{ "docId": "019dd923-5de0-76bd-a167-a0dc434ac4d6", "docSlug": "3cae4fa906bcd5d6", "documentTitle": "Healthcare Payer Service Providers, 2024", "authorId": "Accenture", "authorName": "HFS", "documentKindSlug": "consulting-deck", "documentKindLabel": "Consulting deck", "sourceTypeSlug": "strategy_consulting", "sourceTypeLabel": "Strategy consulting", "presentationDate": null, "orientation": "landscape", "aspectRatio": 1.778, "pageNumber": 14, "pageCount": 30, "prevPage": 13, "nextPage": 15, "slideType": "market_landscape", "function": "analyze_data", "density": "dense", "nDataPoints": 12, "notes": "Includes projections from 2024 onwards.", "elementsJson": [ "action_title", "line_chart", "bullet_list", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-5de0-76bd-a167-a0dc434ac4d6/14", "deckHref": "/decks/019dd923-5de0-76bd-a167-a0dc434ac4d6", "deckJsonHref": "/decks/019dd923-5de0-76bd-a167-a0dc434ac4d6.json", "deckAnchorHref": "/decks/019dd923-5de0-76bd-a167-a0dc434ac4d6#slide-14", "components": [ { "bbox": null, "kind": "callout", "text": "Coverage has shifted dramatically post the Affordable Care Act as group commercial declined, offset by the increases in self-insured enrollment.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd951-a672-7739-9ce4-77dd1f51eb1d", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.65, "w": 0.65, "x": 0.04, "y": 0.22 }, "kind": "chart", "text": "US healthcare enrollment by type of coverage", "attrs": null, "subkind": "line", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "36ef501e-04cf-424f-ac76-96cd14347cae", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.65, "w": 0.25, "x": 0.72, "y": 0.22 }, "kind": "list", "text": "Coverage has shifted dramatically post the Affordable Care Act as group commercial declined, offset by the increases in self-insured enrollment. Projections through the end of the decade show a similar trajectory with growth in Medicare, the marketplace, and self-insured lives. Medicaid as a percentage of the population will flatten without policy intervention. Investments in addressing health equity could have a positive effect on the uninsured rates, estimated to be below 10% of the total population.", "attrs": null, "subkind": "bullet", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "024442ab-f8c6-42c3-a7f1-aa422a66468e", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "metric", "text": "Self-insured employer enrollment (millions of lives): 122.2", "attrs": null, "subkind": "primary", "toolName": "Quantification", "toolSlug": "quantification", "confidence": null, "componentId": "019dd951-a672-7739-9ce4-790f6ebef9a5", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.6, "x": 0.04, "y": 0.89 }, "kind": "source-note", "text": "Source: CMS, Congressional Budget Office, Kaiser Family Foundation, Bureau of Labor Statistics, HFS Research, 2024", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "df57f6a4-3566-4f9d-a73d-757b6b137784", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.1, "w": 0.85, "x": 0.04, "y": 0.04 }, "kind": "title", "text": "The US healthcare demand landscape is changing rapidly, but service providers are yet to realize the impact", "attrs": null, "subkind": "headline", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "147ba0bc-9523-4ac4-9b33-cb033ef1a594", "frameworkName": null, "frameworkSlug": null } ], "metrics": [ { "metricRaw": "Self-insured employer enrollment (millions of lives)", "numberRaw": "122.2", "numberKind": "plain", "actionTitle": "The US healthcare demand landscape is changing rapidly, but service providers are yet to realize the impact", "calloutText": "Coverage has shifted dramatically post the Affordable Care Act as group commercial declined, offset by the increases in self-insured enrollment.", "numberScale": null, "numberValue": 122.2, "metricFamily": "other", "numberCurrency": null } ], "tools": [ { "name": "Data Story Arc", "slug": "data-story-arc", "agent": "Storyteller", "layer": "loop", "matchId": "019dd95a-0d40-7758-be34-9b8979daf34a", "evidence": "First slide of the diagnose loop: context chart leading into a complication arc.", "confidence": 78 }, { "name": "Action Titles", "slug": "action-titles", "agent": "Architect", "layer": "slide", "matchId": "019dd95a-0d40-7758-be34-8d1f744a2087", "evidence": "Title states insight: 'demand landscape changing rapidly, but service providers yet to realize'.", "confidence": 90 }, { "name": "Annotation", "slug": "annotation", "agent": "Designer", "layer": "slide", "matchId": "019dd95a-0d40-7758-be34-9363b74262ff", "evidence": "Endpoint values labelled (122.2, 91.2, 65.3, etc.) and a 'Projections' bracket overlays the chart.", "confidence": 88 }, { "name": "Chart Selection Guide", "slug": "chart-selection-guide", "agent": "Designer", "layer": "slide", "matchId": "ee8adf80-6dc3-4838-99bb-052f60984211", "evidence": "chart/line: US healthcare enrollment by type of coverage", "confidence": 0.7 }, { "name": "Color Strategy", "slug": "color-strategy", "agent": "Designer", "layer": "slide", "matchId": "019dd95a-0d40-7758-be34-96033f97f550", "evidence": "Distinct hue per coverage type (Medicare, Medicaid, CHIP, Commercial, Self-insured).", "confidence": 75 } ], "frameworks": [ { "name": "hfs-horizons", "slug": null, "matchId": "58d9beeb-47c9-4b3d-9d85-a67284c26d02", "evidence": "Logo and branding present on slide", "confidence": 1 } ], "arcBeats": [ { "to": 19, "from": 13, "beatId": "019dd95a-0680-7418-820b-abedadd5bf84", "arcName": "The Consultant's Gambit", "arcSlug": "consultants-gambit", "beatName": "Problem & Complication", "beatSlug": "consultants-gambit-problem-complication", "evidence": "Market dynamics divider; demand shifting, margins ~2%, vertical integration failing.", "position": 2, "confidence": 88, "parentBeatName": "Complication", "parentBeatSlug": "complication" }, { "to": 16, "from": 5, "beatId": "019dd95a-0680-7418-820b-b85918541fb7", "arcName": "The Triple Take", "arcSlug": "triple-take", "beatName": "The Facts (What)", "beatSlug": "triple-take-the-facts-what", "evidence": "Methodology + market data: enrollment shifts, revenues, margins.", "position": 1, "confidence": 60, "parentBeatName": "Setup", "parentBeatSlug": "setup" } ], "loops": [ { "to": 19, "from": 14, "name": "Cost Of Inaction", "slug": "27-cost-of-inaction", "bestFor": "Urgent budget requests, compliance, risk mitigation", "matchId": "019dd95a-07fd-712f-b774-f2c5311ae23e", "evidence": "Coverage shifts, revenues climb to $16B, margins fall to ~2%, vertical integration playbook missing, employers disrupting, quadruple aim still unmet.", "position": 4, "objective": "Agitate the worsening payer market as a call for change", "structure": "The Status Quo -> The Hidden Costs Accumulating -> The Future State of Inaction -> The Tipping Point", "confidence": 80, "description": "Quantify what happens if the audience does nothing" } ], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }