Skip to main content

Macro Trends in Healthcare Delivery

  • Chapter
  • First Online:
Value-Based Approaches to Spine Care

Abstract

Healthcare in the United States and around the world is going through a historic transformation. This change is disrupting business models and planning, not only in the way that healthcare is delivered but across a space that intersects with virtually every sector of the economy and has an impact on every individual. Many of the changes taking place may seem chaotic, but if one steps back and looks at several macro trends in healthcare, there is a signal that can be found in the noise to us understand where things are moving and how to create a strategy and plan for success.

In this chapter we will explore three broad areas where macro trends are driving change in our healthcare system: cost, consolidation, and new technology. The macro trends in each area will be explored in depth to see how each is impacting the healthcare space; how they relate to each other; how they combine in ways that will change how medicine is practiced and healthcare is delivered; and also how we can achieve the goal of a more accessible, equitable, and affordable healthcare system that is both high in quality and economically sustainable for the nation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. 2016 Actuarial report on the financial outlook for Medicaid. 2016.

    Google Scholar 

  2. Meyer H. Healthcare spending will hit 19.4% of GDP in the next decade, CMS projects. Modern Healthcare. 2019 February 20.

    Google Scholar 

  3. Conover C. The Federal share of American health spending is now approaching 50%. Forbes.

    Google Scholar 

  4. Bialik K. More Americans say government should ensure health care coverage. Universal Health Care. 2018:94.

    Google Scholar 

  5. Jajich-Toth C, Roper BW. Americans’ views on health care: a study in contradictions. Health Aff. 1990;9(4):149–57.

    Article  CAS  Google Scholar 

  6. Porter ME. What is value in health care? N Engl J Med. 2010;363(26):2477–81.

    Article  CAS  Google Scholar 

  7. Accountable Care Organizations (ACO) [updated 03/08/2019]. Available from: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/.

  8. Pathways to success: a new start for Medicare’s Accountable Care Organization. Health affairs blog. August 9, 2018.

    Google Scholar 

  9. Bundled Payments for Care Improvement (BPCI) Initiative: general information [updated 4/17/2019. Available from: https://innovation.cms.gov/initiatives/bundled-payments/.

  10. Haefner M. CMS releases annual report on bundled payment performance: 5 things to know. Becker’s Hospital CFO Report. 2017.

    Google Scholar 

  11. Japsen B. Employers accelerate move to value-based care in 2018. Forbes. 2017.

    Google Scholar 

  12. Meyer H. Why does the U.S. spend so much more on healthcare? It’s the prices. Modern Healthcare. 2018.

    Google Scholar 

  13. Gooch K. Hospital mergers often raise prices, analysis finds. Becker’s Hospital CFO Report. 2018.

    Google Scholar 

  14. LaPointe J. Do Hospital Mergers, acquisitions increase prices, reps ask MedPAC revcycle intelligence 2018. Available from: https://revcycleintelligence.com/news/do-hospital-mergers-acquisitions-increase-prices-reps-ask-medpac.

  15. Sweeney E. House Committee passes bill to build telehealth coverage into medicare advantage plans. Fierce Healthcare [Internet]. 2017. Available from: https://www.fiercehealthcare.com/regulatory/house-committee-unanimously-passes-bill-to-make-telehealth-part-basic-coverage-medicare.

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ondra, S.L. (2020). Macro Trends in Healthcare Delivery. In: Sethi, R., Wright, A., Vitale, M. (eds) Value-Based Approaches to Spine Care . Springer, Cham. https://doi.org/10.1007/978-3-030-31946-5_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-31946-5_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-31945-8

  • Online ISBN: 978-3-030-31946-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics