This is the 3rd and final installment of my year-end series for 2013.
Part 1: Healthcare’s Story Of The Year For 2013 – Pricing Transparency(here)
Part 2: Top Ten Healthcare Quotes For 2013 (here)
Like the Top Ten Healthcare Quotes, this collection of 15 charts is far from complete or comprehensive, but they are ones I found to be representative of a broader healthcare trend or story. In most cases, the charts are self explanatory, but in others they are simply gateways into larger, more compelling stories.
Given the complexities around data collection and presentation – there is often a lag between the current year and the latest available data from a major/reliable source.
As a part of what I called the “story of the year” (Healthcare Pricing Transparency – here) was this chart from Elizabeth Rosenthal’s multi-part series on “The $2.7 Trillion Medical Bill.”
Source: The $2.7 Trillion Medical Bill by Elizabeth Rosenthal (here)
While it’s too early to call it a trend, this chart for ER visits (1996 – 2010) is notable because 2010 is the first time in 14 years that the consecutive upward trend was broken. The unknown at this stage is why and if it will continue (lots of speculation and debate), but it’s an important barometer for reasons around cost and healthcare more broadly.
Source: CDC / National Center for Healthcare Statistics (PDF here)
The Milliman Medical Index is another broad indicator around annual healthcare costs for a family of 4 with PPO coverage.
Source: 2013 Milliman Medical Index (PDF here)
For Health Insurance Premiums alone (no accounting for “out-of-pocket” expenses), the Kaiser Family Foundation gave us these two related charts:
Source: Kaiser/HRET 2013 Employer Health Benefits Survey 2013 (PDF here)
According to Medscape – Orthopedics edged out Cardiology and Radiology as the specialty with the highest average annual compensation for 2012 (reported in 2013).
Source: Medscape Physician Compensation Report 2013 – (26 slides here)
Obesity and related illnesses saw coverage from every direction throughout 2013. Once again, the relatively small town of McAllen Texas (population of about 135,000 and profiled by Atul Gawande in The Cost Conundrum – 2009here) was front and center again in a story by The Washington Post that included this provocative chart on the correlation (by U.S. region) of childhood obesity and poverty (as measured by the Federal Poverty Limit):
Source: The Washington Post – Too Much of Too Little by Eli Saslow(here)
This next chart has broad healthcare implications and the dubious distinction of making an entirely different list – “The Most Important Charts in the World” (at least according to “Wall Street’s ‘Brightest” Minds).
Source: Wall Street’s Brightest Minds Reveal The Most Important Charts In The World [Chart #57 – Monthly Food Stamps by Nicholas Colas of the ConvergEx Group – here]
Another contributing factor to several healthcare related illnesses is the global consumption of sugar – and soda in particular. Once again, at least according to Credit Suisse, the U.S. is an outlier relative to all of the other industrialized countries.
Source: Credit Suisse Research Institute – Sugar: Consumption At A Crossroads (PDF here)
From their Biennial Health Insurance Survey, The Commonwealth Fund delivered this chart as a part of broader analysis that concluded: “In 2012, nearly half (46%) of U.S. adults ages 19 to 64, an estimated 84 million people, did not have insurance for the full year or had coverage that provided inadequate protection from health care costs.”
Source: The Commonwealth Fund Report – Insuring the Future (PDF here)
Reducing the number of uninsured continues to dominate the healthcare headlines more broadly and Sarah Kliff at the Washington Post used this chart to summarize the effect of the ACA on coverage by 2016.
Source: Obamacare Explained In 2 Minutes by Sarah Kliff at The Washington Post (video here)
No less than 3 of healthcare’s larger topics (Big Data, Gamification and Wearable User Interfaces) made it to the top of another chart – Gartner’s Hype Cycle for Emerging Technologies. All 3 appeared at (or near) the “Peak of Inflated Expectations.” Clearly the trend that Gartner was identifying is larger than just healthcare, but healthcare is a part of the broader picture too.
Source: Gartner Hype Cycle For Emerging Technologies 2013 (here)
Big Pharma continued to make restitution to the Department of Justice for past grievances around overly aggressive marketing of some of their drugs. Just this month, GlaxoSmithKline announced their intent to change some of those practices – which included paying doctors (in a variety of ways) to sell their branded drugs. This chart (created by ProPublica for a larger piece on the flow of dollars from big pharma to providers) doesn’t include the Johnson & Johnson settlement on behalf of their subsidiary Janssen for $2.5 billion which was finalized and announced just last month (here).
Source: Big Pharma’s Big Fines by Lena Groeger for ProPublica (here)
Pricing transparency throughout the year revealed wide variations – some of which was explained by L.E.K. Consulting in their analysis which produced this chart (for a broader discussion on the profit profiles ahead for hospitals under the Affordable Care Act). They make a compelling argument that only one of the 4 different payment types seen by hospitals is profitable and this one category of payment has to offset the negative margin of the other 3.
Source: Hospital Economics and Healthcare Reform by Tip Kim and Scott Miller for L.E.K. Consulting (PDF here)
This final chart is one I’ve used extensively in the past, but has now been updated with OECD data for 2011. The older version was using data from 2009. Not much change – but strengthens the argument that we still have a long way to go in our healthcare reformation and transformation.
Source: OECD Health Data 2013 (Access the OECD StatExtracts Databaseonline here)