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
