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

2. 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?

3. 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.

4. 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)
Transportation/Ambulance

5. Use of Service per 1000 members

6. 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.

7. 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

8. Average Cost Per Service

9. 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.

10. 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)
Transportation/Ambulance

11. Costs as % of Total Premium