HCCI’s 2010 Health Care Cost and Utilization Report

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June 4th, 2012

HCCI's 2010 Health Care Cost and Utilization Report is the first ever report built from a massive claims database. The report shows that rising prices were the driving factor for healthcare spending growth, not the frequency of use.  The database compiles de-identified data from three billion health insurance claims provided by Aetna, Humana and UnitedHealthCare.  The findings from this report reflect healthcare spending of more than 33 million employer-sponsored insured individuals.

The HCCI report findings show that medical prices grew three times faster than inflation from 2009 to 2010.  The per capita spending on inpatient and outpatient facilities, professional procedures and prescription drugs rose 3.3% in 2010 for individuals under 65.  Hospital and ambulatory care facility prices rose by 5.1 and 10.1 percent respectively in 2010.  Per capita expenditures varied between age groups. For example, people aged 55-64 paid about $8,300 and people under 18 paid $2,123. Per capita spending grew the most for people 18 and under.

Some Report Highlights:

  • Cost Sharing: Cost sharing rates between payers and beneficiaries stayed relatively the same.
  • Inpatient-Outpatient Facility Trends: The average facility price paid had a 5.1% increase.  En ER visit increased in price by 11%. And the average out of pocket hospital stay increased 10.7%.
  • Prescription Drugs: Prescription drug prices grew by 3% overall, but name brand drug prices rose by a whopping 13% while generic drug prices decreased by 6.3%.
  • Professional Services: Professional services, such as doctor visits, lab tests, and diagnostic imaging increased 2.6% and payments specifically for office visits went up by more than 5%.
  • Utilization Trends: Overall, use of health care services dropped in 2010. People bought more generic prescriptions and less brand name drugs.

 

To read the complete report visit the Health Care Cost Institute website.