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Tuesday, October 23, 2012

The Declines and Rises in Healthcare Costs



The Declines and Rises in Healthcare Costs

There has been a decline in healthcare costs the past few years, but not enough for people to actually pay the bills. Healthcare costs have begun to slow when compared to the late 90s and early 2000s, but not enough for most Americans to revel in the act of using healthcare. According to KaiserEDU there have been some troublesome realizations that have been realized in the past decade. "Since 2002, employer-sponsored health coverage for family premiums have increased by 97%, placing increasing cost burdens on employers and workers. In the public sector, Medicare covers the elderly and people with disabilities, and Medicaid provides coverage to low-income families.  Enrollment has grown in Medicare with the aging of the baby boomers and in Medicaid due to the recession. This means that total government spending has increased considerably, straining federal and state budgets"[1]

What I find to be interesting is the current way which Americans use our healthcare system. A report for 2011 complied by the Healthcare Cost Institute broke down the spending trends for 2011.[2] (It should be noted that the report is based on people under the age of 65 with employer sponsored or private insurance). The three points from that report that I found most poignant were;

1. Rising prices drove spending increases for ALL major health care service categories.
This means that because medical suppliers, pharmaceutical companies, hospitals etc. were increasing their prices, the cost for services rendered increased in every single major healthcare service. Therefore the cost went up across the board from a strep throat test to a heart transplant.

2. Out of pocket spending increased by 4.6% to $735 in 2011.
The already crushed middle class is spending even more money out of pocket from their own paycheck than the year before.

3. Spending on children ages 0-18 has risen 7.7% to $2,347, continuing a trend observed in 2010.
This statistic can be taken in a few ways. One, is that healthcare providers are lessening their coverage for children, and thus parents have to foot more of the bill. Or it may also mean that our children are getting more unhealthy and that the healthcare coverage previously afforded to children just isn’t able to keep up with the declining health of our youth.

After reading these reports I found a conflict. The Health Cost Institute reported that there were rising costs for kids, rising costs for out of pocket spending and for rising costs for all health services. But other reports I had read had reported a decline in healthcare costs over the past few years. So what’s the truth? The truth is, we don’t quite know yet, with many governmental changes that have been in the works the past few years, it has not yet become clear if the decline in healthcare costs is valid, or due to a major legislative overhaul of the system which has caused healthcare management to shift their game plan. While healthcare management and the government gets their new plans in action, it seems the American people are paying for the changes, changes that seem to be leaving Americans with the same healthcare but with a higher bill.

What do you think of Healthcare Management and Governmental changes in healthcare?  Please comment on your experiences and thoughts.



Thank you to Baylor University Healthcare MBA for a wonderful education that has helped prepare me for the future of Healthcare!

2 comments:

  1. In Ma, one of the driving forces behind escalating healthcare costs in the state is the disparity between reimbursement rates for different hospitals.Insurers reimburse "brand" names hospitals such as MGH and Beth Israel up to 30% more than local community hospitals for providing the same services at the same quality (HCAHP scores).

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  2. It will be interesting to see the effect insurance exchanges have on costs, if any.

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