According to a new Oregon Health Department (OHA) report, between 2013 and 2019 in Oregon, health care costs increased by 49% per capita across the insurance market, increasing national health care costs over the same period. Exceeded.
By market, per capita Medicare costs increased 58%, per capita commercial market costs increased 45%, and per capita Medicaid costs increased the slowest to 32%.
Higher prescription drug costs and higher professional service costs were the main drivers of higher health care costs.
Between 2013 and 2019, Oregon’s medical spending increased faster than income. Meanwhile, per capita health care costs increased 49%, per capita income increased 31.5%, and average wages increased 21.6%.
The report states that for people with commercial, employer-sponsored insurance in Oregon, the average annual deductible premium and premium total cost for 2019 is 10.1% of median income. It shows that there was.
“The impact of rising health care costs has a direct impact on the well-being of people, families and our communities,” said OHA Director Patrick Allen. Reduce access to family, business, and care. It is important for Oregon citizens to understand how and why medical costs are rising. That way, you can take steps to reduce medical costs in the state. “
The report documents cost growth across six major service categories and identifies the types of services that are responsible for the majority of cost growth in each market. Between 2013 and 2019, per capita pharmacy costs increased the most (116%). Hospitalization services are the most costly per capita, up 22% over 6 years.
In the commercial market, professional services contributed most to the overall cost increase from 2013 to 2019. Pharmacies, emergency departments, professional services and outpatient services increased by more than 60% from 2013 to 2019, with pharmacy costs increasing the most at 93%.
In the Medicare market, pharmacy costs increased 185% between 2013 and 2019, far outpacing other service categories in all three markets. Pharmacy costs were the main driver of the increase in Medicare costs during this period, rising from $ 794 per capita to $ 2,261.
In the Medicaid market, professional services and pharmacies contributed most to overall cost growth from 2013 to 2019. The Medicaid market grew less across service categories than the commercial market. The services category in the Medicaid market also had low per capita costs, with the exception of hospitalization services.
Between 2012 and 2017, Oregon paid for it at a growth rate of 3.4% under the Section 1115 Medicaid Exemption Agreement with the Federal Government. This allowed Oregon to provide care to approximately one million Oregon Health Plan members through a coordinated care organization (CCO).
The cost categories measured under the 1115 exemption in Oregon are a subset of the costs included in the 2013-2019 Health Growth Report. Oregon’s 1115 exemption focuses on limiting the cost inflation of core Medicade benefits paid by the federal and state governments.
The calculation of cost increases under the exemption includes categories such as unpaid medical care, graduate medical education, non-citizen emergency care, behavioral medicine prescription drug costs, and increased hospital payments for other costs. Not done. (State health officials have released a fact sheet outlining the calculation of different types of health care costs.)
These data show that Oregon’s CCO model helped slow cost growth in the Medicaid sector. Medicaid cost per capita increased by 32%, but between 2013 and 2019, Medicare cost per capita increased by 58%, almost doubling.
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