Health Care Costs Grew More Slowly Than The Economy In 2012

Health care spending grew at a record slow pace for the fourth straight year in 2012, according to a new government report. But the federal officials who compiled the report disagree with their bosses in the Obama administration about why.

The annual report from the actuaries at the Centers for Medicare and Medicaid Services, published in the journal Health Affairs, found total U.S. health spending totaled $2.8 trillion in 2012, or $8,915 per person.

Health spending consumed 17.2 percent of the nation's gross domestic product, but that was slightly down from the previous year's 17.3 percent. And in a rare event, the growth rate of 3.7 percent was actually slower than that of the overall economy, which grew at a rate of 4.6 percent.

The report found several things that led to the slower spending increase, especially the residual effects of the recession.

But one thing that did not lead to slower growth, according to the authors, was the Affordable Care Act.

"The Affordable Care Act ...had a minimal impact on overall national health spending growth through 2012," the report said.

Instead, the law likely produced a small overall increase in spending for the first three years that the law was in effect, the actuaries say.

And the persistent slow growth in health spending, even a few years after the economy has begun to recover, is what you'd expect to see now, according to Aaron Catlin, deputy director of the National Health Statistics Group that leads the annual study.

"What we can tell you is that the period of stability is consistent with the historical experience," he told reporters at a briefing on the report.

In other words, health inflation has traditionally remained in check for at least a few years following a recession.

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Health Care Costs Grew More Slowly Than The Economy In 2012

Health care spending growth still very low

NEW YORK (CNNMoney)

Spending on health care grew by only 3.7% in 2012, continuing a streak of the slowest growth rates on record, according to data released Monday by the Centers for Medicare and Medicaid Services.

The report looked at all spending on health care services, including doctors, drugs, hospitals and nursing homes, and research nationwide. It also breaks down who is doing the spending: consumers, Medicaid, Medicare and insurers.

Spending remained restrained due to the weak economy. People continued to pull back on medical care amid a continued weak job market and providers sought to keep prices in check. The Affordable Care Act had minimal impact, as many of the health reform's major provisions had yet to kick in.

The White House quickly jumped on the report saying that health reform has helped stop the trend of skyrocketing health care costs by stressing efficiency improvements. It specifically cited the act's contribution to lowering Medicare spending by penalizing hospitals with high readmission rates as an example.

Experts agreed, saying that providers began making changes in anticipation of required reforms.

"Every hospital executive has started the process of holding costs down," said Larry Levitt, senior vice president at the Kaiser Family Foundation.

What's clear is that the slowdown in spending growth has benefited patients in recent years, sparing them from major increases in medical and premium costs. But looking at some of the underlying trends shows that growth varied widely depending on the service and payer.

What we spent more on in 2012:

Hospital services: This category grew 4.9%, due to growth both in prices and in the use and complexity of services. A year earlier, the rate increased by only 3.5%. Private health insurance and Medicare picked up nearly two-thirds of all payments for hospital care.

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Health care spending growth still very low

Health care law may suffer from shortage of doctors

WASHINGTON Signing up for health insurance on the new state and federal exchanges was supposed to be the easy part of the Affordable Care Act. But the really dicey part, according to many health policy experts, is just beginning.

With the law fully in effect as of Jan. 1, they fear Americans who have enrolled in health insurance for the first time under the ACA are likely to discover that having coverage doesnt guarantee them easy access to a primary care doctor, dentist or mental health professional.

Some changes in the works, such as the use of new technologies and allowing mid-level medical providers to perform some functions usually reserved for doctors and dentists, should improve health care access in the long run. In the meantime, said Linda Rosenberg, president of the National Council for Behavioral Health, people are going to suffer.

According to the Health Resources and Services Administration, the federal agency charged with improving access to health care, nearly 20 percent of Americans live in areas with an insufficient number of primary care doctors. Sixteen percent live in areas with too few dentists, and a whopping 30 percent are in areas that are short of mental health providers. Under federal guidelines, there should be no more than 3,500 people for each primary care provider; no more than 5,000 people for each dental provider; and no more than 30,000 people for each mental health provider.

According to the Association of American Medical Colleges, unless something changes rapidly, there will be a shortage of 45,000 primary care doctors in the United States (as well as a shortfall of 46,000 specialists) by 2020.

In some ways, the shortage of providers is worse than the numbers indicate.

Many primary care doctors and dentists do not accept Medicaid patients because of low reimbursement rates, and many of the newly insured will be covered through Medicaid. Many psychiatrists refuse to accept insurance at all.

Christiane Mitchell, director of federal affairs for the Association of American Medical Colleges, predicted that many of the estimated 36 million Americans expected to gain coverage under the Affordable Care Act will endure long waits to see medical providers in their communities or have to travel far from home for appointments elsewhere.

During the debate over the Affordable Care Act, Mitchell said the association pushed for the federal government to fund additional slots for the training of doctors, but that provision was trimmed to keep the health care law from costing more than $1 trillion over 10 years.

There are various reasons for the shortages. Certainly a big contributor is the aging of the baby boomers, who may still love rock n roll but increasingly need hearing aids to enjoy it.

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Health care law may suffer from shortage of doctors

Obamacare Tested by Recession’s Effect on Health Care

Photographer: Andrew Harrer/Bloomberg

Enrollee Sakoun Khanthanoua reads a Maryland Health Connection health insurance... Read More

Enrollee Sakoun Khanthanoua reads a Maryland Health Connection health insurance marketplace pamphlet while waiting to speak to a health navigator at an education and enrollment event in Silver Spring, Maryland, on Dec. 7, 2013. Close

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Enrollee Sakoun Khanthanoua reads a Maryland Health Connection health insurance marketplace pamphlet while waiting to speak to a health navigator at an education and enrollment event in Silver Spring, Maryland, on Dec. 7, 2013.

The U.S. recession remained a drag on health-care spending three years after it ended as a net of 9.4 million people lost private insurance coverage before key provisions of Obamacare had begun, a government report showed.

Spending on hospitals, doctors, drugs and other health-care services rose 3.7 percent to $2.8 trillion in 2012, or about 17.2 percent of gross domestic product, actuaries at the Centers for Medicare and Medicaid Services said in a report published yesterday in the journal Health Affairs. Growth was 6.3 percent at the end of 2007, when the U.S. entered an 18-month recession.

The 2010 Patient Protection and Affordable Care Acts largest health-care expansions didnt begin until this year, including private insurance for about 2.1 million new people and expanded Medicaid coverage for others. CMS actuaries have said spending should jump by 6.1 percent in 2014 as a result.

Expanded coverage is going to cause spending to go up, Charles Roehrig, the director of the Altarum Institutes Center for Sustainable Health Spending in Ann Arbor, Michigan, which studies cost growth, said in a phone interview.

Prescription drugs and nursing home costs had led the slowdown. Blockbuster drugs including Pfizer Inc. (PFE)s Lipitor, Sanofis Plavix and Merck & Co.s Singulair lost patent protection in late 2011 and 2012, causing retail prescription prices to increase 0.4 percent in 2012, the actuaries said.

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Obamacare Tested by Recession’s Effect on Health Care

Rend Lake College launches Community Health Care class

INA Those interested in a career in health care, Rend Lake College is offering a Community Health Care course.

Community Health Care is a study of key issues and focuses on developing practical approaches to supporting patients. The class will be from 1 to 4 p.m. Mondays beginning Jan. 13 and will run through May 12 at the Rend Lake College MarketPlace in Mount Vernon.

The course aims to give individuals the foundation for a future career in the health care industry. It also provides great information for family members caring for elderly or sick relatives.

The health care field is still seeing rapid growth in terms of occupations, Kim Robert, dean of RLCs Allied Health Division, said in a news release. Health care coaching is just another aspect of that, as new jobs and disciplines emerge. St. Marys Good Samaritan sees a need for health care coaches, and we are glad to work with them to develop the training for it.

Health care coaches, also known as wellness or health coaches, will help individuals implement the activities and plans the patient creates with his or her nurse, social worker or other clinician. The goal of the health care coach is to motivate and lead his or her clients to positive behavioral change and better health.

Topics covered will include: challenges of delivering adequate health care in communities; population medicine; specific problems posed by diabetes, obesity and cardiovascular disease; ethical dimensions of the concept of underinsurance; community medicine and the law; methods of improving compliance, and measuring outcomes.

The classroom course format is three hours of lecture, while the internship period with St. Marys Good Samaritan is in-the-field and may include accompanying individuals to doctors appointments, going to individuals homes to assist in a healthy home set up, and providing reinforcement of directions given by health care providers.

For more information or to register for Community Health Care, contact the Rend Lake College Allied Health Division at 618-437-5321, ext. 1251, or at alliedhealth@rlc.edu.

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Rend Lake College launches Community Health Care class

Noseworthy speaks for restructuring health-care system

While saying health care reform is a good start, Mayo Clinic CEO Dr. John Noseworthy cited a need to address the "sustainability of Medicare" as well as other issues while speaking on "Meet The Press with David Gregory" this morning.

Dr. Noseworthy appeared on the live news show alongside Dr. Toby Cosgrove, CEO of the Cleveland Clinic, to discuss "How does Obamacare impact your health coverage?"

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Noseworthy speaks for restructuring health-care system

Ohio, U.S. expects major job growth in health care

The health care and social assistance sector has been a main driver of Ohios job growth, and it could remain that way since the sector will lead the nation in employment gains in the next decade, according to new labor projections from the U.S. Bureau of Labor Statistics.

Health care and social assistance is projected to create five million new jobs nationwide by 2022, the bureau said. Nearly half of the 30 projected fastest-growing U.S. occupations are in health care.

Health care and social assistance employs more Ohio workers than any other sector, and the state more heavily relies on these areas for jobs than most of the country.

Continued health care growth will translate into more jobs for Ohio workers, according to some groups.

At this point, there is no reason to expect that the growth in health care and social assistance jobs will slow in Ohio, said Benjamin Johnson, spokesman for the Ohio Department of Job and Family Services.

But some labor experts said they believe the governments employment projections are inflated, and hiring will have to slow down because otherwise it will outpace demand for medical services and providers will not be able to bring rising costs under control.

If health care continues to grow as rapidly as it has in the recent past, then you really have to be concerned about our ability to pay for it and the effectiveness of any sort of health care reform, said Edward Hill, dean and professor at the Maxine Goodman Levin College of Urban Affairs at Cleveland State University.

Ohios health care and social assistance sector has been a powerhouse of hiring for years, with payrolls increasing annually since at least 1990, according to U.S. Bureau of Labor Statistics data.

The sector employed 765,200 Ohio workers in November, which was down slightly from the summer of 2013, but up 10,600 from November 2012, the data show.

The U.S. recession officially ended in June 2009, but the sector continued adding jobs during the economic downturn.

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Ohio, U.S. expects major job growth in health care

NAACP helps local residents sign up for health care

The clock is ticking for Texans to sign up for health care under the federal Affordable Care Act.

As of today, there are a little more than 80 days left in the open enrollment period to sign up for coverage under the new law. Those who miss the March 31 deadline and remain uninsured could face a fine.

Its a deadline that Killeen resident Phyllis Jones is painfully aware of.

Its challenging, because a lot of people in Texas need health care, but they also have a lot of questions and are looking for information, Jones said.

Jones, who serves as education chairperson for the Texas State NAACP, is part of an effort to help educate Texans about the Affordable Care Act, and encourage them to enroll.

In December, Jones held an information session at Moss Rose Community Center in Killeen. She outlined the challenges of trying to get the information to those who need it most: uninsured and economically disadvantaged residents.

They need help, Jones said at the center. They need to be educated in the terms and language, and how coverage works.

21 percent uninsured

Jones said the NAACP has given similar presentations all over Texas, where roughly 24.6 percent of residents, or 6.2 million people, are uninsured. According to a June report from Seton Healthcare, Bell County has an uninsured rate of roughly 21 percent.

Jones said reaching the uninsured may take more than just information. She said people are more likely to sign up if they have someone to answer questions during the process.

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NAACP helps local residents sign up for health care

Health Minister calls on health care workers to get immunized as flu spreads

EDMONTON Immunization clinics reopened across Alberta Friday morning to deal with a surge of flu cases.In Edmonton, the Bonnie Doon Health Centre and Northgate Health Centre were open to the public.

We have entered a very critical period in Alberta, Health Minister Fred Horne said. Over the last couple of weeks weve seen a very large escalation in the number of flu cases in the province.

Horne says the increase is very concerning.

I am concerned from a number of standpoints. First and foremost, we are beginning to see increasing strain on the health care system that has the potential to escalate.

READ MORE: Health officials issue warning about severity of flu outbreak

As of Thursday, Alberta Health Services (AHS) said there have been five reported deaths in Alberta as a result of influenza and 965 lab-confirmed cases of the flu province-wide, 920 of which were the H1N1 form of the virus.

We also know that today there are over 270 people in this province whove been hospitalized for influenza, many of them with the H1N1 strain, which is the dominant strain this year, Horne added.

The H1N1 strain is attacking primarily adults in their 30s, 40s, and 50s.

READ MORE:Edmonton mans wife in intensive care battling H1N1

And the worst is yet to come, according to Horne, who added influenza is expected to peak in mid-February.

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Health Minister calls on health care workers to get immunized as flu spreads

Plans under health care law leave some ‘underinsured’

For working people making modest wages and struggling with high medical bills from chronic disease, President Barack Obamas health care plan sounds like long-awaited relief. But the promise could go unfulfilled.

Its true that patients with cancer and difficult conditions such as multiple sclerosis or Crohns disease will be able to get insurance and financial help with monthly premiums.

But their annual out-of-pocket costs could still be so high theyll have trouble staying out of debt.

You couldnt call them uninsured any longer. You might say theyre underinsured.

These gaps need to be addressed in order to fulfill the intention of the Affordable Care Act, said Brian Rosen, a senior vice president of the Leukemia & Lymphoma Society. There are certainly challenges for cancer patients.

Cost may still be an issue for those in need of the most care, said Steven Weiss, spokesman for the American Cancer Society Cancer Action Network. That makes it critically important for patients looking at premiums to also consider out-of-pocket costs when choosing a plan.

Out-of-pocket costs include a health plans annual deductible, which is the amount before insurance starts paying, as well as any copayments and cost-sharing.

A few numbers tell the story. Take someone under 65 with no access to health insurance on the job and making $24,000 a year about what many service jobs pay.

Under the health care law, that persons premiums would be capped below 7 percent of his income, about $130 a month. A stretch on a tight budget, yet doable.

But if he gets really sick or has an accident, his out-of-pocket expenses could go as high as $5,200 a year in a worst-case scenario. Thats even with additional financial subsidies that the law provides to people with modest incomes and high out-of-pocket costs.

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Plans under health care law leave some 'underinsured'