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

Published byMelina Hubbard Modified over 8 years ago

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Presentation on theme: "The Health Care Dollar: Provider Cost Drivers and Administrative Expenses Martin Mitchell Regional Director America’s Health Insurance Plans"— Presentation transcript:

1 The Health Care Dollar: Provider Cost Drivers and Administrative Expenses Martin Mitchell Regional Director America’s Health Insurance Plans mmitch@ahip.org 202-861-1476 April 21, 2006

2 Admin Costs, Taxes and Profits: All Private Health Insurance 0% 5% 10% 15% 20% 19651970197519801985199019952000 Percent of Total Premiums Average 12.4% Source: CMS Office of the Actuary, January 2005

3

4 Growth in Premiums by Components, 2004-2005 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

5 Growth in Premiums by Components, 2004-2005 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

6 Growth in Premiums by Components, 2004-2005 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

7 Growth in Premiums by Components, 2004-2005 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

8 Growth in Premiums by Components, 2004-2005 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

9 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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