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Dig Deep: Uncovering the hidden costs of health care

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Government data shows rising OOP spending for consumers, but excludes some types of health-related items and services that can add significantly to the total amount and consumer share of spending. This infographic exposes these “hidden costs” that account for almost one-fifth of total health care spending.

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Publié dans : Santé & Médecine
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Dig Deep: Uncovering the hidden costs of health care

  1. 1. Total health care expenditure: NHEA spending + non-NHEA spending = $3,466B But there are hidden costs that make up 19%of total health care spending ($672B) Deloitte’s estimate of the imputed value of unpaid care at home provided by a family member or friend to someone with limited capacity to self care 15%Supervisory care2-4 4%Other non-NHEA spending 2% Nutrition and supplements5 Vitamins, minerals, functional foods, and other specialty supplements 1% Complementary and alternative medicine (CAM) services and products5 Naturopathy, yoga, acupuncture, spinal manipulation and massage, and other CAM practices 1% Homes for the elderly6 Community care homes for the elderly 1% Other6 Ambulatory care, weight-reducing centers, and health publications Spending (excluding supervisory care) that is not conventionally reported in the NHEA 81%of the total health care expenditure in the United States is reported in the NHEA ($2,793B) Distribution of NHEA spending1 12% Government and other admin costs Government administration and public health activity, the net cost of private insurance (premiums) and investment in research, structures, and equipment 26% Professional services Physician and clinical services, other professional services, dental services, and other personal health care 8% Prescription drugs Human-use dosage-form drugs, biologicals, and diagnostic products 7% Long-term care Home health care and nursing home care 3% Retail products and services Durable medical equipment and other nondurable medical products 25% Hospital care Services provided by hospitals to patients As used in this document, “Deloitte” means Deloitte LLP and its subsidiaries. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. Certain services may not be available to attest clients under the rules and regulations of public accounting. Copyright © 2014 Deloitte Development LLC. All rights reserved. Member of Deloitte Touche Tohmatsu Limited Sources 1. Center for Medicare and Medicaid Services, “National Health Expenditures 2012 Highlights” 2. U.S. Census Bureau, 2012 Population Estimates 3. 2009 National Alliance for Caregiving (NAC) Caregiver Survey 4. U.S. Department of Labor, 2012 National Compensation Survey 5. 2011-2012 Nutrition Business Journal data 6. U.S. Census Bureau, 2012 Services Annual Survey Note: Numbers are rounded; Estimates for 2012 Dig deep: Uncovering the hidden costs of health care Total health care spending is greater than officially reported. Health care spending in the United States consists of that reported in the National Health Expenditure Accounts (NHEA) and the “hidden costs of health care” — spending that occurs outside of the NHEA that is not routinely or completely captured. By taking a broad view of direct and indirect costs, as well as specific items such as alternative medicines, functional foods, and the imputed cost of providing supervisory care to a family member or friend, Deloitte has developed a more comprehensive estimate of U.S. spending on all health-related goods and services. Deloitte Center for Health Solutions Follow @DeloitteHealth To read more about these findings, the methodology, and the impact and implications of rising out-of-pocket health care costs, visit www.deloitte.com/us/healthcarehiddencosts