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Source: 2008 Medical Cost Reference Guide, Blue Cross Blue Shield Association17 ¬ 2008 Accenture. All rights reserved. Adhikari,Dawn amp; Melberg - accenture Hamp;LS consultant 18. Accenture Research Accenture ResearchPharmaceutical spend as a percent of total healthcare expenditures has slowed to single digit growth over the past several years US PMP Overview: PMP Expenditures Total Pharmaceutical Spend and of Total Healthcare‚ Prescription drug expenditures reached 224 billion in2005, representing 11. 5 of total national healthcareexpenditures600 16‚ Prescription drug spending has slowed over the past 14few years, growing at a rate of 8. 2 in 2005 as500opposed to the double digit growth of the mid nineties 12through 2003(in billions)400‚ Slower growth rates are in part attributed to a 10slowdown in drug usage prompted by increasedconsumer out-of-pocket expenditures and recent300 8concerns over drug safety‚ The industry outlook is characterized by conflicting 6200factors which will both accelerate and slow growth ‚The former include practice patterns that involve 4prescribing existing drugs to a larger segment of the100 2 population and high-cost specialty drugs designed totreat rare conditions; growth constraints include 00 projected growth in the use of generics and increasedcost sharing in the form of rising co-payments andadditional deductibles or bothNote: 2005-2014 projected Source: 2008 Medical Cost Reference Guide, Blue Cross Blue Shield Association 18 ¬ 2008 Accenture.

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