Fortune USA 201904

(Chris Devlin) #1
Seeing Trends
ANALYTICS in the Data

PAGE


3


TOTAL COST-


SHARING


WORKERS’


WAGES


SPENDING ON


COINSURANCE


SPENDING ON


COPAYMENTS


SPENDING


ON


DEDUCTIBLES


PAID BY


INSURANCE


0


50


100


150%


176.2%


67.1%


53.5% 48.5%


29.0%


–37.8%


* LATEST FISCAL YEAR SOURCES: KAISER FAMILY FOUNDATION; BUREAU OF LABOR STATISTICS; S&P GLOBAL


SPENDING AS A SHARE OF AVERAGE PER CAPITA SOCIAL SECURITY INCOME


UNDER AGE 65


AGES 65 TO 74


AGES 75 TO 84


AGES 85 AND OVER


35%


34%


40%


74%


40%


44%


48%


87%


IN 2013


IN 2030 (Projected)

UNITEDHEALTH


MCKESSON


CVS HEALTH


AMERISOURCEBERGEN


CARDINAL HEALTH


ANTHEM


JOHNSON & JOHNSON


CENTENE


HUMANA


PFIZER


$226.


208.


194.


167.


136.


92.


81.


60.


56.


53.


12.5%


4.


5.


9.


5.


2.


6.


23.


5.


2.


ANNUAL REVENUES*, $ BILLION 12-MONTH REVENUE GROWTH


SHARE OF COSTS PAID BY


PATIENT AFTER MEETING


DEDUCTIBLE


DEDUCTIBLES,


COINSURANCE, COPAYMENTS,


AND SIMILAR CHARGES


FLAT CHARGES PAID ON


CERTAIN SERVICES


9


FORTUNE.COM // APR.1.


WORKERS, SENIORS FEEL


THE HEALTH CARE CRUNCH


For many workers, health insurance is no longer what it
once was. Health care costs borne by employees in the
form of deductibles and coinsurance rose at a far faster
rate than what employer-sponsored insurers paid for
care between 2006 and 2016, according to the Kaiser
Family Foundation. Even Medicare beneficiaries under
the program’s current form (which includes private
components and out-of-pocket spending) are expected
to feel a bigger financial squeeze going forward.

INCREASE IN OUT-OF-POCKET SPENDING FOR MEDICARE BENEFICIARIES


CUMUL ATIVE INCRE ASES


IN HEALTH CARE COSTS


AND WORKER INCOME,


2006–


HEALTH CARE


COMPANIES ARE IN A


HEALTHY POSITION


Under the current Medicare
system, beneficiaries are on
the hook for supplemental
private insurance and out-of-
pocket spending for certain
services—and this spending
is expected to increase
significantly relative to what
seniors receive from Social
Security by 2030.

Health care isn’t just big
business—it’s massive
business. Insurance giant
UnitedHealth, drug distributor
McKesson, and CVS Health
(even prior to its acquisition
of insurer Aetna) took the fifth,
sixth, and seventh spots in
the 2018 Fortune 500; other
insurers including Aetna and
Anthem landed in the top 50.

GRAPHICS BY NICOLAS RAPP

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