A trifecta of forces—higher-acuity inpatients, an aging population and rising utilization—is increasing pressure on post-acute care (PAC) demand. The case mix index rose 3% between 2019 and 2024, and PAC growth is not expected to slow, with Sg2 projecting a 31% increase over the next decade. As demand accelerates, capacity, performance and strategic alignment of PAC assets are becoming increasingly essential to managing overall health system performance.