Health care has undergone many changes within in the last few years. This presentation identifies the 5 macro-trends associated with the future of health care in the United States.
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Group 3 week 10 presentation
1. The Future of Healthcare in
the United States
Nicole Black, Leslie Francis, Diana Reyes and Jessie
Wyers
University of Maryland University College
HCAD600
3. Economy
❏ Affordable Care Act (ACA)
❏ The ACA increased the
number of insured
Americans, increasing
healthcare utilization
and spending.
❏ Recession of 2007-2009
❏ Initially the recession
lowered healthcare
expenditures in the US.
❏ As the economy
recovers, healthcare
spending will increase.
Levitt, Claxton, Roehrig &Getzen (2013).
4. Demographics
❏ Aging population (65 years and
older)
❏ By 2050 1 in 5 Americans will be 65 years and
older, an increase from the current 1 in 9
(Halaweish & Halam, 2015).
❏ The increase in older adults entering the US
health system is expected to cause a nurse
shortage, with an estimated 1.05 million open
RN positions expected by 2022 (American
Association of Colleges of Nursing, 2014).
❏ Due to an increase in healthcare technology,
older adults are living longer. However,
chronic diseases are becoming an ongoing issue
and the need for more healthcare providers and
healthcare facilities will increase. Healthcare
expenditures will also increase due to chronic
disease.
Retrieved from: http://www.aha.org/research/reports/tw/chartbook/ch1.shtml
5. ❏ Younger adult population
❏ Under the ACA, those 26 and older are now
covered under their parents insurance plans.
Since healthcare reform, there has been a
decrease in the number of uninsured young
adults visiting emergency rooms and an
increase in primary care utilization (Lau,
Adams, Boscardin & Irwin, 2014). This lowers
the cost of out of pocket medical expenses
incurred by young adults previously
uninsured. This graph demonstrates a rapid
increase from 2004 to 2010 in the percentage
of dependent young adults covered under the
2010 ACA guidelines.
Cantor, Monheit, DeLia & Lloyd (2012)
6. Personal Lifestyles and Behaviors
❏ Obesity
❏ Obesity is partly responsible for chronic
diseases such as diabetes, stroke, heart disease,
cancer and osteoarthritis.
❏ Obesity and chronic conditions caused by
obesity, are responsible for high rates of
healthcare utilization and expenditures.
❏ Smoking
❏ Per the American Lung Association, smoking is
the number one leading preventable cause of
death in the US.
❏ 15% of Medicaid spending is spent on smoking
related illnesses (American Lung Association).
❏ Sedentary lifestyle
❏ A majority of health insurance claims are
lifestyle related.
❏ The Centers for Disease Control and
Prevention suggest a high amount of
individuals in the US lack necessary daily
physical activity.
7. This graph
demonstrates the
burden smoking creates
on health care costs
over seven years. It
should be noted that
although the costs for
former smokers and
continuing smokers
fluctuated over the
years, both categories
remained significantly
higher than non-
smokers.
Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360912/
8. Technology
❏ Biotechnology
❏ Technology based science that uses the processes of cells
and bio-molecules to design technology fit to make our
health and planet better (Biotechnology Industry
Organization).
❏ Reduces the rates of infectious diseases, creates tools for
more precise disease detection, develops crops with
enhanced nutrition profiles that solve vitamin and nutrition
deficiencies.
❏ Smart technology
❏ Allows healthcare providers to share pertinent healthcare
information across various healthcare entities.
❏ Security measures must be taken to ensure patient
information is safely stored.
❏ Health information technology
❏ Includes Electronic Health Records and private and secure
electronic health information exchanges.
9. Government
❏ Affordable Care Act (ACA)
❏ The ACA improves access to
affordable health coverage and
protects consumers from abusive
insurance company practices
(Whitehouse, 2015).
❏ Insurers can no longer impose
lifetime dollar limits on essential
health benefits.
❏ Insurance companies can no longer
discriminate by denying healthcare
coverage or charge more because of
a pre-existing condition.
❏ The ACA allows people to shop for
healthcare in a marketplace to
compare and contrast different
companies, and make better choices.
http://www.aha.org/research/reports/tw/chartbook/ch1.shtml
10. References
American Hospital Association. Trends affecting hospitals and health systems. Retrieved from:
http://www.aha.org/research/reports/tw/chartbook/ch1.shtml
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2014-2015 Edition, Medical and Health Services Managers. (2014,
January 8). Retrieved from http://www.bls.gov/ooh/management/medical-and-health-services-managers.htm
Cantor, J. C., Monheit, A. C., DeLia, D., & Lloyd, K. (2012). Early impact of the Affordable Care Act on health insurance coverage of young adults. Health
Services Research, 47(5), 1773-1790. doi:10.1111/j.1475-6773.2012.01458.x
Discussing the Pros and Cons of Obamacare. (n.d.). Retrieved April 23, 2015, from http://obamacarefacts.com/obamacare-pros-and-cons/
Fishman, P., Kahn. Z., Thompson, E., Curry, S. (2003). Health care costs among smokers, former smokers and never smokers in an HMO. Health Services
Research. 38(2). 733-749. doi: 10.1111/1475-6773.00142
General Health (2015). Retrieved from http://www.trekdesk.com
Halaweish, I., & Alam, H. (2015). Changing demographics of the American population. Surgical Clinics of North America. (95)1.
10-1. doi:10.1016/j.suc.2014.09.002
11. References
Health IT regulations. (2015, March 27). Retrieved April 23, 2015, from http://www.healthit.gov/policy-researchers-implementers/health-it-regulations
Lau, J., Adams, S., Boscardin, W., & Irwin, C. (2014). Young adults’ healthcare utilization and expenditures prior to the affordable
care act. Journal of Adolescent Health. (54)6. 663-671. doi:10.1016/j.jadohealth.2014.03.001
Levitt, L., Claxton, G., Roehrig, C., & Getzen, T. (2013, April 22). Assessing the Effects of the Economy on the Recent Slowdown in
Health Spending. Retrieved from http://kff.org/health-costs/issue-brief/assessing-the-effects-of-the
economy-on-the-recent-slowdown-in-health-spending-2/
Obesity and Overweight (2015). Retrieved from http://www.who.int
Rosseter, R. (2014). Nursing shortage fact sheet [PDF document]. Retrieved from American Association of Colleges of Nurses
Website: http://www.aacn.nche.edu/mediarelations/NrsgShortageFS.pdf
Stop Smoking (2015). Retrieved from http://www.lung.org
What is Biotechnology (2015). Retrieved from http://bio.org
The ACA
Increases the number of insured Americans.
The recession of 2007-2009
77% of recent decline in healthcare expenditures can be attributed to changes in the economy (Levitt, Claxton, Roehrig &Getzen, 2013).
As the economy beings to increase, healthcare spending will increase as well.
Aging population
By 2050 1 in 5 Americans will be 65 years and older, and increase from the current 1 in 9 (Halaweish & Halam, 2015).
Those 85 years and older are more likely to have a disability and more likely to require long term institutionalization. This may add extra strain to the US healthcare sector.
The increase in older adults entering the US health system is expected to cause a nursing shortage, with an estimated 1.05 million open RN positions expected by 2022 (American Association of Colleges of Nursing, 2014).
Due to an increase in healthcare technology, older adults are living longer. However, chronic diseases are becoming an ongoing issue and the need for more healthcare providers and healthcare facilities will increase.
The increase in chronic diseases will also increase the need for long term care services such as home health care and nursing facilities.
Younger adult population
Under the ACA, those 26 and older are now able to be covered under parents insurance plan.
Since healthcare reform, there has been a decrease in the number of uninsured young adults visiting emergency rooms and an increase in promary care utilization (Lau, Adams, Boscardin & Irwin, 2014).
This lowers the cost of out of pocket medical expenses incurred by young adults previous uninsured.
Aging population
By 2050 1 in 5 Americans will be 65 years and older, and increase from the current 1 in 9 (Halaweish & Halam, 2015).
Those 85 years and older are more likely to have a disability and more likely to require long term institutionalization. This may add extra strain to the US healthcare sector.
The increase in older adults entering the US health system is expected to cause a nursing shortage, with an estimated 1.05 million open RN positions expected by 2022 (American Association of Colleges of Nursing, 2014).
Due to an increase in healthcare technology, older adults are living longer. However, chronic diseases are becoming an ongoing issue and the need for more healthcare providers and healthcare facilities will increase.
The increase in chronic diseases will also increase the need for long term care services such as home health care and nursing facilities.
Younger adult population
Under the ACA, those 26 and older are now able to be covered under parents insurance plan.
Since healthcare reform, there has been a decrease in the number of uninsured young adults visiting emergency rooms and an increase in promary care utilization (Lau, Adams, Boscardin & Irwin, 2014).
This lowers the cost of out of pocket medical expenses incurred by young adults previous uninsured.
Obesity
Obesity is partly responsible for chronic diseases such as diabetes, stroke, heart disease, cancer and osteoarthritis.
Obesity and chronic conditions caused by obesity, are responsible for high rates healthcare utilization and expenditures.
Smoking
Per the American Lung Association, smoking is the number one leading preventable cause of death in the US.
15% of Medicaid spending is spent on smoking related illnesses (American Lung Association).
Sedentary lifestyle
A majority of health insurance claims are lifestyle related.
The Centers for Disease Control and Prevention suggest a high amount of individuals in the US lack necessary physical activity.
Biotechnology
Technology based in technology; technology based science that uses the processes of cells and bio-molecules to design technology fit to make our health and planet better (Biotechnology Industry Organization).
Reduces the rates of infectious diseases, creates tools for more precise disease detection, develops crops with enhanced nutrition profiles that solve vitamin and nutrition deficiencies.
Smart technology
Allows healthcare providers to share pertinent healthcare information across various healthcare entities.
Security measures must be taken to ensure patient information safely stored.
Health information technology
includes Electronic Health Records and private and secure electronic health information exchange.
The ACA improves access to affordable health coverage and protects consumers from abusive insurance company practices (Whitehouse, 2015).
insurers can no longer impose lifetime dollar limits on essential health benefits
Insurance companies can no longer discriminate by denying healthcare coverage or charge more because of a pre-existing condition
allows people to shop for healthcare in a market place to compare and contrast different companies, and make better choices
