KRLD Radio

The Business of Health Care Report
Consumer-Driven Health Care - July 2003


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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.

On today's program, we'll look at a developing trend in health care.

A pair of recent surveys suggest that a new wave of health-care consumerism is around the corner - especially if patients continue to pay more of their own health care costs through higher co-payments and deductibles. Employers are behind this trend as they ask employees to pay a larger share of their health insurance cost.

More than 90 percent of the 600 business leaders surveyed by the Robert Wood Johnson Foundation, said they will probably require their employees to foot more of their health insurance bill next year. The employers cite an expected 18 percent increase in health care costs from 2003 to 2004 as a reason.

In another survey, noted health care researcher Russell Coile Jr. predicts that such a scenario will transform health care competition from a wholesale market, dominated by health plans, to a retail market, where consumers are in control. Coile notes that this would "put a premium on investing capital in new facilities, improving patient satisfaction and customer service and competing on quality."

He adds that many hospitals have set benchmarks for patient service ratings, predicting that those hospitals that achieve best-in-class service will generate higher volumes and repeat customers.

While this consumer-driven health care concept has many good points, there is concern that some consumers will delay health care or forego prescription purchases if their out-of-pocket expenses climb too high. And, some will likely join the ranks of the uninsured, simply opting out of company-based insurance plans altogether, increasing charity care and uncollectibles for hospitals.

Somewhere between the employer's need to hold the line on costs and the employee's need to make ends meet, there must be a middle ground - if the so-called health care consumer age is to be more than just a prediction.

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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