Healthcare Overview
Ensuring health and wellbeing at all ages is critical to maintaining a stable and prosperous society. Better health correlates to happier, longer lives and a more robust and productive labor force through fewer premature deaths and costly illness.
Although actual healthcare costs have been lower than projections, the U.S. is still on pace to spend ~$7 trillion on healthcare by 2030, with 90% of that spending for individuals with chronic and mental health conditions.1

Income and lack of access to quality medical care are strongly associated with poor health outcomes, and some studies suggest that up to 60% of a person’s health is determined by their zip code in the U.S.2 Over 40% of Americans reported skipping a recommended medical test or treatment because of cost3, and only 6.9% of adults aged 35 years and over received all the recommended high priority appropriate clinical preventive services.4
The COVID-19 pandemic has only exacerbated challenges for the healthcare system, further straining the healthcare workforce, driving increased costs, disrupting care, advancing the need for services outside of institutional settings and elevating the importance of behavioral health. The average life expectancy of Americans fell in 2020 and 2021 to 76 years, the sharpest two-year decline in nearly 100 years.5
CMS PROJECTIONS OF NATIONAL EXPENDITURES, IN US $ BILLIONS
Note: Projection estimates were not released during 2020.
Source: July 2022, Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group.
Projections are inherently uncertain and subject to change. Actual results may vary.
HEALTHCARE COSTS AS A % OF U.S. GDP
ABOUT 5% OF THE U.S. POPULATION IS RESPONSIBLE FOR ALMOST HALF OF ALL HEALTHCARE SPENDING
ANNUAL U.S. HEALTHCARE SPENDING
2010
2020*
$2.6T
$4.6T
AVERAGE AMOUNT SPENT ON HEALTHCARE IN U.S.
per person, per year in 1970
per person, per year in 2010
$356
$8,402
*Projected Data. Projections are inherently uncertain and subject to change. Actual results may vary. Source: March 2012, NPR, Centers for Medicare and Medicaid Services, Kaiser Family Foundation.
Vistria’s healthcare investments seek to address myriad challenges across America’s healthcare system with a focus on accessible and effective interventions.
Strategic investments in home and community-based services, pharma services and compounding, and behavioral health contribute to better healthcare outcomes and lower costs. Driving better health outcomes is our north star.
HEALTH STATUS IN THE UNITED STATES IS LOWER THAN THE OECD AVERAGE, THOUGH SELF-RATED HEALTH IS HIGH
- https://www.cdc.gov/chronicdisease/about/costs/index.htm
- https://ncrc.org/your-zip-code-is-more-important-than-your-genetic-code/
- https://www.norc.org/NewsEventsPublications/PressReleases/Pages/survey-finds-large-number-of-people-skipping-necessary-medical-care-because-cost.aspx
- https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality/increase-proportion-adults-who-get-recommended-evidence-based-preventive-health-care-ahs-08/data
- https://www.cdc.gov/nchs/data/vsrr/vsrr023.pdf
- Graphic 1 Source: https://www.healthsystemtracker.org/chart-collection/how-much-is-health-spending-expected-to-grow/#CMS%20 projections%20of%20national%20health%20expenditures,%20in%20US%20$%20billions
- Graphic 2 Source: https://www.npr.org/sections/health-shots/2012/03/19/148932689/health-care-in-america-follow-the-money
- Graphic 3 Source: https://www.oecd.org/unitedstates/health-at-a-glance-US-EN.pdf