Insights from Experts: Brian Spoerl on Healthcare Fundamentals & Trends at the Winter Classic

4/2/2018

Brian Spoerl, Director, Healthcare Real Estate Development
Years with Opus: 2
Event: St. Louis Winter Classic

Key Points from the Panel

  • Brian highlighted a number of healthcare fundamentals, including the following:
    • Steady year over year growth in US National Healthcare Expenditure $3.2 T ($9990 per person) (17.8% of GDP)
    • By 2025 19.9% of US GDP
    • Expanded insurance coverage
    • Aging population
    • Change in delivery model to outpatient
    • Shift in healthcare delivery to lower costs solutions, better patient access and better outcomes--Outpatient care facilities
    • Healthcare spending for Physician services is $500 Billion per year
    • Other Outpatient Medical close to $200 Billion per year
    • Outpatient outpacing inpatient services
    • 33,387 Outpatient Buildings (1.4 Billion SF)
    • $20.6 Billion in US MOB construction pipeline
    • $8.2 Billion Annual MOB Completions
    • Steady MOB Transaction Volume $10-$12 Billion per year
    • Efficient exit market
  • Outpatient facilities are largely user owned – 65% by hospitals, health systems and providers; 15% private investors; 10% government; 10% REITs.
  • But in 2017, 72% of Q2 medical real estate buying volume was done by REITs.
  • Trends
    • Integrated clinic approach with PC, specialties, diagnostics. lab, pharmacy urgent care and food/coffee
    • Focus on patient experience
    • High-visibility, branded buildings with a 5:1 parking ratio
    • Access to specialist via remote monitor
    • Self-rooming clinics using RFID
    • Open and bright waiting areas
    • Express care or urgent care (first point of entry)
    • Micro-hospitals and freestanding ED
    • Emerging models (combined payer-provider-pharma models) and retail health (UHC, CVS, Walgreens, Walmart, Target, Amazon)

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