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Health Care Reform

Report Summary

The Factors Fueling Rising Health Care Costs 2008

Cover

Some findings of the report:

Increases in health care delivery costs were a significant factor in overall increases.
  • Physician spending and hospital inpatient spending increased by more than 7.5 percent.
  • Outpatient spending, such as dianostic testing, grew at a rate of 13.6 percent.
  • Prescription drug spending increased 8.6 percent.
Premiums increased 8.8 percent between 2004 and 2005.
  • Higher utilization accounted for 43 percent of the increase, fueled by factors such as consumer demand, new medical treatments and defensive medicine, aging population, and unhealthy lifestyles.
  • Price increases accounted for 30 percent of the increase, impacted by provider consolidation; increased costs of labor; and new, higher priced technologies.
Out of every premium dollar, 86 cents go directly to paying for medical services.
  • Of the remaining premium dollar, five cents go to consumer services, including care and disease mangement, prevention, information technologies, provider support, and marketing.
  • Six cents go toward government fees, regulation, claims processing, and administration.
  • Health insurance plan profits comprise three cents of the premium dollar.

The study found promise in emerging programs. Health plan trends promoting provider pay-for-performance, consumer engagement, and healthy lifestyles were regarded as having potential to mitigate future cost increases.

View the full report.