2017年全球医疗趋势调查报告（英文）_18页-1mb

2017 Global Medical Trends Survey Report Summary

Core Content

The 2017 Willis Towers Watson Global Medical Trends Survey Report provides an overview of global medical cost trends, employer responses, and the factors driving these increases. It highlights that medical costs continue to rise across the globe, with no clear signs of slowing down, and that the main drivers include hospital/inpatient services, basic medical/outpatient services, provider behavior, new medical technology, and higher provider profits.

Main Points and Key Information

Global Medical Trends

• The average global medical trend is projected to be 7.8% in 2017, up slightly from 7.3% in 2016 and 7.5% in 2015.
• The trend is weighted by GDP per capita to account for market size and currency fluctuations.

Regional Medical Trends

• Latin America has the highest trend, driven by high inflation.
• Europe has the lowest trend, due to its comprehensive social security coverage.
• Asia Pacific shows a rising trend, with China leading at over 10%.
• Middle East and Africa has a trend of around 9%, projected to rise to 9.8% in 2017.

Employer Responses

• Employers primarily use traditional cost management strategies such as cost sharing and contracting with provider networks.
• There is a growing investment in preventive care and well-being initiatives to improve workforce health and productivity.
• Well-being programs are increasingly offered, with nearly half of European employers and a majority in the Americas now providing them.
• Health risk assessments, second opinions, biometric screenings, and lifestyle education are also on the rise.

Medical Cost Drivers

• Hospital/inpatient services and basic medical/outpatient services are the leading cost drivers, with over 50% of insurers in most regions expecting significant increases.
• Overprescribing by providers and inappropriate care-seeking by employees are major concerns.
• New medical technology and higher provider profits are also contributing to rising costs.

Top Three Diseases Globally

• Cardiovascular disease, cancer, and respiratory illness are the top three diseases globally, with no expected change in their prevalence over the next five years.
• These are noncommunicable diseases, which are increasingly prevalent in low- and middle-income countries due to aging populations, urbanization, and globalization of risk factors.

Data and Coding

• High-level claim coding is improving, especially for larger employers, allowing better strategic planning.
• ICD-10 adoption is ongoing, but data availability remains limited, particularly in Europe.

Mental Health and Substance Use Coverage

• Mental health and stress treatment is now included in 61% of insurers' standard medical plans, up from 50% in 2014.
• Coverage for alcoholism and drug use remains low at 72%, and HIV/AIDS is excluded by 43% of insurers.

Key Findings

• Medical trends are mostly above inflation in most regions, with notable exceptions.
• Venezuela has been excluded from regional and global averages due to hyperinflation, which would significantly alter the results if included.
• Noncommunicable diseases are expected to dominate the global health landscape for at least the next five years.
• Employers are increasingly focusing on cost-sharing and preventive care to manage rising medical expenses.
• Data availability and transparency are still major challenges in many regions, especially in Europe.

Conclusion

The report underscores the global challenge of rising medical costs, the shift towards employer-led wellness programs, and the growing importance of noncommunicable diseases. It also highlights the need for better data transparency and the ongoing impact of economic and regulatory factors on medical trends.