New Care Delivery Options New paradigms in healthcare delivery will make care more affordable, more convenient, and more responsive.
Behind the numbers - Chart pack Medical cost trend over the years Large fluctuations in medical cost trend have, for now, disappeared, but healthcare continues to represent a large share of the US economy and a large share of total employee compensation.
A consistent growth rate between 5. Healthcare inflators Care anywhere and everywhere Responding to increased consumer pressure, employers and health plans are improving convenience by giving consumers more ways to get care. The long-term goal is to decrease spending, but in the short term, more access points can increase utilization.
Provider megamergers The provider landscape will grow more concentrated after several recently announced mega-deals are completed. Prices tend to rise when health systems merge and the consolidated entity gains market share and negotiating power.
Physician consolidation and employment More doctors are practicing as employees of hospitals, health systems and medical groups. These organizations tend to charge higher prices than independent doctors. Healthcare deflators Flu impact The influenza season was the worst in several years, increasing utilization of care and driving up medical costs.
Care advocacy Employers and health plans are offering consumers new services that engage and guide the consumer to better quality and lower-cost care. High-performance networks These limited provider networks emphasize high-quality care and customer satisfaction alongside cost savings.
Some employers are using their buying power to negotiate directly with providers to create high-performance networks. Recurring drivers of healthcare costs Demographics: As baby boomers age, they have more health needs and higher healthcare costs.
Social factors and lifestyle: Unaddressed social factors of health, such as economic stability and education, can impact utilization patterns and care decisions. Poor wellness and prevention habits are drivers of ill health.
Healthcare prices rise alongside economywide input prices. Medical technology and innovation: New health technologies can improve outcomes and patient satisfaction but tend to cost more than existing ones.
Specialty drugs and gene therapies typically apply to a small segment of the population. Yet their costs are high enough to affect employer healthcare spending.
Inthe industry may experience more uninsured and underinsured individuals due to the elimination of the individual mandate penalty, efforts to expand the use of plans that sidestep Affordable Care Act consumer protections, and the proliferation of state-based Medicaid work requirements.
Health plans have seen improved quality and cost outcomes thanks to value-based arrangements and will continue to push for them. What this means for your business.What you need to know now about how healthcare will look in the not so distant future.
There are all kinds of facts, figures, and guesses floating around right now as to what are the top healthcare challenges and trends in and beyond. I’ve thought about it and put together this list about what we can expect in the near future.
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Health Care in America: Trends in Utilization Acknowledgments Overall responsibility for planning and coordinating the content of this publication rested with the Division of Health Care Statistics (DHCS), National Center for Health Statistics (NCHS).