Plunkett's Health Care Industry Almanac 2009: Health Care Industry Market Research, Statistics, Trends & Leading Companies

731 Pages·2008·6.04 MB·English

by  Jack W. Plunkett

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PLUNKETT’S
HEALTH CARE
INDUSTRY
ALMANAC 2009

The Only Comprehensive

Guide to the Health Care Industry

Jack W. Plunkett

Published by:
Plunkett Research, Ltd., Houston, Texas
www.plunkettresearch.com
PLUNKETT’S HEALTH
CARE INDUSTRY
ALMANAC 2009

Editor and Publisher:
Jack W. Plunkett

Executive Editor and Database Manager: E-Commerce Managers:
Martha Burgher Plunkett Mark Cassells
Heather M. Cook
Senior Editors and Researchers: Emily Hurley
Brandon Brison Lynne Zarosky
Addie K. FryeWeaver
Christie Manck Cover Design:
John Peterson Kim Paxson, Just Graphics
Junction, TX
Editors, Researchers and Assistants:
Michelle Dotter Special Thanks to:
Austin Hansell American Hospital Association
Brannon Larson Organisation for Economic Co-operation and
Kathi Mestousis Development (OECD)
Lindsey Meyn U.S. Department of Commerce,
Holly Scarpinato Census Bureau,
Jana Sharooni International Trade Administration,
Jill Steinberg National Technical Information Service
Kyle Wark U.S. Department of Health
Suzanne Zarosky and Human Services
Centers for Disease Control,
Information Technology Manager: Centers for Medicare and Medicaid Services,
Wenping Guo National Center for Health Statistics,
National Institutes of Health
U.S. Department of Labor
Bureau of Labor Statistics
U.S. National Science Foundation

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PLUNKETT’S HEALTH CARE INDUSTRY
ALMANAC 2009

CONTENTS

A Short Health Care Industry Glossary xi
Introduction 1
How to Use This Book 3
Chapter 1: Major Trends Affecting the Health Care Industry 7
1) Introduction to the Health Care Industry 7
2) Continued Rise in Health Care Costs 10
3) Employers Push Health Care Costs onto Employees/On-Site Clinics Begin to Appear 10
4) Medicare and Medicaid Spending Continue to Surge/Baby Boomers Pass 65 Years of Age Soon 11
5) Medicare Changes Include Drug Benefits for Seniors/Medicare Advantage Offers Private Fee
for Service Plans 12
6) Health Savings Accounts and Health Reimbursement Accounts Put Responsibility on the Patient 13
7) Vast Number of Uninsured and Underinsured Americans 14
8) Universal Health Care Attempted on the Local Level 14
9) Few New Blockbusters: Major Drug Patents Expire While Generic Sales Soar 15
10) Biotech and Orphan Drugs Pick Up the Slack as Blockbuster Mainstream Drugs Age 17
11) Critical Lack of Qualified Nurses in the U.S. Continues Despite Federal Efforts 17
12) Patients Are Seeking Quality of Care Data 18
13) Malpractice Suits Are Blamed for Rising Health Care Costs/Tort Reform Is Capping Awards for
Damages 18
14) Transplants Are Big Business 19
15) Hospitals are Reengineering 19
16) Obesity Sparks Government Action 20
17) Health Care Goes Offshore, Private Clinics Thrive in China and India 22
18) Disease Management Programs Take Root 23
19) Clinics Open in Retail Store Settings 24
The Outlook for Health Care Technology: 25
20) Health Care Technology Introduction 25
21) Information Technology and Health Care 25
22) Stem Cells—Controversy in the U.S. Threatens to Leave America Far Behind in the Research
Race 30
23) Stem Cell Funding Trickles in the U.S. at the Federal Level While a Few States Create
Funding of Their Own 32
24) Stem Cells—Therapeutic Cloning Techniques Advance 32
25) Stem Cells—A New Era of Regenerative Medicine Takes Shape 33
26) Gene Therapies and Patients’ Genetic Profiles Promise a Personalized Approach to Medicine 34
27) Breakthrough New Drug Delivery Systems Evolve 36
28) Advances in Cancer Research and Therapies 37
29) Proton Beams—The Ultimate Radiation Therapy 38
30) Better Imaging, including MRI, PET and 320-Slice CT, Creates Advances in Detection 39
31) Molecular Imaging will Lead to Early Detection and Early Cure of Cancerous Tumors 41
32) Advances in Laboratory Testing 42
33) Advances in Surgery 43

Continued on next page
Continued from previous page

34) Other Treatment Technologies 45
Chapter 2: Health Care Industry Statistics 49
I. U.S. Health Care Industry Overview 50
U.S. Health Care Industry Overview 51
Top 20 Global Health Insurance Companies by Revenues: 2007 52
Employment in the Health Care Industry, U.S.: 2001-2007 53
Employment & Earnings in Health Care Practitioner & Technical Occupations, U.S.: May 2007 54
Employment & Earnings in Health Care Support Occupations, U.S.: May 2007 55
Federal R&D & R&D Plant Funding for National Institutes of Health, U.S.: Fiscal Years 2006-2008 56
II. U.S. Health Care Expenditures & Costs 57
The Nation's Health Dollar, 2008: Where It Came From (Estimated) 58
The Nation's Health Dollar, 2008: Where It Went (Estimated) 59
National Health Expenditures & Selected Economic Indicators, Levels & Average Annual Percent
Change, U.S. Selected Years, 1990-2017 60
National Health Expenditures & Average Annual Percent Change: Selected Calendar Years 1980-2017 61
National Health Expenditure Amounts by Type of Expenditure, U.S.: Selected Calendar Years,
1980-2017 62
Hospital Care Expenditures & Average Annual Percent Change, U.S.: Selected Calendar Years
1980-2017 63
Hospital Care Expenditures, Percent Distribution & Per Capita Amount, U.S.: Selected Calendar
Years 1980-2017 64
Home Health Care Expenditures and Average Annual Percent Change, U.S.: Selected Calendar
Years 1980-2017 65
Home Health Care Expenditures, Percent Distribution & Per Capita Amounts, U.S.: Selected Calendar
Years 1980-2017 66
Nursing Home Care Expenditures & Average Annual Percent Change, U.S.: Selected Calendar Years,
1980-2017 67
Nursing Home Care Expenditures, Percent Distribution & Per Capita Amount: Selected Calendar
Years 1980-2017 68
Prescription Drug Expenditures, U.S.: 1965-2017 69
U.S. Prescription Drug Expenditures & Average Annual Percent Change: Selected Calendar Years
1990-2017 71
U.S. Prescription Drug Expenditures, Percent Distribution & Per Capita Amount: Selected Calendar
Years, 1980-2017 72
Index Levels of Medical Prices, U.S.: 2002-2007 73
III. Medicare & Medicaid 74
Projected Federal Spending on Medicare & Medicaid: 2004-2013 75
U.S. Medicare Enrollment Estimates, Selected Years 2006-2080 76
Medicare Aged & Disabled Enrollees: 1980-2008 77
Medicare Enrollment by Type of Coverage, 1980-2008 78
U.S. Medicare Enrollment Trends, Part A Hospital Insurance (HI): July 1970-2008 79
U.S. Medicare Enrollment Trends, Part B Supplemental Medical Insurance (SMI): 1970-2008 80
Medicare Beneficiaries with Prescription Drug Coverage, Summary Report: September 2008 81
Medicare Deductible, Co-Payment & Premium Amounts: 2009 82
IV. U.S. Health Insurance Coverage & the Uninsured 84
Percent of Persons of All Ages without Health Insurance Coverage, U.S.: 1997-2007 85
Number & Percent of Persons without Health Insurance Coverage, by Age Group, U.S.: 1997-2007 86
People without Health Insurance for the Entire Year, U.S.: 2006-2007 87
Percent of Persons under Age 65 Years without Health Insurance Coverage, by Age Group & Sex:
U.S.: 2007 88

Continued on next page
Continued from previous page

Percent of Persons under Age 65 with Public Health Plan Coverage & Private Health Insurance
Coverage by Age Group, U.S.: 1997-2007 89
Percent of Persons of All Ages without Health Insurance Coverage, by Race/Ethnicity, U.S.: 2007 90
Employers' Costs for Health Insurance, Amount & Percent of Total Compensation, U.S.: Selected
Years 2003-2007 91
V. U.S. Vital Statistics & Population Indicators 92
Projected U.S. Population Distribution by Age Group: 2000-2050 93
Life Expectancy at Age 65, U.S. 94
Current Cigarette Smoking by Persons 18 Years of Age & Over According to Sex & Race, U.S.:
Selected Years, 1965-2006 95
Overweight & Obesity Among Persons 20 Years of Age & Over, According to Sex, Race & Hispanic
Origin: Selected Years, 1960-2004 96
Chapter 3: Important Health Care Industry Contacts 97
(Addresses, Phone Numbers and Internet Sites)
Chapter 4: THE HEALTH CARE 500:
Who They Are and How They Were Chosen 140
Industry List, With Codes 141
Index of Rankings Within Industry Groups 143
Alphabetical Index 156
Index of Headquarters Location by U.S. State 159
Index of Non-U.S. Headquarters Location by Country 163
Index by Regions of the U.S. Where the Firms Have Locations 163
Index by Firms with Operations Outside the U.S. 172
Individual Data Profiles on Each of THE HEALTH CARE 500 174
Additional Indexes
Index of Hot Spots for Advancement for Women/Minorities 673
Index by Subsidiaries, Brand Names and Selected Affiliations 675