Well being care prices grew 49% per individual in insurance coverage markets between 2013 and 2019 in Oregon, outpacing development in nationwide well being care prices throughout the identical interval, in line with a brand new report from the Oregon Well being Authority ( OHA).
By market, Medicare prices per individual grew 58%, business market prices per individual elevated 45%, and Medicaid prices per individual grew extra slowly at 32%.
Rising prescription drug prices and the price of skilled providers had been the principle elements driving will increase in well being care prices.
Between 2013 and 2019, Oregon’s well being care prices grew sooner than revenue, whereas well being care prices per individual elevated 49%, revenue per individual elevated 31.5%, and median wages elevated 21 .6%.
The report exhibits that for folks in Oregon with employer-sponsored business insurance coverage, the price of the common annual deductible and insurance coverage premiums mixed in 2019 was 10.1% of median revenue.
“The consequences of rising well being care prices have a direct influence on the well-being of people, households and our communities,” mentioned OHA Director Patrick Allen, “when well being care prices rise sooner that revenue and value of residing scale back household and enterprise budgets and scale back entry to care. It is essential for Oregonians to know how healthcare prices are rising, and why, so we are able to take motion in our state to comprise them.”
The report paperwork price development throughout six main service classes and identifies which service varieties are liable for essentially the most price development in every market. Between 2013 and 2019, pharmacy prices per individual grew essentially the most (116%). Inpatient providers have the very best prices per individual and grew 22% over the six years.
Within the business market, skilled providers contributed essentially the most to general price development between 2013 and 2019. Pharmacy, emergency division, skilled providers, and outpatient providers grew greater than 60% between 2013 and 2019, and pharmacy prices had been those that grew essentially the most with 93%.
Within the Medicare market, pharmacy prices grew 185% between 2013 and 2019, far outpacing another service class in any of the three markets. Pharmacy prices had been the principle driver of Medicare price development on this interval, rising from $794 to $2,261 per individual.
Within the Medicaid market, skilled providers and pharmacy contributed essentially the most to general price development between 2013 and 2019. The Medicaid market noticed decrease development in all service classes in comparison with the business market. Service classes within the Medicaid market additionally had decrease prices per individual, except inpatient providers.
Between 2012 and 2017, Oregon saved prices underneath its Part 1115 Medicaid waiver settlement with the federal authorities at a development price of three.4%, which enabled Oregon to supply care to almost 1 million members of the Oregon Well being Plan by way of Coordinated Care Organizations (CCOs).
The associated fee classes measured underneath Oregon’s 1115 waiver are a subset of the prices included within the 2013-2019 Well being Price Progress Report. Oregon’s 1115 waiver focuses on limiting price inflation for fundamental Medicaid advantages paid for by the federal and state governments.
The calculation of price development underneath the exemption doesn’t embody classes akin to will increase in funds to hospitals for uncompensated care, postgraduate medical training, emergency take care of noncitizens, the price of behavioral well being prescribed drugs, and different prices. . (State well being officers have revealed a truth sheet that describes various kinds of well being price estimates.)
These information present that Oregon’s CCO mannequin helped sluggish price development within the Medicaid sector. Whereas Medicaid prices per individual grew 32%, between 2013 and 2019, Medicare prices per individual grew 58%, nearly double.