role of ncds as a healthcare cost driver

8/3/2019 Role of NCDs as a Healthcare Cost Driver

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RoleofNCDsasaHealthcareCostDriver

Candace DeMatteis, Policy Director

October 9, 2011


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Healthcare cost growth is like a

sink thats overflowing . . .

were so focused on mopping upthe water, no one is reaching up to

turn off the faucet.

Whyshi5thefocusofhealthcaredelivery?


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GlobalGrowthinNonCommunicable

Diseases

Cause60%ofalldeathsglobally;

Overthenext10years,deathsfromNCDsexpected

toincrease17%.

Thisyear,36MpeoplewilldiefromanNCD.

Globally,350MdiabeJcsby2030.

2.3Badultsareoverweight. 700Madultsareobese.

Source: WHO 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases (2008)

The WHO list of the most common

non communicable diseases:

Asthma

CancerCardiovascular diseases

Chronic Obstructive PulmonaryDisease

Congenital conditions

Diabetes

Diseases of the digestive system Eye

conditionsGenitourinary conditions (prostate

disorders, nephritis)

Neuro-psychiatric conditions

Skin conditions and musculoskeletalconditions (arthritis)

Skin Diseases


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EconomicImpactofNCDs

Lost national income from premature deaths due to heart disease, stroke anddiabetes

Countries

Lost National Income ($billions)

2005 2005-2015 (cumulative)

Brazil 3 49

China 18 558

India 9 237

Russian Federation 11 303

WHO Chronic Disease Report 2005


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The realdriver of cost is non communicabledisease


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MajorRiskFactorsforNCDs

HighCholesterol

Level

Overweight &

Obesity

Physical

Inactivity

High blood

glucose level

Tobacco Use

High blood

pressure

Leading Risk Factors as % of TotalDeaths in 2004: Worldwide & Middle-Income Countries

Source: WHO Global Infobase, https://apps.who.int/infobase, Accessed July 20, 2010; K.M. Venkat Naran et al. Global Noncommunicable Diseases New England Journal of Medicine,September 2010

WHOesJmatesthat80% ofheart

disease,stroke,andtype2diabetes,90%ofCOPD,and40%ofcancercouldbepreventedifpeoplewould

Eathealthydiets IncreasephysicalacJvity Stopsmoking


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HealthcareSpendinggrowthcanbedecomposedinto:

Changeintreatedprevalence

ChangeinspendingpertreatedcaseInteracJons

About2/3growthlinkedtotreatedprevalenceincreases.

TheEconomicChallenge


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97%

MedicalCare

Research

1%-3%-

PrevenJon

Causes of AvoidableMortality

30% - Other

Contributors

(genetics,

health care,

etc.)

70% -

Behavioral

and

Environment

al Factors

8Source: Institute of Medicine, Health Affairs, Journal of American Medical Association

(JAMA)

U.S. Investment inPrevention

U.S. spends very little on prevention, despite behavioral and environmentalfactors accounting for 70 percent of U.S. deaths

TheOpportunity


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ChronicDiseaseRiskFactor AgeStandardized

Prevalence

HighBloodPressure 35.2

OverweightorObese 11.2

HighCholesterol 27.9

RaisedBloodGlucose 10.9

DailySmoking14.8

PrevalenceofSelectedChronic

DiseaseRiskFactors,India2008


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Source: NCMH Background Papers: Burden of Disease in India

CardiovascularDiseaseinIndia:

ProjectedNumberofPaQents


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DiabetesinIndia:ProjectedNumber

ofCases(inMillions)


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The Partnership to Fight Chronic Disease Is Driving Policymakers toRecognize Preventable Chronic Disease and its Role in RisingHealthcare Costs

A non partisan NGO consisting ofhealthcare experts and stakeholdersdedicated to fighting the #1 driver ofrising health costs: preventable chronic

disease.

End Goal:

Begin to Refocus the Cost Debate on the True

Cost Drivers in Healthcare

Address AccessConcerns/ Partner

in ExpandingAccess

Drive the DebateToward Meaningful

Solutions toCombat Chronic

Disease

Educate Key Policy Leaders Key Activities:

EducateMobilizeChallenge


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PFCDinAmerica

Morethan130naQonalpartnerorganizaQons,and

thousandsofpartnersin17states

ExecuQveDirector:KenThorpe,Professor

andChair,RollinsSchoolofPublicHealth,

EmoryUniversity,FormerDeputyAssistant

SecretaryforHHS

PaQentandprovidergroups

Publichealthgroups

Civicgroups

Laborunions

Majoremployersandbusinessgroups

Insurersandotherhealthgroups

AcademicinsQtuQons


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CreaQngtheValueProposiQon--WhyFocus

onNCDs?

Reducelong-termhealthcarecosts

Therisingprevalenceofchronicdiseaseisaprimarydriverofrisinghealthcarespendingbypeople,theirfamiliesandpayers

Manydiseasescanbeprevented,detectedandtreatedtoavoidcostlycomplicaQonsImproveproducQvity&economicgrowth

ChronicdiseasepreventpeoplefromworkingtotheirfullpotenQal Whensickpeoplegotowork,theyarelessproducQve,makemistakes,andareinjuredmore

frequently

Familymemberso5entakeofffromworktocareforthesick ReducingtheeconomicburdenofdiseasepromotessustainablegrowthImprovequalityoflife

Improvinghealthincreasesthequalityoflife


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Major U.S. Media Outlets Covering NCDs and Risk Factors asKey Cost Driver

15


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KeyFindings

Prevention is the most salient and important solution to the problem. Vaccines are an important element of prevention Local-based efforts deemed most effective. Need for greater coordination between players. Partnerships provide credibility and are deemed more effective strategies.

Intervention definition easily embraced. Promoting adherence an important element of intervention. Patient-centered, community-based programs that empower patients

differentiates intervention from traditional disease management.

The most successful intervention strategies include partnerships with employersand provide incentives to patients/employees.

New treatments and technology are important but stakeholders want more thantherapeutic innovation

Vaccines (i.e. cervical cancer) are a home run allowing respondents to connectthe dots.

Need for innovation to improve access; care ccordination and self-managementsupport.


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Cancer,diabetes,heartdiseasesarenolongerthediseasesofthewealthy.

Today,theyhamperthepeopleandtheeconomiesofthepoorest

populaQons,evenmorethaninfecQousdiseases.Thisrepresentsapublic

healthemergencyinslowmoQon.

-BanKi-Moon,UnitedNaJonsSecretary-General

TheGlobalizaQonofNCDs

TheWorldEconomicForum2009GlobalRisksLandscapeAssessment

ReportidenQfiedchronicdiseasesasoneofthemostsignificantrisks

facingtheglobaleconomies.

www.weforum.org/pdf/globalrisk/globalrisks09/global_risks_2009.pdf


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www.fightchronicdisease.org

role of ncds as a healthcare cost driver

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