2018 global health care sector outlook

Analysis

2018 Global and US health care outlook

Six trends for health care providers and health plans to watch

With quality, outcomes, and value being the buzzwords for health care in the 21st century, sector stakeholders in the US and around the globe are looking for innovative and cost-effective ways to deliver patient-centered, technology-enabled “smart” health care, both inside and outside hospital walls.

US lens on global trends for health plans and health systems

Deloitte’s health care leaders offer their take on the trends that will most likely impact the US.

US health plans:

For health plans, and the US health care industry overall, 2017 was marked by efforts to repeal and replace the ACA. While the continuing ACA political landscape is certainly newsworthy, as we look to 2018, it is important for health plans to consider the big-picture, “outside the Beltway.” Explore the five trends that could have major implications for health plans in the new year and beyond.

National Health Plans Practice Leader Greg Scott shares his take on the outlook for the US health plans market.

US health care providers:

As we head into 2018, many hospitals and health systems are paddling upstream, straddling two canoes between value-based care and fee-for-service. How will hospital leaders navigate these waters? What other challenges and opportunities lie ahead in the new year? Explore four challenges—and potential solutions—hospital and health system leaders might face as we look to 2018.

US Health Care Providers Leader Steve Burrill offers his perspective on which trends hospitals and health care systems should plan for in 2018.

The evolution of smart health care

With the ever-evolving policies, processes, and capabilities and given the magnitude and complexity impacting the sector, smart health care is not going to come easy. Clinicians usually have difficulty coordinating appointments and procedures, sharing test results, and involving patients in their treatment plan. In other words, health care providers may be working hard but are they working "smart". How is health care moving the barriers of the hospital walls? This 2018 outlook reviews the current state of the global health care sector; explores trends and issues impacting health care providers, governments, other payers, and patients; and suggests considerations for stakeholders as they seek to deliver high-quality, cost-efficient, and smart health care.

Global health care sector issues in 2018

Creating a positive margin in an uncertain and changing health economy

Public and private health systems have been facing revenue pressures and declining margins for years. The trend is expected to persist as increasing demand, infrastructure upgrades, and therapeutic and technology advancements strain the already limited financial resources. As a result, spending is expected to be driven by aging and growing populations, developing market expansion, clinical and technology advances, and rising labor costs. As health care costs increase though, affordability and insurance coverage remain problematic. Health care providers are also collaborating to gain competitive advantage.

Creating a positive margin in an uncertain and changing health economy
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Key takeaway

Health care stakeholders are pursuing new cost reduction measures, such as developing alternative staffing models, shifting patients to outpatient services, and reducing administrative and supply costs. In addition, they are exploring new revenue sources such as intellectual property (IP) capitalization, investing in JVs, commercializing their foreign assets, and launching new companies and philanthropic organizations.

Strategically moving from volume to value

The health care industry is participating in risk-bearing, coordinated care models and continues to move away from the traditional fee-for-service (FFS) system. Stakeholders are moving from volume to value through reform policies, programs promoting operational efficiency, technology use, population health management, wellness, and addressing the social determinants of health.

Strategically moving from volume to value
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Key takeaway

A successful transition to value-based care requires that market players and consumers move beyond transaction-based treatment to the holistic health of populations; from treatment to prevention/wellness; and from individual to population health. Health care providers can also look at deploying innovative care delivery models based on data and analytics.

Responding to health policy and complex regulations

Health systems worldwide share overarching health policy and regulatory goals—ensuring quality care and patient safety, mitigating fraud and cyber threats. Digital health care technology solutions addressing better diagnostics and more personalized therapeutic tools are leading to the challenge of data protection.

The trends in data management and security include cognitive computing, cloud-based, interoperable electronic health records, and Internet of Things (IoT). Cybersecurity and data risk management continue to be front and center, especially with patients taking a more active control of their health, and wanting access and reliability to their data.

Responding to health policy and complex regulations
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Key takeaway

Holistic approaches to investments in people, processes, and technology will be key to regulatory compliance. A thorough assessment by health care businesses to understand how recent and upcoming policy changes will impact organizational priorities is an imperative. Health care providers also need to explore strategies to build second-line defenses to reduce their administrative, financial, and reputational exposure.

Investing in exponential technologies to reduce costs, increase access, and improve care

Exponential technologies are driving less expensive, more efficient, and more accessible care delivery on a global scale. A few trends which impact care delivery are:

  • Exponentials will reshape health care by impacting areas such as synthetic biology, 3D printing and nanotechnology, and companion diagnostics amongst others.
  • Hospitals of the future are being built through redefined care delivery, digital and AI technologies, and enhanced talent development.
Investing in exponential technologies to reduce costs, increase access, and improve care
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Key takeaway

Organizations may meet some of the objectives of care delivery through digitization of the health care system. At the outset, keeping pace with rapid technology developments is likely to require massive investments in electronic patient records, eHealth/mHealth, interoperability, and big data amongst others. Organizations should consider strategic investments in people, processes, and premises enabled by digital technologies.

Engaging with consumers and improving the patient experience

Hospitals can provide more personalized care through better engagement with consumers and elevate patient experience by using digital solutions to aid omni-channel patient access, including customer apps, patient portals, personalized digital information kits, and self-check-in kiosks. Other digital channels, and tools to enhance provider-consumer interactions include:

  • Leveraging social media to improve patient experience
  • Telehealth
  • Virtual reality/augmented reality
Engaging with consumers and improving the patient experience
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Key takeaway

Health care organizations should consider extending their focus beyond price and quality of care to creating a customer-centered relationship. Health care has an opportunity to learn from other industries (consumer products, financial services, and hospitality, as examples) how to more effectively target, serve, communicate with, and retain customers and patients.

Shaping the workforce of the future

Workforce challenges in the health care industry, such as staffing shortages in hospital specialties and nursing shortages are evident across the globe. Compounding the problem is a scarcity of next-generation skills to guide and support the transformation to becoming patient-centric, insight-driven, and value-focused organizations. When planning for the future of work, health care organizations will need to assess the physical proximity, automation level, and talent category.

Shaping the workforce of the future
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Key takeaway

Digital technology, robotics, and other automated tools have enormous potential to resolve current and future health care workforce pain points. Health care providers should embrace strategies where talent can collaborate with technology to improve efficiency instead of competing against each other.

Look again

In today's rapidly evolving marketplace environment, key business issues are converging with impacts felt across multiple industry sectors. What are the key trends, challenges, and opportunities that may affect your business and influence your strategy? Look for more perspectives and insights from some of Deloitte’s forward thinkers.

Discover more Industry Outlooks.

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