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Healthcare in a Recession (OTC, Generics, Out of Pocket Spending, Healthcare Legislation, Retail Clinics, Outsourcing and Other Topics)

  • Executive Summary
    • OUT OF POCKET SPENDING
    • HEALTHCARE LEGISLATION
    • STATE OF THE PHARMACEUTICAL INDUSTRY, 2009
    • RETAIL CLINICS
    • OTC/GENERIC DRUGS
  • INTRODUCTION
    • THE U.S. HEALTHCARE SYSTEM TODAY
      • Overview
    • THE NEED FOR ALTERNATIVES
      • High Cost of Care
      • Healthcare Reform
        • Table U.S. Health Care Coverage by State, 2008
  • OUT-OF-POCKET EXPENDITURES: THE MARKET IN 2009
    • TYPES OF EXPENDITURES
      • Insurance Co-Payments
      • Direct Payments
      • Premiums and Plan Fees
      • Cash or Check
      • Credit Cards
        • Table Credit Card Debt of Consumers With Medical Debt, 2007
      • Loans and Lines of Credit
      • Flexible Spending Accounts
      • Health Savings Accounts
      • Medical Financing
        • Table Main Business Activities of Selected Medical Financing Companies, 2009
      • Elective Procedures
      • Non-Elective Procedures and Prescription Drugs
    • CONSUMERS WHO PAY OUT OF POCKET
      • The Uninsured and Underinsured
      • Medicaid Recipients
      • The Disabled
      • Senior Citizens
      • The Mentally Ill
      • The Obese
      • Persons with Chronic Conditions
        • Table Obesity in the United States, 1980 - 2013
  • OUT-OF-POCKET EXPENDITURES: THE MARKET IN 2009 - 2013
    • TRENDS
      • Out-of-pocket Expenditure Growth Drivers
        • Table Selected Rx-to-OTC Switches in the United States, 1990 - Present
        • Table Rx-to-OTC Switch Candidates in the United States, 2009 - 2013
        • Table Consumer Out-of-pocket Expenditures per Worker 2003-2013 (in $)
        • Table Consumer Out-of-pocket Expenditures by Type, 2003-2013 ($ Billion)
      • Payment Methods
        • Table Consumer Out-of-pocket Expenditures by Type, 2001-2011 ($ Billion)
        • Table Amount of Consumer Out-of-pocket Expenditures for Elective Procedures That Are Financed, 2003-2013
        • Table Amount of Consumer Out-of-pocket Expenditures for Non-Elective Procedures That Are Financed, 2001-2011 ($ Billion)
      • Consumers Who Pay Out-of-pocket
        • Table Size of High Risk Groups for High Out-of-pocket Health Care Expenditures, 2003-2013 (Millions of Persons)
  • OVER THE COUNTER DRUGS: IN POSITION
    • UNITED STATES MARKET
      • Table Projected US OTC Revenues 2008-2012
      • OTC and Recession: Avoiding the Copay
    • BEHIND THE COUNTER DRUGS?
  • INFLUENTIAL PHARMACISTS
    • MARKETS - PHARMACISTS IMPACT
    • THE PRESCRIBING PHARMACIST?
      • Main Drivers For Increased Pharmacist Prescription Authority
        • Table Pharmacists Influence in Drug Selection and/or Therapy Aspect: 2007 and 2012
        • Table States Likely to Implement Independent Prescribing First
  • MEDICAL TOURISM: BOOM OR BUST?
    • Table Cost Savings From Medical Tourism For Various Procedures, 2008
    • Motivations for Medical Tourism
    • Impact of Recession
    • True Medical Tourism vs. All Healthcare for Foreigners
  • STATE OF THE PHARMACEUTICAL MARKET: OFFSHORING AND OUTSOURCING
    • MEETING INVESTOR EXPECTATIONS
    • EROSION OF BLOCKBUSTER SALES
    • INCREASED GENERIC COMPETITION
    • PRICING PRESSURES
    • PIPELINE OUTPUT SLOWING COMPARED TO ROI
    • M&A
    • OFFSHORING CLINICAL TRIALS
      • SIZE AND GROWTH OF THE MARKET ABROAD
        • Table Clinical Trial Market in Select Countries 2006-2012
    • OUTSOURCING: NO LONGER OPTIONAL FOR PHARMA
    • STRATEGIC OUTSOURCING
      • Outsourcing Manufacturing Operations
        • Table Global Prescription Pharmaceutical Contract Manufacturing Market Primary, Secondary and Biomanufacturing 2003-2013
  • GENERIC DRUGS: COMING BOOM?
    • OVERVIEW
      • Issues in Generics
        • Table The U.S. Market for Prescription Generic Drugs, U.S. Revenues 2008-2012
  • RETAIL CLINICS
    • RETAIL CLINICS BUSINESS
      • Competition with Primary Care Providers
      • Regulation
        • Table Retail Clinic Service Revenues, 2003-2013
  • IMPACT OF HEALTHCARE LEGISLATION
    • OVERVIEW
      • Focus on Cost - Cutting
      • Healthcare Reform
        • Table Likely Impact of Events and Proposed Legislation (Propsed Change, Probability, Positive Impact, Negative Impact)
  • COMPANY PROFILES
    • APFUSA
    • ATLANTIC CARE
    • AURORA QUICK CARE
      • Table Financial Information
    • CAPITOL ONE HEALTHCARE FINANCE
      • Table Financial Information
    • CARE CREDIT
      • Table Financial Information
    • CERNER CORPORATION
      • Products and Services
      • Key Competitors
    • CREDIT MEDICAL
    • CSI FINANCIAL SERVICES
    • E- FINANCING SOLUTIONS
    • GLAXOSMITHKLINE
      • History and Lines of Business
      • Strategic Alliances
      • Vaccine Products
      • OTC Products
      • Financial Information
    • HOSPIRA INC.
    • MED BASICS
    • MCKESSON CORPORATION
      • Company Overview
      • Products and Service
    • MEDCO HEALTH SOLUTIONS, INC.
    • MERCK & CO. INC
      • History and Lines of Business
      • Strategic Alliances
      • Vaccine Products
      • Financial Information
    • MED CHOICE FINANCIAL
    • MEDDIRECT
    • MINUTE CLINIC
    • NOVARTIS
      • History and Lines of Business
      • Strategic Alliances
      • Vaccine Products
    • MY HEALTHY ACCESS
    • NOW MEDICAL CENTERS
    • PFS
    • QUICK HEALTH
    • REDICLINIC
    • RELIANCE MEDICAL FINANCE
    • SOLANTIC
    • TAKE CARE HEALTH SYSTEMS
    • TARGET CLINIC MEDICAL ASSOCIATES
    • TEVA PHARMACEUTICAL INDUSTRIES, LTD.
    • WYETH (PFIZER)
      • History and Lines of Business
      • Vaccine Products
      • OTC Products
      • Financial Information
    • SIEMENS MEDICAL SOLUTIONS
      • Key Competitors
      • Growth Strategy
      • Locations
    • WAL - MART

Current economic conditions dominate business strategies. While healthcare has fared better than other industries, it will not be immune from the effects of the current recession. But what aspects of healthcare will be impacted? How much of spending will be out of the consumer's pocket? How will some novel trends (retail clinics, medical tourism) fit into this economy? It is commonly asserted that OTC and generic drugs sales will be boosted. Will this pan out? What will be the possible effects of various types of healthcare plans that might be implemented?

In Healthcare in a Recession,Kalorama Information has examined all of the key medical markets in the past and has witnessed change and in some sector's profits due to economic conditions. Kalorama has consulted its experts in key areas and asked about the effect of the recession. This report takes a broad look at the healthcare market in a recession from the many areas of healthcare that have changed or will changed. Specifically the report address:

  • The State of the Pharmaceutical Industry
  • Outsourcing and Offshoring
  • Generic Drugs: A Coming Boom?
  • Over the Counter Drugs
  • Possible impact of Healthcare Legislation
  • Out of Pocket Healthcare Spending: Current and Future
  • The Retail Clinic Phenomenon
  • Availability of Health Insurance
  • Medical Tourism: Boom or Bust?
  • Influential Pharmacists
As part of its research, Kalorama has profiled and detailed the activities of several companies in the pharmaceutical, retail, healthcare financing and information technology fields that likely to play some role in the healthcare economy of 2009:

  • APFUSA
  • Atlantic Care
  • Aurora Quick Care
  • Capitol One Healthcare Finance
  • Care Credit
  • Cerner Corporation
  • Credit Medical
  • CSI Financial Services
  • E- Financing Solutions
  • GlaxoSmithKline
  • Hospira Inc.
  • Med Basics
  • McKesson Corporation
  • Medco Health Solutions, Inc.
  • Merck & Co. Inc
  • Med choice Financial
  • MedDirect
  • Minute Clinic
  • Novartis
  • My Healthy Access
  • Now Medical Centers
  • PFS
  • Quick Health
  • Rediclinic
  • Reliance Medical Finance
  • Solantic
  • Take Care Health Systems
  • Target Clinic Medical Associates
  • TEVA Pharmaceutical Industries, Ltd.
  • Wyeth (Pfizer)
  • Siemens Medical Solutions
  • Wal - Mart


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