Business Monitor International


Understanding the US's Regional Healthcare Markets

Published 15 April 2014

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Understanding the US's Regional Healthcare Markets

BMI View: Huge vari ations in healthcare spending, infrastructure and personnel across the US states present both opportunities and challenges for providers of medical services and equipment. While the key states of New York, Texas, Illinois and California have the highest absolute spending in their respective regions of Northeast, South, Midwest and West, none of them are the highest spenders in per capita terms (which are Massachusetts, Washington DC, North Dakota and Alaska).

Key Forecasts By Region

Northeast: The region consists of nine states and is the least populous region in the US, with a population of 55,943,073 in 2013 (17.7% of the total population). In 2013 healthcare spending reached US$557.6bn, with hospital care spending reaching a value of US$200.6bn. We forecast that by 2018 regional healthcare spending will increase to US$714.8bn, with hospital care spending rising to US$267.5bn. In 2013, New York was the highest spending state, while Vermont was the lowest spending.

South: The region is composed of seventeen states and is the most populous in the US, with a population of 118,383,453 in 2013 (37.4% of the total population). In 2013, regional healthcare spending reached a value of US$941.2bn, with hospital care spending reaching a value of US$326.5bn. We forecast that by 2018, regional healthcare spending will increase to US$1,199bn, with hospital care spending rising to US$434.7bn. In 2013, Texas was the highest spending state, while Washington DC (formally known as the District of Columbia) was the lowest spending.

Midwest: The region consists of twelve states and the population accounts for 21.4% of the total US population - 67,547,890 in 2013. In 2013, regional healthcare spending reached a value of US$564.9bn, with hospital care spending reaching US$237.8bn. We forecast that by 2018, healthcare spending in the region will increase to US$722.2bn, with hospital care spending rising to US$331.3bn. In 2013, Illinois was the highest...

For years to come, the US healthcare market will remain the most attractive to providers of medical services. Considerable absolute sales figures and high expected growth are supported by a robust economy and political stability. Access to healthcare in general and medicines in particular is unmatched globally. Patients, prescribers and payers are accustomed to the newest and, by definition, most expensive therapeutics and diagnostics. However, we note that the forecast conceals regional variations in growth prospects.

Factors such as demographics, rural/urban splits, economic prosperity and affiliation to health insurance schemes vary between regions, and help determine where opportunities, and risks, lie in the US's regional healthcare market.

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