Managed Care - January 2009 - (Page 50) MANAGED CARE OUTLOOK 2009 costs will continue to outpace inflation C osts this year will be higher than inflation for all medical plan types, more than 4 percentage points higher than the change in the Consumer Price Index (rising at a yearly rate of 5.6 percent in July), and higher than the annual increase in earnings (2.8 percent in July). This pattern is similar to 2007 and 2008. The findings are in the 2009 Segal Health Plan Cost Trend Survey. For the first time, prescription drug cost increases are projected to be below 10 percent and to drop below the rate of medical plan cost increases. The survey indicates that specialty drug prices will continue to rise almost twice as fast as ordinary drugs. The variance in costs among managed care medical plan types continues to be marginal, “with less than a 2 percentage point difference in the forecasted rate of increase, ” says Eileen Flick, vice president and director of Segal’s Health Technical Systems. Medicare Advantage HMOs are projected to have a 7.1 percent rate of increase in medical plan costs for 2009, says Flick. Factors that influence cost changes include price inflation, the leverage effect of fixed deductibles and copayments, cost shifting, and utilization increases because of aging, product promotion, and improved diagnostic services. Projected medical and prescription drug expenses, 2008–2009 14 13.2 13 12.5 12 12.1 12.5 2008 projected (%) Without Rx With Rx* 2009 projected (%) Without Rx With Rx* 10.9 10.9 10.8 11 10.6 10.6 10.6 10.6 10.4 10.5 10.5 10.4 10.3 10.7 10.7 10.0 10.0 10 9 FFS/indemnity High-deductible health plan** Open-access PPOs/POS plans PPOs/POS plans (with primary care gatekeepers) HMOs *Projections were derived by proportionally blending medical plan costs with freestanding prescription drug costs. **Defined as those where the deductible is at least the minimum health savings account level required by the Internal Revenue Service ($1,150 single, $2,300 family in 2009). Source: 2009 Segal Health Plan Cost Trend Survey 50 MANAGED CARE / JANUARY 2009
Table of Contents Feed for the Digital Edition of Managed Care - January 2009 Managed Care - January 2009 Editor's Memo Contents Legislation & Regulation News and Commentary Medication Management Compensation Monitor Health Care's Disruptive Innovations Q&A With Clayton Christensen 'Disruption' May Be Plans' Best Bet Avoid the PBM Rebate Trap HealthPartners Puts Diabetes on Notice Formulary Files Plan Watch Tomorrow's Medicine Ad Index Outlook Unmet Needs in the Management of Plaque Psoriasis Impact of RSV: Implications for Managed Care Managed Care - January 2009 Managed Care - January 2009 - Managed Care - January 2009 (Page Cover1) Managed Care - January 2009 - Managed Care - January 2009 (Page Cover2) Managed Care - January 2009 - Managed Care - January 2009 (Page Cover2a) Managed Care - January 2009 - Managed Care - January 2009 (Page Cover2b) Managed Care - January 2009 - Managed Care - January 2009 (Page 1) Managed Care - January 2009 - Editor's Memo (Page 2) Managed Care - January 2009 - Editor's Memo (Page 3) Managed Care - January 2009 - Contents (Page 4) Managed Care - January 2009 - Contents (Page 5) Managed Care - January 2009 - Legislation & Regulation (Page 6) Managed Care - January 2009 - Legislation & Regulation (Page 7) Managed Care - January 2009 - News and Commentary (Page 8) Managed Care - January 2009 - Medication Management (Page 9) Managed Care - January 2009 - Medication Management (Page 10) Managed Care - January 2009 - Compensation Monitor (Page 11) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 12) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 13) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 14) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 15) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 16) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 17) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 18) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 19) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 20) Managed Care - January 2009 - Health Care's Disruptive Innovations (Page 21) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 22) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 23) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 24) Managed Care - January 2009 - Q&A With Clayton Christensen (Page 25) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 26) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 27) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 28) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 29) Managed Care - January 2009 - 'Disruption' May Be Plans' Best Bet (Page 30) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 31) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 32) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 33) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 34) Managed Care - January 2009 - Avoid the PBM Rebate Trap (Page 35) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 36) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 37) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 38) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 39) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 40) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 41) Managed Care - January 2009 - HealthPartners Puts Diabetes on Notice (Page 42) Managed Care - January 2009 - Formulary Files (Page 43) Managed Care - January 2009 - Plan Watch (Page 44) Managed Care - January 2009 - Plan Watch (Page 45) Managed Care - January 2009 - Plan Watch (Page 46) Managed Care - January 2009 - Tomorrow's Medicine (Page 47) Managed Care - January 2009 - Ad Index (Page 48) Managed Care - January 2009 - Ad Index (Page 49) Managed Care - January 2009 - Outlook (Page 50) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A1) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A2) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A3) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A4) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A5) Managed Care - January 2009 - Unmet Needs in the Management of Plaque Psoriasis (Page CB-A6) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B1) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B2) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B3) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B4) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B5) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B6) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page CB-B7) Managed Care - January 2009 - Impact of RSV: Implications for Managed Care (Page Cover4)
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