offering deeper clinical insights compared to traditional Holter monitors.
Zio AT, launched in 2019, provides near real-time mobile cardiac telemetry, with a 15% market share in MCT and over 70% in long-term continuous monitoring.
The U.S. ambulatory cardiac monitoring market sees 6.7 million tests annually, with long-term continuous monitoring as the fastest-growing segment.
AI-driven analysis and high physician agreement (99%) on reports differentiate the offering, streamlining clinician workflows.
EHR integration and improved device form factors enhance patient and provider experience, supporting market leadership.
Regulatory and reimbursement landscape
Recent draft LCDs from three MACs could impact service requirements, but industry and physician society feedback supports differentiation between LTCM and MCT.
Medicare rates for long-term continuous monitoring are set to increase by 8% next year, while MCT rates will decrease slightly but remain stable.
Commercial reimbursement, representing 50% of revenue, remains stable and is set independently from Medicare.
No formal 2026 guidance yet, but positive reimbursement trends are expected to support growth.
Growth drivers and business momentum
Fiscal 2025 saw revenue acceleration above 25%, driven by AT growth, innovative channels, and EHR integration.
Competitive disruption in Q4 2024 and Big Bang account launches contributed to strong performance, with 85% retention of disrupted business.
EHR integration now accounts for over 50% of volume, with a consistent 25% volume uplift post-integration.
Innovative channels target high-risk, undiagnosed arrhythmia populations, with 18 partners and a pipeline of 40 more.
80% of monitored patients in innovative channels show arrhythmias, validating the proactive monitoring approach.
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