ROI for primary care: Building the healthcare dream team


The US health industry is becoming more consumer-centered and value-based, driving healthcare providers to rethink their business models. Primary care is a key component to success in this New Health Economy, and can even generate a return. But to do that, healthcare providers will need to dramatically broaden their primary care teams, rely less on primary care physicians and design their programs to truly serve consumer desires and needs.
 


Dietitians, mental health professionals, and clinical educators are the most desired members of future primary care teams.


Organizations will need to build their dream teams around the medical, social, behavioral health needs and preferences of the following seven consumer groups

Frail elderly

5.9 million Americans over the age of 75, living at home, facing health issues related to falls or dementia or suffering generally poor health. Notable whole health and preference characteristics include:

  • Social: 59% delayed medical care and 48% did not fill a prescription due to cost at least once in the past year
  • Preference: 68% interested in home health services and 58% in telehealth if they reduced insurance costs
  • Medication, dietary: 83% have at least one condition highly impacted by diet; fill 36 prescriptions per year

Consumers with complex chronic disease

24.8 million Americans with one or more chronic diseases affecting multiple body systems and often requiring complicated disease management (e.g., CHF, COPD, end-state renal disease). Notable whole health and preference characteristics include:

  • Medication, dietary: Fill 32 prescriptions per year; 54% have at least one condition highly impacted by diet
  • Mental health: 36% also suffer from a mental illness
  • Preference: 63% interested in DIY care and 51% in home health services if they reduced insurance costs

Consumers with chronic disease

175.1 million Americans with problems affecting a single body systems such as hypertension and require uncomplicated disease management. Notable whole health and preference characteristics include:

  • Social: 27% delayed medical care and 19% did not fill a prescription due to cost at least once in the past year
  • Preference:51% interested in home health services and 42% in telehealth if they reduced insurance costs
  • Medical, dietary: 41% also suffer from a musculoskeletal or pain related condition; 33% have at least one condition highly impacted by diet and 31% want help managing weight

Consumers with mental illness

9.4 Americans who suffer from depression, mood disorders, post-traumatic stress disorder, addictions or suicidal ideations as a primary versus comorbid health issue. Notable whole health and preference characteristics include:

  • Social: 27% delayed medical care and 19% did not fill a prescription due to cost at least once in the past year
  • Preference: 51% interested in home health services and 42% in telehealth if they reduced insurance costs
  • Medical, dietary: 41% also suffer from a musculoskeletal or pain related condition; 33% want help managing weight and 31% want help getting proper nutrition

Healthy families

65.4 million Americans living in households with healthy dependent children under the age of 18. Notable whole health and preference characteristics include:

  • Preference: 61% interested in home health services and 58% in telehealth if they reduced insurance costs
  • Social: 54% delayed medical care and 40% did not fill a prescription due to cost at least once in the past year
  • Medical, dietary: 24% want help understanding their prescriptions; 32% want help managing weight and 29% want help getting proper nutrition

Healthy adult enthusiasts

22.6 million Americans that value a regular physical, wellness/coaching services, and get recommended screenings. Notable whole health and preference characteristics include:

  • Preference: 43% interested in home health services and 35% in telehealth if they reduced insurance costs
  • Social: 26% delayed medical care and filling a prescription due to cost at least once in the past year
  • Medical, dietary: 19% want help understanding their prescriptions; 19% want help managing weight

Healthy adult skeptics

12.5 million Americans that generally avoid interacting with the health system and are less likely to have health insurance than other consumer groups. Notable whole health and preference characteristics include:

  • Preference: 36% interested in home health services and 39% in telehealth if they reduced insurance costs
  • Social: 45% delayed medical care due to cost at least once in the past year
  • Medical, dietary: 32% want help managing weight and 22% want help getting proper nutrition

Contact us

Kelly Barnes
US Health industries and Global Health industries Consulting Leader
Tel: +1 (214) 754 5172
Email

Benjamin Isgur
Health Research Institute leader
Tel: +1 (214) 754 5091
Email

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