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The Business of Health Care Report
The Drivers of Health Cost Increases - June 2002


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Doug Hawthorne, President and CEO of Texas Health Resources I'm Doug Hawthorne, President and CEO of Texas Health Resources, with "The Business of Health Care Report" on News Radio 1080 KRLD. Today's topic is the drivers of health cost increases during the past few years.

The Center for Studying Health System Change just announced its analysis of health changes from the late nineties to the beginning of the new millennium. The study reports the biggest jump in health care costs in the past decade with both consumers and health providers contributing to the increase.

Here's some of the reasons for the increase. Managed care companies have eased care restrictions to retain customers. A reduction in excess hospital bed capacity in hospitals have left hospitals with a need to build and cover today's prices. And consumers have not eased their demand or need for hospital services and are vocal about having access to extensive provider networks to retain their power of choice.

Couple these market dynamics with the hospital and physician need to be compensated fairly after years of low reimbursement for their services and the lid had to rise to meet marketplace demand.

According to the study, outpatient care comprised 37 percent of the overall cost increase, up 16 percent in a single year. Much of this increase is due to a shift from inpatient to outpatient care and the need for providers to upgrade their equipment to newer technology, thereby increasing prices.

Inpatient care accounted for 10 percent of the overall increase, driven by higher labor costs and investments in facilities to keep pace with standards and patient demands.

Physician services accounted for 25 percent of the overall cost increases, down 8 percent since 1999. Prescription drugs stabilized somewhat after comprising 41 percent of the cost increases from 1998 to 1999.

Payroll was a key driver of the overall cost increases, with all health labor climbing 4.7 percent in 2000. The impact was even greater for hospitals, whose payroll costs rose 7.6 percent.

Where technology and labor are involved, future predictions are that heavy investment will be required to serve the needs of consumers in health care.

For Texas Health Resources and its family of hospitals - Harris Methodist Hospitals, Presbyterian Healthcare System and Arlington Memorial Hospital - I'm CEO Doug Hawthorne with "The Business of Health Care Report" on NewsRadio 1080 KRLD.

Doug Hawthorne

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