120 likes | 231 Views
Delaware Health Care Commission March 3, 2005 Alice Burton, Director AcademyHealth. Presentation Outline. Health care cost trends Impact on access Possible solutions. National Health Spending as a share of Gross Domestic Product. Source: CMS, National Health Accounts Data.
E N D
Delaware Health Care Commission March 3, 2005 Alice Burton, Director AcademyHealth
Presentation Outline • Health care cost trends • Impact on access • Possible solutions
National Health Spending as a share of Gross Domestic Product Source: CMS, National Health Accounts Data
Health Care Spending and GDP Trends Source: Center for Studying Health Change, Issue Brief 91, December 2004.
Spending by Category of Service Source: Center for Studying Health System Change, Brief 91, December 2004
Hospital Spending: Price and Utilization Source: Center for Studying Health System Change, Brief 91, December 2004
Long-term Cost Drivers • Advances in medical technology • Increased resources in medical care • Lifestyle changes • “Oversold” drivers • Population aging • Professional liability • Mandates Adapted from: Presentation to State Coverage Initiatives National Meeting, February 4, 2005by Paul B. Ginsburg, Ph.D.
Delaware Health Statistics • Health Spending per capita 6th • Infant mortality 45th • Premature Death 39th • Obesity 33rd • Physicians per capita 16th • Hospital beds per capita 33rd • United Health Foundation 32nd Source: CDC, state health profiles, Health United States, United Health Foundation
Recent Premium, Cost and Wage Growth Source: KFF/HRET Survey of Employer Health Benefits: 1999-2004
Family Health Insurance as percent of wages for different occupations Median Hourly Wage family premium/ median wage Physician $60.10 7.3% History Professor $27.63 15.8% LPN $16.18 26.9% Secretary $15.00 29.1% Bank Teller $ 9.93 43.9% Carpenter $18.00 24.2% Cook $ 8.75 49.8% Source; Nichols, Future of ESI, for CHCF, forthcoming, 2004
Low income take-up is falling Source: Nichols and Cunningham, Who are decliners?, Academy Health Annual Research Conference presentation, 2004.
Efforts to make insurance more affordable • Limited benefits • At least 11 states have passed minimum benefit legislation – 4 in 2004 • Low enrollment • Consumer directed health care • Options for state and local employees • Legislation to allow qualifying High Deductible Health Plans to be sold in the state • Prevention strategies – healthy behaviors