National health-care expenditures are projected to rise to $5.2 trillion by 2023

Transcription

1 National health-care expenditures are projected to rise to $5.2 trillion by 2023 US$ trillions * 2019* 2023* * Projected. Source: Centers for Medicare and Medicaid Services.

2 Spending on top 6 chronic diseases will grow over 70% by 2020 Medical costs by disease (US$ billions) 2010 total = US $887 billion 2020 total = US $1.5 trillion Diabetes $141 Arthritis $133 Asthma $34 Diabetes $244 Arthritis $225 Asthma $55 Depression $72 CVD $351 Cancer $155 Depression $118 CVD $611 Cancer $273 Source: Centers for Disease Control and Prevention.

3 Health expenditures per capita in selected OECD countries US$ 10,000 8,000 8,745 6,000 4,000 4,811 4,602 4,288 2,000 3,484 3,289 2,291 0 United States Germany Canada France OECD average United Kingdom South Korea Source: OECD.

4 U.S. leads the OECD in percentage of overweight adults Males Females 34.8 South Korea France OECD average Germany Canada United States Percent Percent Source: OECD.

5 Obesity rates decline in youngest and rise in oldest Americans Obesity rates by age group in and Percent obese years years years years years >59 years Source: Journal of the American Medical Association.

6 Changes in dietary guidelines over time Source: U.S. Department of Agriculture.

7 Tobacco poses a high mortality risk Tobacco kills almost 3 times as many Americans as AIDS, alcohol, car crashes, violence, drug use, and suicide combined. Sources: American Public Health Association, Politifact.

8 Percentage of current adult smokers has decreased dramatically Percent Source: Centers for Disease Control and Prevention.

9 Colorectal cancer 5-year survival rates in selected OECD countries Percent United States Canada Germany OECD average France United Kingdom Sources: OECD, PBS.

10 Only 4 cents of every health-care dollar are spent on prevention Preventing disease and injury is the most cost-effective, commonsense way to improve health; despite this fact, for every dollar spent on health care in the United States today, only about four cents goes towards public health and prevention. - Robert Wood Johnson Foundation Source: Robert Wood Johnson Foundation.

11 Investing in public health generates returns $10 per capita annual investment in public health programs $16 billion savings breakdown: Medicare: $5 billion. Medicaid: $1.9 billion. Private payers: $9 billion. $16 billion within 5 years Source: Robert Wood Johnson Foundation.

12 A modest reduction in sugary drink consumption would reduce obesity in America and generate economic dividends Source: Milken Institute.

13 Potential savings through disease prevention One percent reduction in smoking rate $1.5 billion in savings over 5 years One in 10 people start a regular walking program $5.6 billion saved on heart disease treatment Routine childhood vaccinations $50 billion saved in direct and indirect costs Source: Trust for America s Health.

14 Savings from employer-based wellness programs Employer Program Motorola Wellness Northeast Utilities WellAware Caterpillar Healthy Balance Johnson & Johnson Health & Wellness Savings $1.5 billion over 5 years $5.6 billion from heart disease Currently $50 billion annually in direct and indirect costs $565 health-care cost reduction per employee Sources: RAND Health, U.S. Department of Health and Human Services, Johnson & Johnson.

15 The true cost of smoking Sources: American Cancer Society, Milken Institute School of Public Health at the George Washington University.

16 The true cost of smoking Sources: American Cancer Society, Milken Institute School of Public Health at the George Washington University.

17 The true cost of smoking Sources: American Cancer Society, Milken Institute School of Public Health at the George Washington University.

18 Average BMI by age and decade of birth, females Source: Milken Institute School of Public Health at The George Washington University.

19 Source: Milken Institute School of Public Health at The George Washington University.

20 Source: Milken Institute School of Public Health at The George Washington University.

21 Healthy Campus Initiative Smoke Free GW Quit for Life Source: Milken Institute School of Public Health at The George Washington University.

22 Government Private Industry Philanthropy Academia New Prevention Partnership Model Source: Milken Institute School of Public Health at The George Washington University.

23 Make urban areas walkable and bike-able Between 2010 and 2012, the number of car-free households in DC grew by 12,612 fully 88% of new households citywide. By contrast, the DC only added 1,662 car-owning households since 2010, an increase of just 1.0% Source: Milken Institute School of Public Health at The George Washington University.

24 Sources: Centers for Disease Control and Prevention, Milken Institute School of Public Health at The George Washington University.

25 Bird flu outbreak States hit by the deadly H5N2 bird flu virus and number of birds infected Source: U.S. Department of Agriculture, USA Today, Milken Institute School of Public Health at The George Washington University.

26 Diet, high blood pressure, smoking, physical inactivity, and air pollution are the top risk factors for global burden of disease Source: Milken Institute School of Public Health at The George Washington University.

27 Blood pressure across the globe Why is hypertension a global public health issue? High Blood Pressure is the leading risk factor for heart disease and stroke, the first and second leading causes of death worldwide. Source: Milken Institute School of Public Health at The George Washington University.

28 Hypertension is too expensive to ignore 10% Blood pressure related diseases account for 10% of annual direct health care expenditures globally 372 billion US dollars 4 trillion US dollars in indirect costs Source: Milken Institute School of Public Health at The George Washington University.

29 Reduction of hypertension risk factors Reduce salt intake Behavioral Social Determinants of Health Metabolic Stop smoking Increase physical activity Reduce alcohol use Source: Milken Institute School of Public Health at The George Washington University.

30 Reduction of hypertension risk factors Reduce salt intake Stop smoking Increase physical activity Reduce alcohol use Community Health system Individual Source: Milken Institute School of Public Health at The George Washington University.

31 Evidence-based risk factor reduction: policy interventions are cost-effective Reduce salt use Reduce tobacco use Increase physical activity Reduce alcohol use Reduced salt content in processed foods Salt reduction through mass-media campaigns Excise tax increases Smoke-free indoor workplaces and public places Health information and warnings about tobacco Bans on advertising and promotion Public awareness programs about diet and physical activity Making community design more conducive to walking, biking and exercise Excise tax increases on alcoholic beverages Comprehensive restrictions and bans on alcohol marketing Restrictions on the availability of retailed alcohol Source: Milken Institute School of Public Health at The George Washington University.

32 Sources: Journal of Hypertension, Milken Institute School of Public Health at The George Washington University.

33 To prevent 1 million heart attacks and strokes Intervention Excelling in the ABCS Aspirin when appropriate Blood pressure control Cholesterol management Smoking cessation Source: Million Hearts, Milken Institute School of Public Health at The George Washington University.

34 Health is about much more than just healthcare Environment Socioeconomics Healthcare Access & Experience Behavior & Habits Genetics & Family History Social Influences Source: IBM.

35 IBM Watson Health Cloud HIPAA compliant, standard spaced, massively scalable Source: IBM.