Three Crucial Reforms Could Save the World’s Developed Nations Almost 15 Percent of Their Healthcare Spending
22 1월 2014 - 8:00PM
Business Wire
The world’s developed nations could reduce their healthcare
spending by almost 15 percent by adopting three key reforms
according to analysis conducted by the Health & Life Sciences
practice of Oliver Wyman released today at the 2014 World Economic
Forum Annual Meeting in Davos, Switzerland.
“Healthcare costs are rising rapidly all over the world,” says
Dr. Jim Bonnette, Oliver Wyman’s Chief Medical Officer. “Many
healthcare systems are trying to keep them down through reducing
what they pay for a given procedure or through rationing, an
approach in the long run that forces trade-offs between quality,
access, and sustainability. But there is another way.”
To identify a more sustainable approach, Oliver Wyman modeled
the impact of three basic care models on healthcare costs in the 34
nations of the Organization for Economic Cooperation and
Development (OECD). The models were chosen based on Oliver Wyman’s
work with innovators in the United States and the United Kingdom
and are described as: an Advanced Primary Care model aimed at
providing preventive care to the relatively healthy efficiently and
inexpensively; an Intensive Outpatient Care Program (IOCP) for
patients with late stage or multiple chronic diseases; and an
“Extensivist” program designed to coordinate and simplify the care
of the sickest, most complex patients. The team adjusted for
demographics, country-by-country health status, and existing
reforms.
Their conclusions:
- The three innovations together could
save the nations of the OECD $440 billion dollars, or approximately
13 percent of total healthcare costs.
- Roughly half of the impact came from
IOCP, which accounted for $209 billion in savings. The Extensivist
program (which treats a much smaller number of patients with much
higher costs) followed close behind at $177 billion.
- The United States had the largest
potential savings: $253 billion, or 14.4 percent of total
healthcare spend. The non-U.S., non-U.K. OECD nations had the
lowest potential savings as a percent of healthcare spend: 12
percent, or $170 billion.
“By most estimates, 40 percent of what the developed world
spends on healthcare is wasted,” says Bonnette. “The 14 percent
savings from these three reforms would give us a good start on
eliminating waste and put us in the enviable situation of spending
less to get better care. We shouldn’t stop there though,” Bonnette
adds. “Our research finds that surgical factory models and other
advances can make inroads on the remaining 26 percent of waste
while improving outcomes.”
Three key components underlie the successful ability of these
models to deliver high-quality, cost-effective care:
- Coordination of care to ensure
that patients actually receive the care they need and to eliminate
waste and duplication.
- Standardized care to drive
consistency and high quality while leveraging incentive systems
that encourage physicians to find the most cost-effective solutions
to patient needs.
- Matching patient needs with the
right care model and physician skills. “We often act as if
medical care is a commodity,” says Bonnette. “It’s not. Patients
with chronic diseases need a different kind of care than patients
with injuries or simple episodic diseases.” This philosophy of
directing patients into the right care model or delivery channel
applies to physicians as well. Bonnette adds, “Just as patients
need to be segmented, so do physicians. That way their skills are
lined up with what’s best for the patient.”
In the end, each of these components requires doctors to be
trained to leverage new technology, processes, and team-based
approaches. “Across geographies, we’ve spent decades training
doctors to deliver care in a way that actually does not meet
patient needs and at the same time costs more, which is why the
problems are universal,” notes Dr. Bonnette. “If the medical
profession and their funding source embraced coordinated,
evidenced-based, and population-focused care systemically, national
healthcare costs would drop dramatically and patients would be much
better off.”
The full data release, including methodology, is available here.
Media inquiries for Dr. Bonnette while he is in Davos or thereafter
can be directed to Patrick Clinton.
About Oliver Wyman
Oliver Wyman is a global leader in management consulting. With
offices in 50+ cities across 25 countries, Oliver Wyman combines
deep industry knowledge with specialized expertise in strategy,
operations, risk management, and organization transformation. The
firm's 3,000 professionals help clients optimize their business,
improve their operations and risk profile, and accelerate their
organizational performance to seize the most attractive
opportunities. Oliver Wyman is a wholly owned subsidiary of Marsh
& McLennan Companies (NYSE: MMC). For more information, visit
www.oliverwyman.com. Follow Oliver Wyman on Twitter
@OliverWyman.
Media:Oliver WymanPatrick Clinton,
212-345-3013Patrick.Clinton@oliverwyman.com
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