The Health Care Dollar: Provider Cost Drivers and Administrative Expenses Martin Mitchell Regional Director America’s Health Insurance Plans

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Presentation transcript:

The Health Care Dollar: Provider Cost Drivers and Administrative Expenses Martin Mitchell Regional Director America’s Health Insurance Plans April 21, 2006

Admin Costs, Taxes and Profits: All Private Health Insurance 0% 5% 10% 15% 20% Percent of Total Premiums Average 12.4% Source: CMS Office of the Actuary, January 2005

Growth in Premiums by Components, ComponentShare ofGrowth Premium Rate Dollar Physician24%7.8% CPI2.4% Price in Excess of Inflation2.3% Utilization3.1% Source: The Factors Fueling Healthcare Costs 2006

Growth in Premiums by Components, ComponentShare ofGrowth Premium Rate Dollar Outpatient 22%13.6% CPI2.4% Price in Excess of Inflation4.0% Utilization7.2% Source: The Factors Fueling Healthcare Costs 2006

Growth in Premiums by Components, ComponentShare ofGrowth Premium Rate Dollar Hospital Inpatient18%7.5% CPI2.4% Price in Excess of Inflation4.0% Utilization1.1% Source: The Factors Fueling Healthcare Costs 2006

Growth in Premiums by Components, ComponentShare ofGrowth Premium Rate Dollar Prescription Drugs16%8.6% CPI2.4% Price in Excess of Inflation1.1% Utilization5.1% Source: The Factors Fueling Healthcare Costs 2006

Growth in Premiums by Components, ComponentShare ofGrowth Premium Rate Dollar Other Med Services6%7.3% CPI2.3% Price in Excess of Inflation2.6% Utilization2.4% Source: The Factors Fueling Healthcare Costs 2006

2006 Report Conclusions Since 2002 Report: Rate of Growth In Premiums Has Slowed Fewer New State Mandates; More Mandate Review Commissions Increases in Prescription Drug Prices Has Eased Healthcare Spending Remains Unmet Challenge Prices Growing in Excess of General Inflation Negative Effects Provider Consolidation Negative Effects from Variation from Evidence-based Med. Practices Increased Attention to Issue of Poor Quality

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