| Course | HCS 235 Health Care Delivery in the U.S. (HCS/235) |
|---|---|
| Week | 5 |
| Paper type | Presentation (slide text with speaker notes) |
| Length | about 751 words, 3 double-spaced pages plus title page and references |
| Format | APA 7 student paper |
| School | University of Phoenix |
| Program | BS in Health Administration |
| Updated | September 2026 |
Free sample paper for HCS 235 Week 5
Health Care in 2035: A Presentation Forecasting Five Forces That Will Reshape U.S. Health Care Delivery, With Speaker Notes for a Hospital Leadership Retreat
[Student Name]
University of Phoenix
HCS/235: Health Care Delivery in the U.S.
Week 5 Assignment: Presentation With Speaker Notes
[Instructor Name]
[Date]
The retreat setting is a composite written for a model paper; forecasts rest on the sources listed.
Slide 1: Health Care in 2035
What will our hospital look like ten years from now? Five forces to plan for.
Speaker notes: Welcome the leadership team. Explain that the goal is not to predict everything but to plan for the forces we can see coming, using the best available projections.
Slide 2: Force 1, an Older Nation
By 2034, adults 65 and older are projected to outnumber children for the first time (Vespa et al., 2020).
Speaker notes: The Census Bureau projects that the population 65 and older will keep growing faster than any other age group as the baby boom generation ages. By the 2030s, all baby boomers will be over 65.
Slide 3: What Aging Means for Us
More chronic disease, more joint replacements and cardiac care, more dementia and more need for post-acute and home care.
Speaker notes: Older patients use far more health care per person than younger ones. For us this means more demand for services we already offer and for services we do not, such as geriatric care and home-based programs.
Slide 4: Force 2, Spending Keeps Rising
Health spending projected to reach 19.7% of GDP by 2032, up from 17.3% in 2022 (Fiore et al., 2024).
Speaker notes: Federal actuaries expect health spending to grow faster than the economy over the decade, driven by aging, prices and use of services. Every payer will push harder to control costs.
Slide 5: What Rising Spending Means for Us
Tighter payment rates, more value-based contracts and more pressure to show cost and quality results.
Speaker notes: When the bill grows faster than the economy, the people paying it respond. Expect payers and employers to reward lower-cost sites and measurable outcomes.
Slide 6: Force 3, a Shifting Payer Mix
More of our patients will be covered by Medicare, and more of those by Medicare Advantage plans.
Speaker notes: As the population ages, Medicare's share of our revenue will rise. Private Medicare Advantage plans now enroll about half of eligible beneficiaries, and they bring prior authorization and narrower networks that affect how we are paid. A hospital that plans for 2035 as if its payer mix will look like today's is planning for a patient population that will no longer exist.
Slide 7: Force 4, Not Enough Workers
Projected shortages of physicians and nurses, especially in primary care, behavioral health and rural areas.
Speaker notes: National projections show demand for clinicians growing faster than supply as the workforce also ages. We already compete for nurses; that competition will intensify.
Slide 8: What Workforce Shortages Mean for Us
Retention, team-based care and technology that saves staff time.
Speaker notes: We will need to keep the staff we have, use nurse practitioners, physician assistants and pharmacists to the full extent of their licenses and adopt tools that reduce documentation time.
Slide 9: Force 5, Care Outside the Hospital
Surgery moving to outpatient sites; telehealth and hospital-at-home programs growing.
Speaker notes: Procedures such as joint replacement that once required an inpatient stay are increasingly done as outpatient cases, and virtual visits have become routine for follow-up and behavioral health. Medicare's waiver allowing hospital-level care at home has shown that some acutely ill patients can be treated safely in their own homes.
Slide 10: What Care Outside the Hospital Means for Us
Fewer inpatient beds for routine cases, more investment in outpatient, virtual and home services.
Speaker notes: Our main campus will care for sicker patients, and more of our revenue will come from sites that are not the hospital.
Slide 11: Three Decisions for Now
Build geriatric and home-based services. Prepare for value-based contracts with Medicare Advantage plans. Invest in retaining and extending our workforce.
Speaker notes: Ask the team to rank these three for next year's strategic plan and to name a lead for each. Remind them that none of the three requires predicting the future exactly; each makes sense under any reasonable version of the next decade, which is what makes it a sound decision to take now rather than waiting for certainty that will not arrive.
Slide 12: References
Fiore et al. (2024), Health Affairs. Vespa et al. (2020), U.S. Census Bureau. Shi and Singh (2022), Delivering Health Care in America.
Speaker notes: Note that projections change; the plan should be reviewed each year as new federal estimates are released (Shi & Singh, 2022).
References
Fiore, J. A., Madison, A. J., Poisal, J. A., Cuckler, G. A., Smith, S. D., Sisko, A. M., Keehan, S. P., Rennie, K. E., & Gross, A. C. (2024). National health expenditure projections, 2023-32: Payer trends diverge as pandemic-related policies fade. Health Affairs, 43(7), 910-921. https://doi.org/10.1377/hlthaff.2024.00469
Shi, L., & Singh, D. A. (2022). Delivering health care in America: A systems approach (8th ed.). Jones & Bartlett Learning.
Vespa, J., Medina, L., & Armstrong, D. M. (2020). Demographic turning points for the United States: Population projections for 2020 to 2060 (Current Population Reports P25-1144). U.S. Census Bureau. https://www.census.gov/library/publications/2020/demo/p25-1144.html
What the HCS 235 Week 5 instructions ask
The final HCS 235 assignment usually asks students to forecast the future of health care delivery in the United States. Many sections require a presentation of about 10 to 15 slides with speaker notes, while others ask for a short paper. Prompts typically ask students to identify trends likely to shape the system, such as demographics, technology, financing, workforce and policy, explain the evidence for each and predict the effects on patients, providers and organizations. Instructors look for forecasts based on credible data rather than speculation, a logical structure, readable slides and notes that carry the explanation. Citations on the slides and a reference slide in APA format are usually required.
How this HCS 235 Week 5 example is built
The presentation opens with a single question for the audience, what will this hospital look like in 2035, and then builds five forecasts, each on two slides: one with the evidence and one with the implication. Demographics come from Census Bureau projections showing older adults outnumbering children in the 2030s. Spending comes from federal projections of health spending as a share of the economy. Payer mix follows from aging and Medicare Advantage growth. Workforce draws on national projections of physician shortages. Care outside the hospital draws on the movement of procedures to outpatient sites and the growth of telehealth. A final slide lists three decisions the leadership team should make now. Speaker notes explain each slide in plain language.
HCS 235 Week 5 grading rubric: where the points go
Presentation rubrics for this week usually grade content, evidence, organization and slide quality. Faculty look for forecasts tied to named sources and recent data, a clear explanation of why each trend matters and a logical flow from evidence to implications. Speaker notes are often graded for completeness because they show the reasoning. Slides are judged on clarity: short text, readable fonts and one idea per slide. A references slide in APA format and citations on the slides complete the grade. Presentations that list trends without evidence, offer predictions that are really opinions, or crowd slides with paragraphs tend to lose points, while those that end with concrete implications earn the most.
HCS 235 Week 5 help: mistakes to avoid
A frequent mistake in HCS 235 Week 5 is predicting the future from opinion, such as saying artificial intelligence will replace doctors, without evidence. Base each forecast on a projection or study and say how far ahead it looks. Another mistake is covering too many trends shallowly; five well-supported forces are better than twelve bullet points. Students also forget to say what the trend means for an organization, which is what makes a forecast useful. Keep slide text short and put explanation in the notes. Use the most recent federal projections for spending and population. Finally, cite sources on the slides where you use them, not only at the end, and check that every number is dated.
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HCS 235 Week 5 questions, answered
What does HCS/235 Week 5 usually ask for?
Many sections ask students to forecast the future of U.S. health care, often in a presentation with speaker notes, identifying trends such as aging, spending, technology and workforce and explaining their effects.
Where can I find a free HCS 235 Week 5 sample paper?
The twelve-slide forecasting presentation above, with full speaker notes, is the free HCS 235 Week 5 sample. Order a first custom presentation for your own audience at no charge.
How much of the U.S. economy will health care take in the future?
Federal projections estimate that health spending will reach about 19.7% of gross domestic product by 2032, up from about 17.3% in 2022.
When will older adults outnumber children in the United States?
Census Bureau projections published in 2020 estimated that by 2034 adults 65 and older would outnumber children under 18 for the first time in the nation's history.
What trends will shape the future of health care delivery?
Commonly cited trends include an aging population, rising spending, workforce shortages, growth of Medicare Advantage and value-based payment, and the shift of care to outpatient, virtual and home settings.
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