Hi, it’s Raphael from Kieger,
In June, CMS reviewed and updated its National Health Expenditure projections for the coming decade.

Source: CMS
CMS now expects US healthcare spending to grow at a compound annual growth rate of 5.4% in this decade, soaring from 4.3 trillion USD in 2021 to a staggering 7.2 trillion USD by 2031 or nearly 20% of US GDP. This is over 2.6 times the costs of 2011.
The underlying driver for the faster growth of healthcare costs compared to the overall economy is mainly aging and is therefore well predictable.
This begs the question: How long can the US sustain such high healthcare costs growth? This is why we at Kieger have a strong investment focus on companies that offer affordable and cost-effective solutions. We believe these areas will become increasingly important as healthcare costs continue to rise.
Interested? Don’t hesitate to reach out and learn more about our approach.
This chart shows that in the US, the share of patients living to ages above 50 has increased from less than 15% to more than 50% between 1990 to 2019.
In part, this is due to more efficacious drugs which have a better safety profile. But this improvement also owes to the reduction of number of pills to take, which in turn improves compliance.
This illustrates how improving outcomes not only requires more efficacious drugs, but must also take patient behaviour into account.