Economics of Health Care:
Identifying Health Care Costs
The rising costs of health care create an unsustainable burden on consumers, employers and government. Blue Cross and Blue Shield of Texas (BCBSTX) wants our members as well as the general public to know how health insurance premium dollars are being spent. More important, there is a need for education and awareness about what truly drives costs and how to help hold these expenses down. While most Americans use health care, few really know where their money goes and what medical care and services actually cost.
Federal government data confirms that rising health care costs are driven by increased spending on hospital care, physician services, prescription drugs and other medical services. As the dollar image below illustrates, 87 percent of every health insurance premium dollar is used to pay for such direct medical care. These medical treatment costs are rising at two to three times faster than the rate of inflation. Health care affordability and sustainability depends on creating efficiencies within the 87 percent of health care dollars directed toward health care providers.
Where does the typical health insurance dollar go1? (Roll your cursor over the dollar bill for more information.)
No simple task
Controlling health care costs is no simple task and will require the combined effort of the government, insurers, providers and the general public. As economic difficulties may pressure healthy individuals to go without insurance, the market includes a disproportionate number of unhealthy people who incur higher health costs. In addition, unemployment drives up the number of uninsured and increases the use of expensive visits to the emergency room.
As the only statewide, non-investor-owned health insurer in Texas and the largest provider of health benefits in the state, BCBSTX makes every effort to keep its coverage affordable and accessible to all Texans. We’re committed to working with hospitals, physicians and employers to provide access to quality medical care at competitive rates.
For more detailed information, download Economics of Health Care: Identifying health care costs.
- America’s Health Insurance Plans. PricewaterhouseCoopers’ Factors Fueling Rising Healthcare Costs 2008.