Health Care Value and Cost Comparison

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Presentation transcript:

Health Care Value and Cost Comparison UniServ National Skills Session March 17-19, 2005 Advocating for Quality Health Care

Healthcare Costs = Volume/Intensity x Price What is the volume of different common services? What are the average costs (price) per service? What is the total cost (premium) impact?

How Many Services Are Used? Deliveries (hospital only) Emergency Room (hospital only) Laboratory + Pathology Tests Office Visits + Consultations Prescription Drugs (Brand Name) Prescription Drugs (Generic) Preventive + Well Child Exams Radiology Surgery (hospital only) Transportation/Ambulance Take a moment to rank these from 1 to 10 before looking at the next slide, so you can compare your expectation with reality.

Rank of Services Used 1 - Prescription Drugs (Brand Name) 2 - Laboratory + Pathology Tests 3 - Prescription Drugs (Generic) 4 - Office Visits + Consultations 5 - Radiology 6 - Preventive + Well Child Exams 7 - Emergency Room (hospital only) 8 - Surgery (hospital only) 9 - Deliveries (hospital only) 10 - Transportation/Ambulance

Use of Service per 1000 members

What is the Average Cost of Each Service? Deliveries (hospital only) Emergency Room (hospital only) Laboratory + Pathology Tests Office Visits + Consultations Prescription Drugs (Brand Name) Prescription Drugs (Generic) Preventive + Well Child Exams Radiology Surgery (hospital only) Transportation/Ambulance Again, take a moment to rank these from 1 to 10 before looking at the next slide, so you can compare your expectation with reality.

Average Cost Ranking of Services 1 - Surgery (hospital only) 2 - Deliveries (hospital only) 3 - Emergency Room (hospital only) 4 - Transportation/Ambulance 5 - Preventive + Well Child Exams 6 - Radiology 7 - Office Visits + Consultations 8 - Prescription Drugs (Brand Name) 9 - Prescription Drugs (Generic) 10 - Laboratory + Pathology Tests

Average Cost Per Service

How Much Does Each Service CATEGORY Cost? Deliveries (hospital only) Emergency Room (hospital only) Laboratory + Pathology Tests Office Visits + Consultations Prescription Drugs (Brand Name) Prescription Drugs (Generic) Preventive + Well Child Exams Radiology Surgery (hospital only) Transportation/Ambulance Again, take a moment to rank these from 1 to 10 before looking at the next slide, so you can compare your expectation with reality.

Cost Rank of Service Categories 1 - Prescription Drugs (Brand Name) 2 - Office Visits + Consultations 3 - Surgery (hospital only) 4 - Deliveries (hospital only) 5 - Radiology 6 - Emergency Room (hospital only) 7 - Laboratory + Pathology Tests 8 - Preventive + Well Child Exams 9 - Prescription Drugs (Generic) 10 - Transportation/Ambulance

Costs as % of Total Premium