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May 9—The federal government’s recent report that healthcare grew a recent record rate of 9.9 percent in the first quarter of the year was disputed in a new report.
The Bureau of Economic Analysis (BEA) at the U.S. Department of Commerce recently estimated that healthcare services spending increased by about $50 billion in the first quarter of 2014, which would translate into an annual increase of more than 10 percent.
But a new report from Altarum Institute casts doubt on the 10 percent annual healthcare growth figure and concluded that 7 percent or lower annual growth is more likely.
Charles Roehrig, vice president and director of Altarum's Center for Sustainable Health Spending, wrote in a related blog post that several factors accounted for the lower annualized increase, which was based on comparing spending in the current month to spending in that same month from the prior year—instead of BEA’s comparison with the preceding quarter.
“This seems to be a more reasonable indicator of our current growth path than the 10 percent annualized rate discussed above and may even be a bit high,” Roehrig wrote.
The extent of healthcare’s spending growth this year as the Affordable Care Act’s (ACA’s) major coverage expansions begin is being closely watched for its political and economic repercussions.
The Obama administration downplayed the significance of the first quarter’s spending growth and concluded that the increase—as driven by increased ACA-related utilization—was “neither a surprise, nor a cause for concern.”
“Furthermore, any upward pressure on health care spending growth from expanding insurance coverage will cease once coverage stabilizes at its new, higher level, so it does not affect the longer-term outlook for spending growth,” stated the White House blog post.
Even the lower 7 percent growth found by Altarum is an acceleration from previous quarter, which Roehrig credited to increased utilization—since healthcare inflation remains low. Specifically, “ACA-expanded coverage could drive spending up without any change in prices or utilization via shift from uncompensated to compensated care. Also, there is some evidence of utilization growth in states expanding Medicaid coverage.”
Such increased utilization by those newly insured through the ACA was recently reported by several of the largest for-profit health systems.
The Altarum report followed a recent PwC’s projection that medical cost inflation in 2014 will defy historical patterns and amount to 6.5 percent.
That report credited the expected low medical inflation rate to “aggressive and creative steps by employers, new venues and models for delivering care, and elements of the Affordable Care Act.”
Meanwhile, healthcare spending trend watchers are waiting to see whether BEA updates its healthcare growth figures for the first quarter during their scheduled mid-June revisions.
Rich Daly is a senior writer/editor in HFMA’s Washington, D.C., office. Follow Rich on Twitter @rdalyhealthcare.
Publication Date: Monday, May 12, 2014
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Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
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Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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