(1) Total healthcare market

• National health expenditures in the U.S. in 2018 were $3,649.4 billion, with projections of $3,814.6 billion in 2019, and $4,014.2 billion in 2020.

(2) Total health insurance market

• IBISWorld reports that the expected market size of the health & medical insurance industry in the U.S. for 2020 is $1.1 trillion.

(3) Total annual health insurance premiums

• In 2018, private health insurance spending in the U.S. was $1,243.0 billion.

(4) Annual spend on out-of-pocket healthcare costs

• Out-of-pocket spending in 2018 in the U.S. was $375.6 billion.

(5) Annual spend on non-healthcare health costs

• This was skipped as we need clarification on exactly what is needed here.

(6) Annual spend on health & wellness

• Research from the New Global Wellness Institute reported that in 2017, the global wellness industry was worth $4.2 trillion. This includes traditional and complementary medicine; preventative & personalized medicine and public health; wellness real estate; wellness tourism; personal care, beauty, and anti-aging; spa economy; fitness & mind-body; healthy eating, nutrition, and weight loss; workplace wellness; and thermal/mineral springs. Further research would be need to find or triangulate the value for the U.S.

(7) Annual spend by self-insured employers on health insurance

• Approximately 108 million Americans "receive health coverage through a self-insured employer plan."

Summary of Findings

• Since the data for freelancers was requested for the U.S., we assumed that all data should be U.S. based. If this is not correct, the data found above would need to be redone with the correct geographic focus. If this is the case, it would need to be specified in any response, and the scoping would change due to the additional data points that would now be required.
• It was not clear what was meant by "non-healthcare health costs." This seems contradictory. In order for us to obtain this data, we would need a full explanation of what was meant by this.
• While we were able to address items 1 through 7 in our initial research, the exact data point needed was only found for four.
• Although we found four of the data points in the initial hour of research, each remaining data point would be a single research request. This is due to the fact that two were not found in the initial research, which indicates a triangulation is likely, and the remaining six were not yet researched so it is unclear whether the data will be immediately available or will require triangulations.