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Health Care Reform

Deloitte Center for Health Solutions

The U.S. health care system is complex, fragmented and expensive. Some might say it is not a system at all; rather, it is a collection of organizations that provide goods and services for individual patients and groups, under the scrutiny of industry watchdogs.

The cost of the U.S. health care system is projected to increase at 5.8 percent annually through 2020. Health care is the fastest-growing expense in the average American household, in the overhead of employers who provide health insurance, and in state and federal government budgets. Not surprisingly, new entrants offering “lower-cost, better solutions” are now focused on the health care industry: They regard it as a prime target for disruptive innovation. Reforming the U.S. health care system is a fiscal imperative. Reducing its costs while enhancing the quality of its goods and services is its greatest challenge.

More Featured insights

  • Health Care Current
    This weekly series explores breaking news and developments in the U.S. health care industry, examine key issues facing life sciences and health care companies and provide updates and insights on policy, regulatory and legislative changes.
  • Young adults and health insurance: Not invincible — but perhaps convincible
    Looking ahead to the next open enrollment season, how can health plans and government agencies entice young people to participate? According to Deloitte’s 2014 Survey of Young Adults and Health Insurance, the answer may lie in information, affordability and value.
  • A tall order to fill: Enrolling young adults in health insurance
    What can industry stakeholders learn from the findings of Deloitte’s 2014 survey of young adults and health insurance to help increase enrollment of this population during special enrollment in 2014 and in the 2015 open enrollment season?
  • Infographic: No time to slow down: Looking ahead to 2015 HIX open enrollment
    The 2014 HIX open enrollment season is now over, and the first round of results are in. Initial estimates as of April 19, 2014, suggest that more than 8 million individuals are now enrolled in health insurance coverage through the federally-facilitated or state-based HIXs. What’s behind the numbers? And what uncertainties could the industry face as stakeholders begin placing bets for 2015 HIX open enrollment and beyond?
  • The quest for value in health care: A place for consumers
    Three key disrupters are driving an increasingly consumer-centric health care system. How are consumers responding? What are the implications for the industry? And what steps can health care providers, health plans and life sciences companies consider to help win in this new marketplace?
  • Mapping out health care reform: Activity in the states
    How many individuals have selected a plan on the health insurance exchanges? What decisions are states making around Medicaid expansion? How many medical insurance carriers are competing in states' individual markets in 2014? Check out these maps to find out.
  • Health care costs, benefits and reform: What’s the next move
    Deloitte’s 2013 survey of U.S. employers reveals concern and uncertainty about health care system performance, Affordable Care Act (ACA) preparedness, cost-reduction strategies and the quest to find value.

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As used in this document, “Deloitte” means Deloitte LLP [and its subsidiaries]. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.

More Dig deeper

  • Center for Health Solutions
    Learn more about the Center.
  • Health Care Current library
    A weekly newsletter to keep you informed and ahead.

More Events

  • Life sciences and health care deal activity: Is M&A here to stay?
    Register for the November 11 webcast.
  • Consumer behavior over lab results: The power of lifestyle-based analytics
    View the archived webcast.
  • Live from the Center: No time to slow down – looking ahead to 2015 HIX open enrollment
    View the archived webcast.

By issue

  • Health Information Technology
  • Medicare and Medicaid
  • State Health Care Reform

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