Changing Face of US Healthcare - US - December 2016

OVERVIEW
What you need to know
Definition
EXECUTIVE SUMMARY
The issues
Seniors utilize the most healthcare services, yet report less than ideal health status
Figure 1: Healthcare provider visitation (any – Net), by age, September 2016
Adults are most concerned with the costs associated with healthcare
Figure 2: Cost-related healthcare concerns, September 2016
Costs are concerning, yet receive little discussion with a provider
Figure 3: Provider questions related to cost, September 2016
The opportunities
Turn hospitals into a place of wellness
Figure 4: Hospital visitation within the past year, September 2016
Give consumers access to their health data
Figure 5: In control of health with access to information and access causes overwhelmed feelings, September 2016
Offer guidance; the young and the old are seeking it
Figure 6: Provider asked for steps needed to improve health, by age, September 2016
What it means
THE MARKET – WHAT YOU NEED TO KNOW
Health insurance coverage correlates with recent healthcare visitation
Alternative medicine and technology can align with traditional healthcare
The US population is aging, incomes are declining, and people are moving to cities
SNAPSHOT OF US HEALTHCARE
Most people in the US have health insurance, largely employer-based
Figure 7: Health insurance coverage, by type of health insurance, 2015
Access to care a challenge for some while healthcare expenditures rise
Figure 8: Delay or nonreceipt of needed medical care in the US during the past 12 months due to cost, by age and percent of poverty level, 2010-14
Figure 9: Per capita personal healthcare expenditures, 2004-14
A recent healthcare provider visit is common; yet hospital stays decline
Figure 10: Healthcare visitation in past 12 months, by age, 2014
Figure 11: One or more hospital stays in the past year, 1997-2014
Seniors and lower-income families self-report the lowest health status
Figure 12: Fair/poor self-assessed health status, by age and percentage of poverty level, 2005-14
MARKET PERSPECTIVE
Alternative medicine has a place in traditional healthcare
Figure 13: I prefer alternative medicine to standard medical practices (any agree), July 2015-August 2016
The power of technology and making a self-diagnosis
Figure 14: I gather health information from websites (any agree), July 2015-August 2016
MARKET FACTORS
The US population is aging, creating a greater demand for healthcare
Figure 15: Population by age, 2011-21
The average household income declines again
Figure 16: Median household income, in inflation-adjusted dollars, 2004-14
Increasing urbanization impacts access and satisfaction with US healthcare system
Figure 17: Overall satisfaction with US healthcare system, by area, September 2016
KEY PLAYERS – WHAT YOU NEED TO KNOW
Retail health clinic partnerships, drug deliveries, and telehealth are moving forward
Unaffordable prescription drugs, the fate of the ACA
A human approach to healthcare and the future of pharmacy
WHAT’S WORKING?
New retail health clinic partnerships expand access to care
Pharmaceuticals managed online and delivered in-home
Recent developments in pharmaceutical delivery services:
Telehealth is gaining momentum; use remains moderate
WHAT’S STRUGGLING?
Unaffordable prescription drugs
The uncertain fate of ACA
WHAT’S NEXT?
Bringing back the human approach to healthcare
The evolution of pharmacies
THE CONSUMER – WHAT YOU NEED TO KNOW
Most have visited a healthcare provider recently, predominantly a general practitioner
When seeking a new provider, accepting insurance is essential
Satisfaction with the US healthcare system is polarized
Most concerning to consumers are the costs associated with healthcare
Topics discussed with provider are somewhat limited
Technology and health go hand-in-hand
HEALTHCARE PROVIDER VISITATION
Most adults have visited a healthcare provider in the past year
Figure 18: Healthcare provider visitation, any location (net), September 2016
Seniors and parents saw a healthcare provider more recently
Figure 19: Healthcare provider visitation, any location (net), by age, parental status, and health insurance type, September 2016
General practitioners are seen most often
Figure 20: Healthcare provider visitation, September 2016
Seniors’ healthcare visits differ from those of younger adults
Figure 21: General practice and specialist office visitation within the past year, by age, September 2016
Figure 22: Hospital, urgent care clinic, and retail health clinic visitation within the past year, by age, September 2016
SOURCING HEALTHCARE
Insurance is the main consideration when choosing a provider
Figure 23: Sourcing healthcare, September 2016
A convenient location is important to seniors and suburban residents
Figure 24: Convenient location impact on healthcare provider choice, by age and area, September 2016
Cash-strapped consumers are paying attention to costs
Figure 25: Impact of cost of services on healthcare provider choice, by age, household income, and insurance type, September 2016
Some adults take into consideration the online presence of a provider
Figure 26: Online presence impact on healthcare provider choice, by age and area, September 2016
HEALTHCARE SATISFACTION
Overall satisfaction with the US healthcare system is moderate
Figure 27: Healthcare satisfaction, September 2016
Figure 28: Overall satisfaction with the US healthcare system, by insurance type, September 2016
Figure 29: Key drivers of satisfaction with the US healthcare system, September 2016
Income and area impact satisfaction with care and treatment
Figure 30: Any satisfied (net) with care and treatment, by income and area, September 2016
Healthcare costs are a source of dissatisfaction
Figure 31: Satisfaction with healthcare costs, by age and insurance type, September 2016
HEALTHCARE CONCERNS
Of most concern are the costs associated with healthcare
Figure 32: Healthcare concerns, September 2016
A lack of access is more concerning to Hispanic adults
Figure 33: Concern with lack of access to appropriate care, any rank (net), by race and Hispanic origin, September 2016
18-34s express more concern with a lack of comprehensive care
Figure 34: Concern with lack of comprehensive care, any rank (net), by age, September 2016
PROVIDER QUESTIONS
About half of adults discuss test results with their provider; other topics even more limited
Figure 35: Provider questions, September 2016
Older adults more likely to ask for test results to be explained
Figure 36: Asked provider for explanation of test results, by age, September 2016
About half of men 55+ have asked which tests are needed based on age
Figure 37: Asked provider for health tests needed based on age, by gender and age, September 2016
The youngest and oldest patients are asking for guidance
Figure 38: Provider asked for steps needed to improve health, by age, September 2016
TECHNOLOGY AND HEALTH
Consumers feel more in control of their health with access to their health data
Figure 39: Feel more in control of health with access to information and more access causes overwhelmed feelings, by age, September 2016
Healthcare providers should make it easy to locate their information online
Figure 40: Finding provider information online, online reviews, scheduling, and communicating with provider via an app, by age, September 2016
More consumers than not appreciate technology use during appointments
Figure 41: Attitudes toward the use of technology during appointments, September 2016
Dads are a key target for virtual health consultation
Figure 42: Interest in virtual health consultation, by parental status (presence of children under 18) by gender, September 2016
APPENDIX – DATA SOURCES AND ABBREVIATIONS
Data sources
Consumer survey data
Abbreviations and terms
Abbreviations
Terms
APPENDIX – MARKET
Figure 43: Any agree – I have regular medical checkups and it’s important to go to the doctor, July 2015-August 2016
APPENDIX – CONSUMER
Figure 44: Any agree – I rarely get sick, July 2015-August 2016
Figure 45: Professionals consulted last 12 months, by age, July 2015-August 2016
Figure 46: Visited a medical services and information website in the last 30 days, by gender and age, July 2015-August 2016