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Group 3 week 10 presentation
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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
- The Future of Healthcare in the United States Nicole Black, Leslie Francis, Diana Reyes and Jessie Wyers University of Maryland University College HCAD600
- Macro-Trends Affecting Healthcare ❏ Economy ❏ Demographics ❏ Personal lifestyles and behaviors ❏ Technology ❏ Government
- 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).
- 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
- ❏ 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)
- 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.
- 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/
- 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.
- 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
- 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
- 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
- Thank You
Notas do Editor
- 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
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