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Current State of Workers’ Compensation Health Care in California

Current State of Workers’ Compensation Health Care in California. Gerry Kominski, Ph.D. UCLA School of Public Health. Health Care Costs are Rising Again. Expenditures in 2002 were an estimated $1.546 trillion 74% increase since 1993 (6.35% annually) 19% increase since 2000 (9.05% annually)

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Current State of Workers’ Compensation Health Care in California

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  1. Current State of Workers’ Compensation Health Care in California Gerry Kominski, Ph.D. UCLA School of Public Health

  2. Health Care Costs are Rising Again • Expenditures in 2002 were an estimated $1.546 trillion • 74% increase since 1993 (6.35% annually) • 19% increase since 2000 (9.05% annually) • As a percentage of GDP, expenditures were relatively constant between 1993 and 2000 • Roughly 13.1% through this period • However, expenditures rose to an estimated 14.7% of GDP in 2002 Source: Centers for Medicare and Medicaid Services

  3. Private Insurance Expenditures are Rising More Rapidly Than Other Payers Increases from 2000-2001 were: Private All Other Total 10.1% 7.9% Hospitals 9.2% 7.9% Physicians 9.7% 7.5% Prescriptions 17.5% 14.2% Administration* 11.2% 11.2% * CMS does not break out administration separately by payer. Source: Centers for Medicare and Medicaid Services.

  4. Employer Health Insurance Premiums are Rising Rapidly Sources: Kaiser/HRET Employer Health Benefits, 1999-2002 Annual Surveys. KFF/HRET California Employer Health Benefits Survey, 2000-2002. Center for Health System Change, Data Bulletin Number 21.

  5. WC Pays More Than GH for Hospital Care Despite Similar Costs of Treatment Source: Kominski GF, Gardner LB, Inpatient Hospital Fee Schedule and Outpatient Surgery Study, UCLA Center for Health Policy Research, December 2001.

  6. Difference Between WC and GH is Greater for Back Surgery Cases Source: Kominski GF, Gardner LB, Inpatient Hospital Fee Schedule and Outpatient Surgery Study, UCLA Center for Health Policy Research, December 2001.

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