/ en Sun, 27 Apr 2025 06:40:21 -0500 Tue, 27 Feb 24 06:15:00 -0600 /aha-center-health-innovation-market-scan/2024-02-27-3-societal-shifts-will-reshape-health-care-2035 <div class="container"><div class="row"><div class="col-md-8"><p><img src="/sites/default/files/inline-images/3-Societal-Shifts-That-Will-Reshape-Health-Care-by-2035.png" data-entity-uuid="318eca66-c5db-420a-9c7d-9117cacad3ca" data-entity-type="file" alt="3 Societal Shifts That Will Reshape Health Care by 2035. A businessman looking through a spyglass with a plus symbol on the lens under the year 2035." width="100%" height="800"></p><p>Projecting what health care will look like in even three to five years can be fraught with challenges. But what about 2035? Leaders at Oliver Wyman’s health care consultancy have been busy studying this issue and reimagining what the field may look like roughly a decade from now.</p><p>In their Designing for 2035 report <a href="https://www.oliverwyman.com/our-expertise/insights/2023/sep/designing-for-2035-healthcare-systems-in-10-years.html" target="_blank" title="Oliver Wyman: What Healthcare Will Look Like in 10 Years">executive summary</a>, the team assesses current trends, evaluates the undercurrents of socio-economic change that will affect those trends and identifies where there is significant potential for change in that time frame.</p><p>America’s aging population, workforce shifts, consumerism and technology innovations are among the forces that will reshape the overall economy and health care specifically, notes a <a href="https://www.oliverwyman.com/our-expertise/insights/2023/dec/8-societal-shifts-that-will-reshape-healthcare-by-2035.html" target="_blank" title="Oliver Wyman: 8 Societal Shifts That Will Reshape Healthcare by 2035">recent analysis</a> from the report’s findings.</p><h2><span>3 Key Changes to Act on for 2035</span></h2><h3><span>1</span> <span>|</span> America's Aging Population Will Need More Care</h3><p><img src="/sites/default/files/inline-images/Americas-Aging-Population-Will-Need-More-Care.jpg" data-entity-uuid="c41f065f-44f1-4d45-97df-1a9ff31a11b6" data-entity-type="file" alt="America's Aging Population Will Need More Care" width="100" height="130" class="align-left">The senior population is exploding. Between 2010 and 2020, the nation saw the largest upsurge in people 65 and older since the 1880s, according to U.S. Census data. Seniors now account for about one in six Americans, up from one in eight in 2010. This demographic shift will have the biggest impact on government-funded programs. Medicare and Medicaid will serve larger and larger populations, while slow-growing coffers will force federal and state governments to look for ways to cover care at lower costs.</p><h4><span>The Upshot for Hospitals and Health Systems</span></h4><p>Everyone may become a caregiver in one form or another by 2035. Seniors will make up about one in four Americans (26%) a decade from now, leading to higher demand for health services. Nearly 95% of older adults have one chronic condition and 80% have two or more. Since Medicare bed utilization is more than four times higher than commercial bed utilization, the report’s authors expect an increase in overall bed days, further straining government budgets. “Everyone will begin to act as a caregiver, with many sandwiched between parents and child,” the report explains. New tools and incentive models will be created to reward formal and informal caregivers to address the necessary expansion of the clinical workforce to serve the burgeoning senior population, the report predicts. Alternative care sites will spring up, helping seniors avoid costly and unnecessary hospital stays.</p><h3><span>2</span> <span>|</span> Staffing Gaps Will Widen</h3><p><img src="/sites/default/files/inline-images/Staffing-Gaps-Will-Widen.jpg" data-entity-uuid="c0cb7de7-f7b4-4fb6-b2c1-f4f91f74ce04" data-entity-type="file" alt="Staffing Gaps Will Widen" width="100" height="130" class="align-left">The U.S. workforce is shrinking. The ratio of the working-to-senior population has decreased from 4-to-1 in 2015 to 3-to-1 today. Health care is not immune, with existing demand shortages for primary care providers, specialists and nurses. Burnout and the rising age of the health care workforce exacerbate this shortage, with 40% of active physicians 55 years of age or older. Staffing gaps, particularly for physicians, will worsen as the worker-to-senior ratio approaches 2-to-1 in the next decade. Projected demand gaps are expected to be 10.6% for physicians, 7.5% for specialists and 5.9% for nurses.</p><h4><span>The Upshot for Hospitals and Health Systems</span></h4><p>Across the board, the workforce will have more leverage and fewer long-term ties to employers, forcing employers to improve their benefits and employment packages, the report states. Employers will need to create more flexible work arrangements and career development opportunities to attract new talent.</p><h3><span>3</span> <span>|</span> Addressing Consumer Expectations Will Become Paramount</h3><p><img src="/sites/default/files/inline-images/Addressing-Consumer-Expectations-Will-Become-Paramount.jpg" data-entity-uuid="c180df2c-04f3-45be-815b-71364bc95861" data-entity-type="file" alt="Addressing Consumer Expectations Will Become Paramount" width="100" height="130" class="align-left">Quality, convenience and trust all play into the brands consumers value. Health care is no different. Convenience is an overriding issue for patients when choosing a primary care physician. In addition, consumers increasingly are turning to sources outside mainstream medicine for health information, whether it be news sources, social media or search engines. Consumers also demand more from the brands they trust when it comes to broader societal issues, elevating the importance of environmental, societal and governance platforms.</p><h4><span>The Upshot for Hospitals and Health Systems</span></h4><p>With an increased number of voices and thought leaders influencing health care consumers, providers need to become more prominent in this messaging. In an <a href="https://www.oliverwyman.com/our-expertise/events/2023/sep/OWHIC-2023/videos-and-presentations.html" target="_blank" title="Oliver Wyman Health Innovation Summit 2023: Highlights from This Year's Summit">Oliver Wyman video</a>, Austin Chiang, M.D., Jefferson Health’s chief medical social media officer, discussed the importance of having health care organizations immerse themselves in social media to counter misinformation. Provider organizations also must demonstrate their impact on climate and social justice initiatives.</p><p>The adoption of advanced analytics and AI, more data and better connectivity will lead to a richer understanding of personalized next best actions, available when consumers and clinicians need them and in the manner that they want to receive them.</p></div><div class="col-md-4"><p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" alt="AHA Center for Health Innovation logo" data-entity- type="file" class="align-center"></a></p><p><a href="/center/form/innovation-subscription"><img src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png" data-entity-uuid data-entity-type alt></a></p></div></div></div>.field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 27 Feb 2024 06:15:00 -0600 Predictive Modeling /aha-center-health-innovation-market-scan/2022-02-08-walmart-leverage-ai-software-guide-employees <div class="container"> <div class="row"> <div class="col-md-8"> <p><img alt="Walmart to Leverage AI Software to Guide Employees to Clinicians. The Walmart logo on a screen surrounded by medical icons with a physician tapping on it." data-entity-type="file" data-entity-uuid="00ed140c-2a80-4c9a-9bc7-22c0d36c8878" src="/sites/default/files/inline-images/AHA-MS-Walmart-to-leverage-AI-software-to-guide-employees-to-clinicians.jpg" width="620" height="381"></p> <p>For several years now, Walmart has guided its employees with major surgical or other complex medical needs to centers of excellence. The move was prompted by a desire to ensure better outcomes and to more effectively manage employee health costs. Now the megaretailer is going a step further.</p> <p>Walmart recently partnered with <a href="https://www.prnewswire.com/news-releases/walmart-and-health-at-scale-launch-customized-provider-recommendations-for-plan-participants-301471149.html?mkt_tok=NzEwLVpMTC02NTEAAAGCZGHmD2AJa7VhHfxDtV7aVPufriGba7UttETKKFNe5CIHla78ZhxjTvu6AQ-lMcEFmP76ZevDpQPtGIEGsEs" target="_blank" title="Cision PR Newswire: Walmart and Health at Scale Launch Customized Provider Recommendations for Plan Participants">Health at Scale</a>, a company that uses predictive artificial intelligence to direct patients to providers who match their specific health needs. Walmart will use new software from <a href="https://healthatscale.com/" target="_blank" title="HEALTH[at]SCALE homepage.">Health at Scale</a> to make personalized clinician recommendations to employees and their families who are enrolled in the company’s health plan and who work in locations where Health at Scale is offered.</p> <p>The platform uses machine intelligence to identify providers who have successfully treated patients with similar characteristics and care needs. It also uses patient health data to determine which patients could be at greater risk of adverse outcomes.</p> <p>Health at Scale was founded by clinical and machine learning faculty from Massachusetts Institute of Technology, Stanford, Harvard and the University of Michigan whose goal is to achieve better outcomes for patients.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 08 Feb 2022 06:00:00 -0600 Predictive Modeling /aha-center-health-innovation-market-scan/2021-03-09-predictive-modeling-could-create-better <div class="container row"> <div class="row"> <div class="col-md-8"> <p><img alt="Predictive Modeling Could Create Better Sightlines to Forecast Finances. An graph going up to the right with the arm in a suit jacked holding a magnifying glass over the upper ward pointing arrowhead at the top of the graph." data-entity-type="file" data-entity-uuid="7e12e5a1-b43a-49c4-9cd2-e9975fd76a37" src="/sites/default/files/inline-images/ms_030921_item2_Predictive_Modeling_190_1844131.jpg" width="190" height="127" class="align-right">Predictive modeling has helped hospitals and health systems project clinical outcomes, enhance workflows and identify patient preferences, but this tool may also give leaders better intelligence to forecast finances amid this year’s economic uncertainties.</p> <p>Some provider organizations use predictive modeling to prepare for shifts in the insurance market, the economy, utilization, consumer behavior and future waves of infection disease, notes a recent <a href="https://www.pwc.com/us/en/industries/health-industries/top-health-industry-issues.html" target="_blank">PwC forecast</a>. And data from a PwC survey conducted last fall found that 74% of health care executives planned to invest more in predictive modeling this year.</p> <p>To make smarter decisions in real time and develop a more resilient business model, health care leaders need to better understand supply and demand — something that predictive modeling can help achieve, Gurpreet Singh, health services sector leader at PwC, told <a href="https://medcitynews.com/2021/03/providers-look-to-predictive-modeling-to-help-rebuild-finances-in-2021/" target="_blank">MedCity News</a>.</p> <p>Predictive modeling applications can also benefit other areas of provider organization operations.</p> <p>Customer relationship management tools, for example, can help predict demand and suggest the optimal channel for virtual or in-person care. Analytics platforms that can identify at-risk patient groups for targeted care are another type of predictive modeling technology. Data from these systems can help hospitals and health systems provide more personalized wellness care to potentially reduce hospitalizations.</p> <p>Newer-generation predictive modeling platforms use more data elements than earlier systems to deliver more accurate predictions, some experts note, and also link predictions from the analytics to interventions.</p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 09 Mar 2021 17:58:08 -0600 Predictive Modeling