The pace of innovation in hearing healthcare is faster than it has ever been, with changes to technology, services and delivery channels that will forever impact people with hearing loss and the professionals who provide hearing healthcare. These advances span the hearing landscape from the medical domain across to the consumer domain, from implantable devices to OTC and hearables to self-diagnostic apps. This talk will provide the context for which telemedicine, machine learning, new delivery models and other advances will shape who will be the new consumers of hearing healthcare, how they will receive treatment, what those treatments may look like, and the role that audiology will play in this new future.