Table of Contents
Total HMO Enrollment (Percent of
Total State Population) 29% or 76.6 Million Enrollees in HMOs
Health Care Cost since January 1988
Health Care Cost since January 1995
PPT Slide
Medical Trends
HCI TREND COMPONENTS
How Our Health Care Expenditures Grow
The Nation’s Health Dollar
PPT Slide
Per Capita Health Spending
National Health Care Expenditures
Life Expectancy at Birth
U.S. Has Higher Infant Mortality
U.S. Lags in Life Expectancy
Why Do Our Medical Costs Exceed Those
of Other Countries
# 10: You know you belong to the
wrong HMO when...
Per Capita Income
Per Capita Income
Per Capita Income The 50+ Consumers
Population Growth
# 9: You know you belong to the wrong
HMO when...
Costs Per Unit of Service
(Administration)
Monthly Administration Cost Per
Enrollee (1998)
Monthly Administration Cost Per
Enrollee (1998)
Costs Per Unit of Service
(Administration)
For-Profit HMOs Growing Faster
Pharmacy Costs
Pharmacy Costs
Direct to Consumer Advertising
Direct to Consumer Advertising
Costs Per Unit of Service (Pharmacy)
Costs Per Unit of Service (Pharmacy)
Pharmaceutical R&D Expenditures
Costs Per Unit of Service
(Professional Services)
Costs Per Unit of Service (Hospital)
Inpatient Hospital Expenditures
# 8: You know you belong to the wrong
HMO when...
Access to Services
Access to Services
Physicians per 100,000 population
Access to Services
Access to Services
Access to Services
TREND COMPONENTS
Large Claims Increases
Access to Services
Direct to Consumer Advertising
Expensive new drugs that improve
lifestyle
Expensive new drugs that save lives
How does Nolvadex Compare on costs
# 7: You know you belong to the wrong
HMO when...
Education of Patients
Consumers are Wired!
Education of Patients
Educated Patients Want Many Options
# 6: You know you belong to the wrong
HMO when...
Entitlement Mentality Impact
Example: Number of Babies Born
through Assisted Reproductive Technologies
Entitlement Mentality Impact
Dual Eligibles Disproportionately
Costly (1995)
# 5: You know you belong to the wrong
HMO when...
Aging of the Population
Percent of population Age 65 and
older
Elderly Population is Growing Fastest
Aging of the Population
# 4: You know you belong to the wrong
HMO when...
Chronic Conditions Drive Costs
Waiting Lists Grow Longer
ESRD Population Grows Faster Than
Projected
Global Disease Burden
Most Common Chronic Conditions
# 3: You know you belong to the wrong
HMO when...
Cost Shifting (Hospitals)
Cost Shifting
PPT Slide
Medicare Spending Exceeds Revenue
Costs Shifting
Hospitals Rely on Federal Payments
The Uninsured A Growing Concern?
Firms that Offer Health Insurance
1997
People Without Health Insurance USA
Who Are the Uninsured?
Percent of Workforce versus Percent
of Uninsured Workers
Uncompensated Care Costs Increase
# 2: You know you belong to the wrong
HMO when...
Risk Factors
Assessing Health Risks in America:
Behavioral Risk Factor Surveillance System
Developing Countries Hardest Hit By
AIDS Epidemic
Heart Disease Claims Most Lives
# 1: You know you belong to the wrong
HMO when...
Washington Follows States:
Anti-Health Plan Legislation Increases
Emerging Congressional Consensus
Where do we go from here?
Variations in how care is provided
must be reduced
Competitive Prices for Services
Other Market Corrections
Other Market Corrections
Other Market Corrections
Nonphysician Clinicians on the Rise
Average Physician Net Income*
Average Income for Allied Health
Professionals
Other Market Corrections
What do Employers look for in Health
Insurance
Perceptions of Customer Service
Here are some Health Care Facts for
Commercial Groups
What Does it all Mean? |