Health  care  IT  

Wholesalers  

Contract  Sales  

Devices  

Generics  

Branded  Pharma  |  Biotech  

Contract  Research  Organiza?ons  

Diagnos?cs  

Life  science  tools  

Pa?ent  Ins?tu?onal  providers  

Hospitals   HMOs   ACOs  

Ambulatory  

MD  office   Urgent  care  

Convenient  |  retail  care  

Home-­‐based  providers  

Nursing|rehab   DME   Hospice  

Ancillary  services  

Labs   Imaging  

Payors  

©  2013  Winton  Gibbons    

Office-­‐based  23%  

Prescrip?on  drugs  21%  

Outpa?ent  9%  

Dental  7%  

ER  4%  

Home  health  3%   Other  

2%  

Medicare  15%  

Private  9%  

Medicaid  5%  Uninsured  

1%  Other  1%  

Hospital  31%  

Percent  of  $1.4  trillion  HC  Costs    and  Payors  in  Hospitals  

(adds  to  total  hospital  %)  

1%,    $270    

5%,    $630    

25%,    $1,091    50%,    $1,228    

100%,    $1,263    

0%   20%   40%   60%   80%   100%  

Cumula9ve  cost  billions  

 $86    

 $41    

 $14    

 $8    

 $4    

1%  

5%  

25%  

50%  

100%  

Cost  per  pa9ent  thousands  

Annually,  top  1%  of  pa?ents  cost  on  average  $86  thousand,  cumula?vely  $270  billion.  The  bo^om  50%    only  cost  on  average  $4  thousand,  cumula?vely  $35  billion  

Hospitals  account  got  about  ⅓  of  total  health  care  spending,  and  about  ⅔  of  hospital  spending  is  government  funded  

Data  source:  AHRQ,  NCHS  

17%   21%   24%  29%  

35%  42%  

48%   51%  57%  

72%  

2003   2004   2005   2006   2007   2008   2009   2010   2011   2012  

Physician  EMR  Implementa9on  

7%  13%  

32%  22%  

38%   26%  

7%  

3%   12%  21%  

26%  

13%   11%  

13%  6%  

4%  

7%  

6%  

5%  4%  

26%  32%   32%   34%  

1-­‐24   25-­‐44   45-­‐64   65+  

Other  

Liver  disease  

Alzheimer's  

Stroke  

Lower  respiratory  

Homicide  

Suicide  

Heart  disease  

Accidents  

Cancer  

Causes  of  Death  by  age