Table of Contents

PLUNKETT'S HEALTH CARE INDUSTRY ALMANAC 2010 CONTENTS A Short Health Care Industry Glossary xii Introduction 1 How to Use This Book 3 Chapter 1: Major Trends Affecting the Health Care Industry 7 1) Introduction to the Health Care Industry 7 2) Continued Rise in Health Care Costs 10 3) Employers Push Health Care Costs onto Employees/On-Site Clinics Begin to Appear 11 4) Medicare and Medicaid Spending Continue to Surge/Baby Boomers Pass 65 Years of Age Soon 12 5) Medicare Changes Include Drug Benefits for Seniors/Medicare Advantage Offers Private Fee for Service Plans 12 6) Vast Number of Uninsured and Underinsured Americans 13 7) Universal Health Care Attempted on the Local Level 13 8) Few New Blockbusters: Major Drug Patents Expire While Generic Sales Growth Continues 15 9) Biotech and Orphan Drugs Pick Up the Slack as Blockbuster Mainstream Drugs Age 16 10) Quality of Care and Health Care Outcomes Data Become Available Online 17 11) Malpractice Suits Are Blamed for Rising Health Care Costs/Tort Reform Is Capping Awards for Damages 18 12) Transplants Are Big Business 19 13) Hospitals are Reengineering 19 14) Obesity Sparks Government Action 20 15) Health Care Goes Offshore, Medical Tourism and Clinical Trials Thrive in China, India and Elsewhere 22 16) Disease Management Programs Take Root 23 17) Clinics Open in Retail Store Settings 23 The Outlook for Health Care Technology: 24 18) Health Care Technology Introduction 24 19) Information Technology and Health Care 25 20) Stem Cells-Multiple Sources Stem from New Technologies 29 21) U.S. Government Reverses Ban on Funding for New Stem Cell Research 31 22) Stem Cells-Therapeutic Cloning Techniques Advance 32 23) Stem Cells-A New Era of Regenerative Medicine Takes Shape 33 24) Gene Therapies and Patients' Genetic Profiles Promise a Personalized Approach to Medicine 34 25) Breakthrough New Drug Delivery Systems Evolve 36 26) Advances in Cancer Research and Therapies 36 27) Proton Beams-The Ultimate Radiation Therapy 38 28) Better Imaging, including MRI, PET and 320-Slice CT, Creates Advances in Detection 39 29) Molecular Imaging will Lead to Early Detection and Early Cure of Cancerous Tumors 41 30) Advances in Laboratory Testing 42 31) Advances in Surgery 43 32) Other Treatment Technologies 45 33) Nanotechnology Makes Breakthroughs in Health Care 48 Chapter 2: Health Care Industry Statistics 50 I. U.S. Health Care Industry Overview 51 U.S. Health Care Industry Overview 52 Top 10 Global Health Insurance Companies by Revenues: 2008 53 Employment in the Health Care Industry, U.S.: 2002-2008 54 Employment & Earnings in Health Care Practitioner & Technical Occupations, U.S.: May 2008 56 Employment & Earnings in Health Care Support Occupations, U.S.: May 2008 57 Federal R&D & R&D Plant Funding for National Institutes of Health, U.S.: Fiscal Years 2007-2009 58 II. U.S. Health Care Expenditures & Costs 59 The Nation's Health Dollar, 2009: Where It Came From (Estimated) 60 The Nation's Health Dollar, 2009: Where It Went (Estimated) 61 National Health Expenditures & Selected Economic Indicators, Levels & Average Annual Percent Change, U.S. Selected Years, 1990-2018 62 National Health Expenditures & Average Annual Percent Change: Selected Calendar Years 1980-2018 63 National Health Expenditure Amounts by Type of Expenditure, U.S.: Selected Calendar Years, 1980-2018 64 Hospital Care Expenditures & Average Annual Percent Change, U.S.: Selected Calendar Years 1980-2018 65 Hospital Care Expenditures, Percent Distribution & Per Capita Amount, U.S.: Selected Calendar Years 1980-2018 66 Nursing Home Care Expenditures & Average Annual Percent Change, U.S.: Selected Calendar Years, 1980-2018 67 Nursing Home Care Expenditures, Percent Distribution & Per Capita Amount: Selected Calendar Years 1980-2018 68 Prescription Drug Expenditures, U.S.: 1965-2018 69 U.S. Prescription Drug Expenditures & Average Annual Percent Change: Selected Calendar Years 1990-2018 71 U.S. Prescription Drug Expenditures, Percent Distribution & Per Capita Amount: Selected Calendar Years, 1980-2018 72 Index Levels of Medical Prices, U.S.: 2003-2008 73 III. Medicare & Medicaid 74 Projected Federal Spending on Medicare & Medicaid: 2005-2014 75 U.S. Medicare Enrollment Estimates, Selected Years 2007-2080 76 Medicare Aged & Disabled Enrollees: 1980-2008 77 Medicare Enrollment by Type of Coverage, 1980-2008 78 U.S. Medicare Enrollment Trends, Part A Hospital Insurance (HI): July 1970-2008 79 U.S. Medicare Enrollment Trends, Part B Supplemental Medical Insurance (SMI): 1970-2008 80 Medicare Beneficiaries with Prescription Drug Coverage, Summary Report: September 2009 81 IV. U.S. Health Insurance Coverage & the Uninsured 82 Percent of Persons of All Ages without Health Insurance Coverage, U.S.: 1997-2008 83 Number & Percent of Persons without Health Insurance Coverage, by Age Group, U.S.: 1998-2008 84 People without Health Insurance for the Entire Year, U.S.: 2007-2008 85 Percent of Persons under Age 65 Years without Health Insurance Coverage, by Age Group & Sex: U.S.: 2008 86 Percent of Persons under Age 65 with Public Health Plan Coverage & Private Health Insurance Coverage by Age Group, U.S.: 1997-2008 87 Percent of Persons of All Ages without Health Insurance Coverage, by Race/Ethnicity, U.S.: 2008 88 Employers' Costs for Health Insurance, Amount & Percent of Total Compensation, U.S.: Selected Years 2004-2008 89 V. U.S. Vital Statistics & Population Indicators 90 Projected U.S. Population Distribution by Age Group: 2000-2050 91 Life Expectancy at Age 65, U.S. 92 Current Cigarette Smoking by Persons 18 Years of Age & Over According to Sex & Race, U.S.: Selected Years, 1965-2007 93 Overweight & Obesity Among Persons 20 Years of Age & Over, According to Sex, Race & Hispanic Origin: Selected Years, 1960-2004 94 Chapter 3: Important Health Care Industry Contacts 95 (Addresses, Phone Numbers and Internet Sites) Chapter 4: THE HEALTH CARE 500: Who They Are and How They Were Chosen 135 Industry List, With Codes 136 Index of Rankings Within Industry Groups 138 Alphabetical Index 151 Index of U.S. Headquarters Location by State 154 Index of Non-U.S. Headquarters Location by Country 158 Index by Regions of the U.S. Where the Firms Have Locations 159 Index by Firms with International Operations 167 Individual Data Profiles on Each of THE HEALTH CARE 500 169 Additional Indexes Index of Hot Spots for Advancement for Women/Minorities 671 Index by Subsidiaries, Brand Names and Selected Affiliations 673

About the Author

Jack W. Plunkett is CEO & Publisher of Plunkett Research, Ltd., a Houston-based provider of market research and industry information in printed and electronic formats. Plunkett Research provides analysis, statistics and other vital data on all major industry sectors, from InfoTech to Retailing to Banking and Nanotechnology. Plunkett's client list includes 10,000 leading corporations, universities and government agencies worldwide. Plunkett's research products are distributed electronically through subscriptions to its website and around the globe by major booksellers and news distributors, including Bloomberg and ThomsonReuters.

Jack Plunkett is the author of numerous books, including The Next Boom: What you absolutely, positively have to know about the world between now and 2025. This book won a 2011 gold medal in the Business Book Awards competition sponsored by Axiom and INC Magazine. Plunkett is frequently interviewed as an expert source by publications such as Time magazine, The Wall Street Journal, The New York Times and Investor's Business Daily, media outlets such as NPR's Marketplace, ABC, and CBS Marketwatch, as well as local and regional newspapers and national columnists. Plunkett received an Academic Book of the Year Award for his Plunkett’s Health Care Industry Almanac, and he was a regional finalist in the Entrepreneur of the Year Awards sponsored by Ernst & Young.

Reviews

- This volume is a comprehensive, one-stop source for researchers of all types - This almanac provides great facts and great comparisons in an easy-to-understand format. Prepare to be amazed.A" A solid resource for researchers, executives, businesses and the general public.A" This excellent quick reference tool is well organized and contains vital, up-to-date data.A" American Reference Books Annual All in all, a very useful resource for candidates seeking jobs with a health-related organization.A" Career Opportunity News Includes the latest statistics on health care trends, including the medical industry's growth rates - Highly recommended for corporate, academic, and community library - reference collections.A" Midwest Book Review True to the publisher's claim, this is the only complete guide to the health care industry in the U.S - Highly recommended.A" CHOICE magazine - Makes it easy to understand managed care, medical finances and the technology behind today's health care. Business people, marketers, researchers and professionals - who need in-depth information on the health care industry can benefit from this unique resource.A" Health Care Quarterly- The Business Journal