2019 Global Health Care Outlook - Deloitte United States
2019 Global Health Care Outlook
Shaping the future
Global health care spending continues to increase dramatically
is projected to reach
$10.059 trillion by 2022
Annual
9.0 growth
8.0 7.0
rate
6.0
5.0
4.0
2.9% 3.0
2.0
1.0 2013-2017
0.0
9.0 8.0 7.0
6.0 5.4%
5.0
4.0 2018-2022
3.0
2.0 1.0
0.0
Factors impacting health care costs
life expectancy continues to climb--number of people aged over 65 globally is more than 668 million, or 11.6%, of the total global population
winning the fight against communicable diseases
non-communicable diseases (NCDs)--most prominently, cancer, heart disease, and diabetes--continue to grow
The need to partner with other sectors such as employment, housing, education, and transportation to address the social determinants of health, and with new sectors such as retail, banking, and technology giants to improve data and platform interoperability
Spending is expected to continue to be uneven
Health care per person by 2022
$11,674 United States
$54 Pakistan
Shifting the focus from `sick' care to one of `health' care, supported by:
Well-being Prevention Early intervention
"Superclusters" of public-private providers, payers, and market disruptor using a smart health community approach to collectively drive innovation, increase access and affordability, improve quality, and lower costs through more efficient delivery models.
Informed and empowered consumers
Change agents and active caretakers of their health who have high expectations of their health care ecosystem
These consumers will likely be "pulling" solutions rather than being "pushed" services (move from B2C to C2B).
How will stakeholders respond?
use innovative technologies and personalized programs to engage with consumers and improve the patient experience.
data interoperability, security, and ownership moves to the forefront
health care delivery and mobility may radically alter everything from the site of care to who delivers care and how.
Top issues
Creating financial sustainability in an uncertain health economy
Financial disruptors
emergence of personalized medicine exponential technologies disruptive competitors expanded delivery sites revamped payment models
Health care spending in 2019 will likely be driven by the shared factors of:
aging and growing populations
developing market expansion
clinical and technology advances
rising labor costs
How are providers addressing this issue?
Health technology Health technology sector is expected to reach USD $280 billion by 2021, at a CAGR of 15.9% between 2016?2021
Mergers, acquisitions, and partnering Vertical and horizontal
Alternative revenue sources
Using new care delivery models to improve access and affordability
Continued transition from volume-based/fee-for-service (FFS) models
to value-based care (VBC)
A successful value-based payments strategy likely requires:
payer/provider collaboration sharing of patients' health data
IT and analytical support
Technology is helping in this transition:
virtual health/telehealth wearables sensors, biometrics
Virtual health
64% of consumers point to convenience and access as important benefits of virtual health
Physicians' top benefits: improved patient access to care improved patient satisfaction staying connected with patients and their caregivers
Barriers of virtual health
lack of reimbursement complex licensing requirements high cost of the technologies reliability/errors privacy & security
Social determinants of health often have a greater impact on health outcomes than does health care
Socioeconomic status Employment Social care networks
Social determinants
of health factors
Education/physical environment Neighborhood
Health care access
Adapting to changing consumer needs, demands, and expectations
Transformation to value and
outcomes-based health care
Patients and caregivers appear to be demanding change. Dissatisfied with poor service and lack of transparency around price, quality, and safety, today's health care consumers are expecting solutions that are coordinated, convenient, customized, and accessible.
Digital technologies can improve engagement, enable convenience-driven access to care, and nurture a two-way relationship for the long term
Patient engagement strategies--digital health, telehealth, wearable monitoring and fitness devices, online resources, social media
New players in this area--consumer, retail, and technology sectors
There is emerging support for moving away from a reactive approach to chronic care management, in which coordination between stakeholders, therapy, and care is limited or ad hoc, to a proactive model in which engagement tools and support bolster both patients and health care providers
"Nudging"--a change in the way choices are presented or information is framed that alters people's behavior in a predictable way without restricting choices--in increasingly seen as an option to help with patient adherence.
Investing in digital innovation and transformation
There is an exponential increase in the pace and scale with which digital health care innovations are emerging
Digital innovations that are helping reshape the future of health care by making health care delivery more efficient and more accessible
Blockchain
Digital innovation impacting more than just clinical--also impacting back-office operations like supply chain, finance, revenue cycle, HR
Internet of Medical Things (IoMT)
Cloud-based computing
Robotic process automation (RPA)
Digital and virtual reality
AI
Robotics
Cloud-based software as-a-service (SaaS)
Virtual health
How is digital helping?
diagnosis & treatment
self-service
quality
patient experience
speed & accuracy
training
accelerating the development of new drugs and devices
personalization
Digital innovation is supporting and augmenting workers and not replacing them. It is allowing highly trained resources to focus on more valuable, patient-facing activities.
Digital technologies are supporting health systems' efforts to transition to new models of patient-centered care and "smart health" approaches to drive innovation, increase access and affordability, improve quality, and lower costs.
Maintaining regulatory compliance and cyber security
As data is becoming the new health care currency, protecting it will be key
Clinical innovations, digital interconnectivity, and market complexity is heightening the need for new government policies, regulatory oversight, and risk management in health care
Cybersecurity currently heads the list of regulatory issues for many health care leaders
Crises are on the rise. Are organizations prepared?
Experiencing a crisis teaches organizations to avoid them Leaders need more development for crisis management Confidence outstrips preparedness
Volume of data Interoperability Connected devices Quality Safety Cyber Privacy
Being at the ready significantly reduces the negative impact of a crisis
Third parties are part of the problem--and the solution
Recruiting, developing, and retaining top talent
Staffing can represent up to
70% of a hospital's cost
Causes of current staffing issues:
increased demand/heavy workload poor work/life balance
declining morale well-being concerns
Three dimensions shaping the future of work
What work can be automated? AI Cognitive tech Robotics
Where is the work done? Telehealth Digital medicine Remote monitoring
Who can do the work?
Clinical recruitment
Alternative models
Part-time
Crowdsourced
Contractors
Automated
Freelancers
Key point--innovative approaches to workforce planning, recruitment, skills development, and technology use will be key for the future of work
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