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Examining medical spending for a typical family of four

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Milliman Report on Medical Spending Highlights Role of Unit Cost Increases

AHIP HI-WIRE
May 20, 2010

Milliman recently issued its 2010 Milliman Medical Index (PDF) (MMI), examining the total annual medical spending for a typical American family of four covered by an employer-sponsored PPO program.

According to the Milliman report, the total medical cost for a typical American family of four is $18,074 in 2010, representing a 7.8 percent increase over last year's total. The report states: "Most of the hospital and physician cost increases identified in this year's MMI have been driven by average unit cost, not utilization, which frames the coming effort to control costs. Provider/payor negotiations will be more visible and intense in the reform environment and as regulators put more pressure on the premium rate-setting process."

Other key findings include:

  • The 2009 to 2010 hospital inpatient annual rate of increase grew from 7.7 percent to 9.8 percent, and the hospital outpatient annual rate of increase grew from 10.2 percent to 11.6 percent. These increases are driven largely by higher average unit costs.

  • Approximately 17 percent of this year's increase in pharmacy spending is attributed to increased utilization, and the remaining 83 percent is due to average unit cost increases.

  • The components of medical spending in 2010 for a typical family of four are: $6,062 for physician care; $5,586 for inpatient hospital care; $3,094 for outpatient hospital care; $2,635 for pharmaceuticals; and $697 for other services.

  • Of the $18,074 total medical cost for a typical family of four in 2010, the employer pays about $10,744 (59 percent) toward the premium, while the employee pays $4,325 (24 percent) toward the premium and $3,005 (17 percent) in out-of-pocket costs.



Posted On 5/20/2010 1:28:43 PM



Experts say Travel Insurance is crucial to your trip

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May 11th, 2010

Welcome to our first Jackson Benefit Services, Inc. blog.

We'd like to share with you some information that came out of the AHIP Hi-Wire Newsletter about how Travel Insurance can be crucial to your next trip.

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Plane tickets, check. Passport, check. Medical evacuation insurance? It's probably not something most people think about when packing for a vacation.

But Louise Robbins says she'd probably be bankrupt without it. The University of Wisconsin library educator and her husband, Robby, were in southwest China last summer when Robby slipped and fell backward on a hotel walkway made of the region's famed red marble.

Their regular health insurance covered many expenses, but not flying him home on a jet specially equipped for transporting critically ill patients and medical equipment. The cost exceeded $100,000.

"We would have been lost" if not for the medical evacuation insurance, Louise Robbins said.

With summer vacation season approaching, experts say there are several ways international travelers can protect themselves against medical emergencies -- from registering in advance with the State Department, which can help locate doctors abroad and arrange emergency medical flights, to buying supplemental insurance or stand-alone medical evacuation policies.

Thousands of American travelers each year are flown home with medical assistance because of health emergencies. Car accidents and heart attacks are among the most common reasons.

"Americans have the concept that when they travel, their health insurance travels with them," said Dan McGinnity, vice president for North America for Travel Guard, which sells travel insurance.

But most regular health insurance plans don't cover costly evacuations. And finding that out after an emergency can be catastrophic.
Travelers should check their policies to see what kind of expenses are covered, said Susan Pisano of America's Health Insurance Plans, a trade association. Most will pay for emergency care outside the United States -- but for leisure travelers that often doesn't include medical evacuation.

The federal Centers for Disease Control and Prevention recommends considering supplemental health insurance, including medical evacuation, if your existing policy is lacking.

According to the U.S. Travel Insurance Association, another trade group, Americans increasingly have been buying travel insurance; more than $1 billion was spent in 2008. Most covered things like unexpected trip cancellations — disruptions caused by the erupting Iceland volcano have prompted a flurry of recent business. But growth also has been strong in policies covering medical emergencies and evacuation, the group says.

Short-term travel policies typically cost about 4 percent to 8 percent of the total per-person trip price.

Please give us a call if you would like more information about Travel Insurance before your next trip!


Posted On 5/11/2010 12:39:24 PM