Snapshot

Where the Money Goes

Percent of U.S. health care spending by 7 core health consumer segments


A PricewaterhouseCoopers survey predicts that primary care in the future will provide services for seven core consumer markets: the frail elderly, consumers with complex chronic disease, consumers with chronic disease, consumers with mental illness, healthy families, healthy adult enthusiasts, and healthy adult skeptics.


Percent of U.S. health care spending by 7 core health consumer segments

Per capita annual spending for 7 core consumer health markets

Total U.S. retail drug spending by 7 core health consumer segments

(in millions)

Care needs for the 7 core consumer health markets
Market Needs
Frail elderly Intense care management and coordination. Ideal candidates for 24/7 remote monitoring and clinician house calls.
Complex chronic disease Intense care management and coordination, 24/7 remote monitoring, clinician house calls, patient-centered medical homes, and nurse-managed clinics.
Chronic disease Population-based care teams, specialized nurse clinics, and retail clinics that offer disease management.
Mental illness Medical homes with integrated behavioral health services, on-demand telehealth.
Healthy families Digital options; convenient care clinics; and preventive, wellness, and integrative services.
Healthy adult skeptics Digital health options, retail clinics, clinician house calls.
Healthy adult enthusiasts Digital options, convenient care clinics; and preventive, wellness, and integrative services.
Source: PricewaterhouseCoopers, “Primary Care in the New Health Economy: Time for a Makeover,” November 2015