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Healthcare System Trends in the United States

When developing this in 2018, the Senate had failed to invalidate, exchange, or alter the Affordable Care Act (ACA); therefore, the market left did not change from a legislative appearance. Persistent change of market before and after implementing the ACA has left ACA exchange in trouble. The troubles are related to finance providers, encountering decreased compensation, and consumers who have limited access to plans by urban statistical areas across the state. According to Vogenberg and Santilli (2018), through traditional carriers and employer self-funded market trends, the action led to the re-energizing of commercial health insurance.

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Evident Topics Revealing Main Healthcare Trends in the United States

It is evident that there are several present healthcare system trends in the United States. The topics identified surround many leading trends in the energized US market. The following are the topics discussed intensively on health care system trends in the United States.

Healthcare in Rural Areas

Many United States patients get treatment from minor, nonmetropolitan hospitals that offer problems for patients and providers of the biggest cities and sub-metropolitan hospitals where health systems introduction happens. Essential health care services provided by rural hospitals are for about 57 million citizens. This population of people staying in rural counties deviates by almost 200,000 from 2010 to 2016, which is the first recorded period of the rural population. (Vogenberg & Santilli, 2018).

Consumerism in Healthcare

Consumerism refers to improving an employer’s advantage for health into that which puts economic buying ability and decision-making in the hands of members. The generation of baby booms continues to lead to pharmaceutical choices, costs, and healthcare and will continue for a while. They will soon overshadow in the controlling drug trends and healthcare for baby boomers, with approximately 7.7 million approximately outnumber millennials. (Vogenberg & Santilli, 2018).

Change in Workforce

According to Orji and Moffatt (2018), employment in the United States is experiencing heavy changes. Occupations in work that require intense education and expertise have risen. This concept has made many workers realize that upgrading their skills is long term commitment. According to Orji and Moffatt (2018), the industry now consists of many generations representing adverse skills of variation, life experiences, technical training, and college education. Such a diverse labor surrounding also creates limitations for healthcare.

Administration Transformation: Benefits Strategy and Specialty Drugs

According to Vogenberg and Santalli (2018), growing healthcare expenses have influenced employers to re-evaluate their healthcare advantages. Commonly, employers currently play a role in estimated care expenses of 70% and 30% of what consumers own, opposite of the previous 80% to 20% proportion. According to Vogenberg and Santilli (2018), administering specialty drugs not exceeding 1 % to 2% of the US number of people, yet they account for 38% of the US drug prescription cost. This drug predicts 50% of the accounted cost of the whole US prescription drug costs, and an intensive survey of advantage strategy and drug pricing is already happening.

Integrated Care for Population Health

According to Kenner (2017), a quick rise has happened in the select outpatient hospitals, including intervention and surgical processes served in the outpatient setup, whereas hospitalized visits of patients have decreased. Providers are highly shifting their attention to ambulatory care. Ambulatory care expenditures increased by 7.3 % from the second quarter in 2015 to the second quarter in 2016, sum up to $244.3 billion (Kenner, 2017). The increment is activated in section by payment best on value models and advancement in technology. Innovations run a foremost duty in the improved delivery of healthcare, and as a result application of technology goes on to grow, ambulatory and outpatient care will improve.

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Technology Acceleration and Transformative Market Impacts

Increasingly, individualized and genomic medicine enables us to get therapy specified to our molecular setup. A few instances currently use genomic information in making treatment decisions, yet the research is dynamic and is getting better quickly. According to Vogenberg and Santilli (2018), trends controlling the industry’s vibrant wellness include blood testing done at home, improving round wellness, fitness festivals, and marijuana for wellbeing. Technology improvements will keep on to having a significant influence on the providing of healthcare and affect shareholders.

Government: Legislative and Regulatory Change

According to Cholangial et al. (2017), the national administration realizes and increasing cost pressure because health care is responsible for approximately 33% of national budgets. Governments have no suppleness on rules and regulations to make essential changes that decrease healthcare costs. With no federal action to alter the healthcare industry trends or enlighten states, the marketplace is polluted further by private and public sector limits. According to Cholangail et al. (2017), the public sector and other market factors allow for transformation that has led providers and insurers to concentrate more on the private sector. It includes continuous withdrawal from ACA exchange plans, as well as decreasing cash exposure to risk.


The information above has identified main topics which comprise different direction which will impact the 2018–2019 US healthcare industry. Additionally, the change of speed over time maintains acceleration and economic factors that continuously reduce cost control. It remains to appear if any enacted law comes out of congress to be signed by the president. Nevertheless, these topics will continue to grow and actively perform in the industry, effectively improving the healthcare business than the way it was before. The issues are supposed to be addressed intensively by the relevant authorities to improve the health care system.


Cholangial, G., Wong, R. J., Hu, M., Perumal, R. B., You, E. R., Puri, P., & Ahmed, A. (2017). Liver transplantation for non-alcoholic steatohepatitis in the US: Temporal trends and outcomes. Digestive Diseases and Sciences, 62(10), 2915-2922.

Kenner, C. A. (2017). Trends in US nursing research: Links to global healthcare issues. Journal of Korean Academy of Nursing Administration, 23(1), 1-7.

Orji, R., & Moffatt, K. (2018). Persuasive technology for health and wellness: State-of-the-art and emerging trends. Health Informatics Journal, 24(1), 66-91.

Vogenberg, F. R., & Santilli, J. (2018). Healthcare Trends for 2018. American Health & Drug Benefits, 11(1), 48.

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