HEALTH CHECK 2018 Kevin Callison, Leslie Muller, Gerry Simons
HEALTH CARE OVERVIEW
Health Care Overview Pg. 34 9 Figure 1: Heavy Drinking 8 7 Percentage of the Population 6 5 4 3 2 1 0 2011 2012 2013 2014 2015 2016
30 Health Care Overview Pg. 34 Figure 2: Current Smokers 25 Percentage of the Population 20 15 10 5 0 2011 2012 2013 2014 2015 2016
Health Care Overview Pg. 35 40 Figure 3: Obesity 35 30 Percntage of the Population 25 20 15 10 5 0 2011 2012 2013 2014 2015 2016
Health Care Overview Pg. 36 25 Figure 6: No Health Insurance - Age 18 to 64 20 Percentage of the Population 15 10 5 0 2011 2012 2013 2014 2015 2016
Health Care Overview Pg. 37 20 Figure 7: No Health Care Access Due to Cost 18 16 Percentage of the Population 14 12 10 8 6 4 2 0 2011 2012 2013 2014 2015 2016
Health Care Overview Pg. 37 40 Figure 8: No Routine Checkup in Past Year 35 Percentage of the Population 30 25 20 15 10 5 0 2011 2012 2013 2014 2015 2016
Health Care Overview Pg. 35 20 Figure 4: Health Status - Fair or Poor Health 18 16 Percentage of the Population 14 12 10 8 6 4 2 0 2011 2012 2013 2014 2015 2016
BENCHMARKING COMMUNITIES
Benchmarking Communities Pg. 44 Figure 2: Hospital Admissions per 1,000 Population Grand Rapids Benchmark Detroit U.S. 160 140 Admissons per 1,000 Population 120 100 80 60 40 20 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Benchmarking Communities Pg. 45 Figure 3: Outpatient Visits to Hospitals per 1,000 Population Grand Rapids Benchmark Detroit U.S. Number of Outpatient Visits to Hospitals per 1,000 Population 4500 4000 3500 3000 2500 2000 1500 1000 500 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Benchmarking Communities Pg. 45 100 Figure 4: KOMA Resident Share of Local Hospital Admissions 90 80 Percent of All Hospital Admissions 70 60 50 40 30 20 10 0 2006 2008 2010 2012 2014
Benchmarking Communities Pg. 46 700 Figure 5: Emergency Department Visits per 1,000 Population Grand Rapids Benchmark Detroit U.S. Number of ED Visits per 1,000 Population 600 500 400 300 200 100 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Benchmarking Communities Pg. 48 Figure 10: Adjusted Medicare Expenditures per Medicare Enrollee Grand Rapids Benchmark Detroit U.S. 11000 10500 Dollars (2015) 10000 9500 9000 8500 2007 2008 2009 2010 2011 2012 2013 2014 2015
Benchmarking Communities Pg. 49 ACS Discharges per 1,000 Medicare FFS Beneficiaries 100 90 80 70 60 50 40 30 20 10 0 Figure 11: Discharges for Ambulatory Care-Sensitive Conditions per 1,000 Medicare Beneficiaries Grand Rapids Benchmark Detroit U.S. 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
MAJOR MEDICAL COSTS
Major Medical Costs Pg. 61 Figure 1: Average Expenditures per Member in KOMA, 2012-2016 2012 2013 2014 2015 2016 35000 Dollars per Member per Year (2016) 30000 25000 20000 15000 10000 5000 0 Asthma Coronary Artery Disease Depression Diabetes Hyperlipidemia Low Back Pain Healthy Members
Major Medical Costs Pg. 61
Major Medical Costs Pg. 62 Figure 3: Average Expenditures per Member, 2016 35000 KOMA Detroit Region 30000 Dollars per Member per Year 25000 20000 15000 10000 5000 0 Asthma Cornary Artery Disease Depression Diabetes Hyperlipidemia Low Back Pain Healthy Members
Major Medical Costs Pg. 62 Figure 3: Average Expenditures per Member, 2016 35000 KOMA Detroit Region 30000 Dollars per Member per Year 25000 20000 15000 10000 5000 0 Asthma Cornary Artery Disease Depression Diabetes Hyperlipidemia Low Back Pain Healthy Members
Major Medical Costs Pg. 62
Firm Survey THANK YOU TO THE EMPLOYERS ASSOCIATION OF WEST MICHIGAN FOR THEIR ADMINISTRATION AND COLLABORATION IN THIS SURVEY
Sample Characteristics Online survey administered to The Employers Association of West Michigan members Firm responses: 75 (14% response rate); 138 plans Firm size: - 25% have less than 50 FTEs - 17% have 50-99 FTEs - 57% have 100 or more FTEs Approximately half in Manufacturing
Health Insurance Plans Pgs. 52 & 53 NUMBER OF PLANS OFFERED 1 plan 52% 2 or more plans 48% Firms are offering more plans this year than in Healthcheck 2017 TYPES OF PLANS OFFERED High Deductible (HDHP) 75% Traditional Plans: PPO 36% HMO 17% POS 7% Firms have decreased their offerings of PPO plans and increased their offerings of HDHP plans
High Deductible Plans Pgs. 52 & 54 PERCENTAGE OF FIRMS OFFERING ONLY AN HDHP AVERAGE ANNUAL DEDUCTIBLE Single: $2,294 Family: $4,599
Tax-Free Savings Accounts Pgs. 54 & 55 Of those firms who offer an HDHP: 55% offer an HSA Up 1% from last year Of those firms who offer an HSA: 64% contribute Up 10% from last year Increases in offerings of both FSAs & HRAs Firms offering HRAs increased from 4% to 12% Firms offering FSAs increased from 53% to 60%
Community Survey THANK YOU TO THE GVSU JOHNSON CENTER FOR PHILANTHROPY FOR THE USE OF THEIR DATA
Survey Sample 2017 VoiceKent survey (formerly VoiceGR) GVSU Johnson Center for Philanthropy Sample size: 2,383 (incl. ages 65+) Surveyed during Summer & Fall 2017 Kent County uninsured rate: 8% (Figure 1)* * Revised 1.15.18
Current Health Insurance Status for those Uninsured at Some Point in the Last Year Pg. 60 52% of those uninsured at some point in 2016 remained uninsured in 2017 The remaining obtained coverage through: Medicaid (23%) Medicare ( 6%) ACA Marketplace (3%) Medicaid Expansion / Healthy Michigan (2%)
Ability to Afford Prescription Drugs & Health Care Pg. 61 Underinsurance: when out-of-pocket costs for the Insured are high relative to income (The Commonwealth Fund) 28% underinsured in 2016 Health Check results: 20% of sample cannot afford prescription drugs 23% cannot afford health care
Percentage (%) Barriers to Getting Health Care Pg. 62 70% Figure 7: Barriers to Getting Physical Health Care 60% 50% 40% 30% 20% 10% 0% Costs Number of Observations: 1,914 Fear or mistrust of the health care system Transportation Unable to leave work No barriers Health Check 2018 Other reasons include the inability to find childcare (17%) & not knowing who to call (17%)