2019 Global Health Care OutlookShaping the future

Staffing can represent up to

70% of a hospital’s cost

Recruiting, developing, and retaining top talent

Top issues

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

Maintaining regulatory compliance and cyber security

Volume of dataInteroperabilityConnected devicesQualitySafetyCyberPrivacy

Experiencing a crisis teaches organizations to avoid them

Leaders need more development for crisis management

Confidence outstrips preparedness

Being at the ready significantly reduces the negative impact of a crisis

Third parties are part of the problem—and the solution

Crises are on the rise. Are organizations prepared?

increased demand/heavy workload

poor work/life balance

declining morale

well-being concerns

Causes of current staffing issues:

Three dimensions shaping the future of work

AI

Cognitive tech

Robotics

What work can be automated?

Telehealth

Digital medicine

Remote monitoring

Where is the work done?Clinical recruitment

Alternative models

Who can do the work?

Part-time

Contractors

Freelancers

Crowdsourced

Automated

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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There is an exponential increase in the pace and scale with which digital health care innovations are emerging Digital innovation impacting more

than just clinical—also impacting back-office operations like supply chain, finance, revenue cycle, HR

Digital technologies are supporting health systems’ efforts to transition to new models of patient-centered care and “smart health” approaches to driveinnovation, increase access and affordability, improve quality, and lower costs.

Digital innovations that are helping reshape the future of health care by making health care delivery more efficient and more accessible

How is digital helping?

Investing in digital innovation and transformation

Blockchain

Cloud-basedcomputing

VirtualhealthRobotic process

automation (RPA)

Cloud-based software as-a-service (SaaS)

AI

Robotics

Digital and virtual reality

Internet of Medical Things (IoMT)

diagnosis & treatment

quality

speed & accuracy

accelerating the development of new drugs and devices

personalization

self-service

patient experience

training

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.

Creating financial sustainability in an uncertain health economy

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

Financial disruptors

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

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.

Adapting to changing consumer needs, demands, and expectations

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.

Transformation to value and

outcomes-based health care

Using new care delivery models to improve access and affordability

64% of consumers point to convenience and access as important benefits of virtual health

improved patient access to care

staying connected with patients and their caregivers

improved patient satisfaction

Virtual healthBarriers of virtual health

Physicians’ top benefits:

A successful value-based payments strategy likely requires: virtual health/telehealth

wearables

sensors, biometrics

Technology is helping in this transition:

Continued transition from volume-based/fee-for-service (FFS) models

to value-based care (VBC)

Social determinants of health often have a greater impact on health outcomes than does health care

payer/provider collaboration

sharing of patients’ health data

IT and analytical support

lack of reimbursement

complex licensing requirements

high cost of the technologies

reliability/errors

privacy & security

Social determinants

of health factors

Socioeconomic status

Employment

Social care networks

Education/physical environment

Neighborhood

Health care access

is projected to reach

$10.059 trillion by 2022

2.9% 2013-2017

5.4% 2018-2022

Factors impacting health care costs

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

“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.

Shifting the focus from ‘sick’ care to one of ‘health’ care, supported by:

Annual growth

rate

Global health care spending continues to increase dramatically

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

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.

winning the fight against communicable diseases

non-communicable diseases (NCDs)—most prominently, cancer, heart disease, and diabetes—continue to grow

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Spending is expected to continue to be uneven

Health care per person by 2022

$11,674 United States $54 Pakistan

Well-being Prevention Early intervention