Change Healthcare HCTI Q4 2013 Infographic
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Healthcare Transparency Index 1. 2014 National Business Group on Health Survey. Towers Watson. 2. 2013 Aflac WorkForces Report. 3. Mercer. National Survey of Employer-Sponsored Health Plans. April 2014 4. NBGH - Plan Design Survey 2013. 5. “Significant choice and lower than expected premiums available in the new Health Insurance Marketplace.” Department of Health and Human Services. September 2013. 6. “Deductibles, Out-Of-Pocket Costs, and the Affordable Care Act.” HealthPocket. May 2014. 7. “Consumers’ Misunderstanding of Health Insurance,” Journal of Health Economics, George Loewenstein et al., September 2013. 8. Change Healthcare database. ® 2014 Change Healthcare Corporation Q4 2013 Published May 2014 Reviewing the Year of Transparency GOLD plan pays 80% you pay 20% PLATINUM plan pays 90% you pay 10% 42 % 1 CONSUMERS PAYERS SILVER CONTRIBUTION INCREASE (IN LAST 5 YEARS) CDHPS 72 % have not heard the phrase “consumer-driven healthcare” 2 EXCHANGES 86 % CONSUMERS ARE NOW SHOPPING FOR COVERAGE VS. ...AND SHOPPING FOR CARE LEARN MORE AND VIEW THE FULL HCTI http://www.changehealthcare.com/resources/publications/hcti Most Important HR Objective for Companies in 2013: CONTROLLING HEALTH/MEDICAL COSTS 2 healthcare costs are expected to rise 7.5% in 2013 2 average annual salary increased 1.6% past 3 years 1 COST OF COVERAGE $ 2,975 $ 11,938 1 32 % 1 39 % employers offered CDHPs in 2013 3 76 % are NOT knowledgeable of exchanges 2 31 % of employers are considering moving to exchanges by 2015 4 COST $307 - $2,747 $1,246 - $3,599 $121 - $485 $135 - $397 $6,680 - $17,619 VARIABILITY C-Section Mammogram CT Scan Office Visit (with diabetes screening) 796% 189% 300% 195% 164% $511 - $2,815 MRIs 451% SERVICE Colonoscopy (screening) Average costs for individual medical coverage premium.................................................................. $ 328 5 $ 2,907 $ 5,730 6 deductible............................................................... out-of-pocket max................................................... BRONZE plan pays 60% you pay 40% plan pays 70% you pay 30% of consumers don’t understand common health terms 7 CONSUMERS ARE 4X MORE LIKELY TO SHOP FOR HEALTHCARE After Being Proactively Engaged with Change Healthcare Tools 8 Source: Change Healthcare HCTI. Q4 2013. May 2014
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Change Healthcare’s latest quarterly Healthcare Transparency Index (HCTI) shows nine medical procedures with high costs and price variances as high as 796 percent. Even within a given network, charges for pharmacy, medical and dental services often vary by more than 300 percent. The HCTI report, available at http://www.changehealthcare.com/resources/publications/hcti, is a quarterly measure of the costs and cost variability of various medical and dental services that consumers purchase on a recurring basis over time. The source of the healthcare cost data is the aggregation of in-network medical and dental claims from credentialed providers across all Change Healthcare clients, which has geographic coverage that spans nationally and covers more than 7 million lives.
Transcript of Change Healthcare HCTI Q4 2013 Infographic
Healthcare Transparency Index
1. 2014 National Business Group on Health Survey. Towers Watson.2. 2013 A�ac WorkForces Report. 3. Mercer. National Survey of Employer-Sponsored Health Plans. April 2014 4. NBGH - Plan Design Survey 2013. 5. “Signi�cant choice and lower than expected premiums available in the new Health Insurance Marketplace.” Department of Health and Human Services. September 2013. 6. “Deductibles, Out-Of-Pocket Costs, and the Affordable Care Act.” HealthPocket. May 2014.7. “Consumers’ Misunderstanding of Health Insurance,” Journal of Health Economics, George Loewenstein et al., September 2013. 8. Change Healthcare database.
® 2014 Change Healthcare Corporation
Q4 2013 Published May 2014
Reviewing the Year of Transparency
GOLD
plan pays 80% you pay 20%
PLATINUM
plan pays 90% you pay 10%
42%1
CONSUMERS PAYERS
SILVER
CONTRIBUTION INCREASE
(IN LAST 5 YEARS)
CDHPS72%
have not heard the phrase “consumer-driven healthcare”2
EXCHANGES
86%
CONSUMERS ARE NOW SHOPPING FOR COVERAGE
VS.
...AND SHOPPING FOR CARE
LEARN MORE AND VIEW THE FULL HCTI http://www.changehealthcare.com/resources/publications/hcti
Most Important HR Objective for Companies in 2013:
CONTROLLING HEALTH/MEDICAL COSTS2
healthcare costs are expected to rise 7.5% in 2013 2
average annual salary increased 1.6% past 3 years1
COST OF COVERAGE
$2,975 $11,9381
32%1
39% employers offered CDHPs
in 20133
76% are NOT knowledgeable
of exchanges2
31% of employers are considering
moving to exchanges by 20154
COST
$307 - $2,747
$1,246 - $3,599
$121 - $485
$135 - $397
$6,680 - $17,619
VARIABILITY
C-Section
Mammogram
CT Scan
Of�ce Visit(with diabetes screening)
796%
189%
300%
195%
164%
$511 - $2,815MRIs 451%
SERVICE
Colonoscopy(screening)
Average costs for individual medical coverage
premium.................................................................. $3285
$2,907$5,730
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deductible...............................................................
out-of-pocket max...................................................
BRONZE
plan pays 60% you pay 40%
plan pays 70% you pay 30%
of consumers don’t understand common health terms7
CONSUMERS ARE 4X MORE LIKELYTO SHOP FOR HEALTHCARE After Being Proactively Engaged with Change Healthcare Tools
8
Source: Change Healthcare HCTI. Q4 2013. May 2014
