Employees Start to Feel the Squeeze of High-Deductible Health Plans

Re:Employees Start to Feel the Squeeze of High-Deductible He... by pg_bot on Saturday May 04, 2019 @09:21PM (#19830495)

Here's the dataset that I'm referencing.[0] From the summary documents, "DOD spending in the NHEA excludes spending that occurs outside of the United States." I'm not certain whether this does or does not include forward operating bases. (Post offices count those as being in the United States so I believe they are included; but I could be wrong) Nevertheless it does include domestic spending on veterans.

Also, many veterans get care outside the VA. From my own experience working with these people, they cite long waiting times or broken relationships with the government for not wanting to take part in that system.

I'm not trying to downplay the complexity of the healthcare market, it's really complex. However, it I were to pick the things the government had control over and impacted the marketplace the most over the last 15 years, I still would pick the same things I did. I could fill several books with other changes that impacted the cost of American healthcare. (switching to e-prescriptions, subsidies for electronic medical records, medicare part D, certificate of need laws, FSA changes, HSA changes, consolidation of pharmacy benefit managers, health system consolidation, the opioid epidemic, the rise of the physicians's assistant, the expanding role of nurse practitioners, etc.)

I'd rather spend my time continuing fixing the things I know I can make better.

[0]: https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...

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Re:Employees Start to Feel the Squeeze of High-Deductible He... by pg_bot on Saturday May 04, 2019 @09:53PM (#19830618)

Here are some more links, since I can't nest further.

https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...

https://www.chcf.org/publication/us-health-care-spending-who...

The main one you might be interested in is this one though, https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...

I've excerpted this from page 34 for your convenience.

"Other public programs include health insurance coverage provided by the Department of Veterans Affairs (VA) and the Department of Defense (DOD). Enrollment for other public programs for 1987-2011 was estimated using the levels from the enhanced CPS (SHADAC) and for 2012, 2013, and 2014 estimates were extrapolated using the CPS. "

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Re:Employees Start to Feel the Squeeze of High-Deductible He... by tptacek on Sunday May 05, 2019 @12:27AM (#19831160)

None of these appear to contain the table you posted at the root of the thread, the table you now claim also includes the increased cost of veteran care due to the wars in Afghanistan and Iraq. Can you just tell me how you made that table, so I can look at the source and evaluate your claim that it incorporates increased costs in the VA along with private health care?

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Re:Employees Start to Feel the Squeeze of High-Deductible He... by pg_bot on Sunday May 05, 2019 @12:54AM (#19831238)

The raw data comes from the following sublink from the first link in that group "NHE Summary including share of GDP, CY 1960-2017 [ZIP, 27KB]"[0] I computed the table by hand. You can recompute it if you like.

[0]: https://www.cms.gov/Research-Statistics-Data-and-Systems/Sta...

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Re:Employees Start to Feel the Squeeze of High-Deductible He... by tptacek on Sunday May 05, 2019 @11:13AM (#19833195)

Oh, for God's sake. The Kaiser foundation just tracks the stat we're actually talking about directly. Here's the numbers for employees covered by group insurance provided by their employers:

    1999  2196 
    2000  2471 12.52%
    2001  2689 8.82%
    2002  3083 14.65%
    2003  3383 9.73%
    2004  3695 9.22%
    2005  4025 8.93%
    2006  4242 5.39%
    2007  4479 5.59%
    2008  4704 5.02%
    2009  4824 2.55%
    2010  5049 4.66%
    2011  5429 7.53%
    2012  5615 3.43%
    2013  5884 4.79%
    2014  6025 2.40%
    2015  6251 3.75%
    2016  6435 2.94%
    2017  6690 3.96%
    2018  6896 3.08%

[ Parent | on HN ]

Re:Employees Start to Feel the Squeeze of High-Deductible He... by pg_bot on Sunday May 05, 2019 @03:10PM (#19834408)

Can you provide a reference for this data, I'm not 100% sure what I'm looking at. I deleted a previous comment on why I think the data I used is better for analysis but I want to confirm that this is what I think it is before I comment further.

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Re:Employees Start to Feel the Squeeze of High-Deductible He... by tptacek on Sunday May 05, 2019 @03:46PM (#19834606)

It's the chart data from:

https://www.kff.org/interactive/premiums-and-worker-contribu...

I'm sorry for getting snippy, I just couldn't untangle your numbers from your source even after you pointed to the raw XLS you got it from.

If we just stay focused on commercial health care, we don't have to litigate whether the Iraq War (materially) impacted health care costs prior to the ACA. And: this thread is about whether employer shifts to HDHPs and (more broadly) the ACA has impacted those specific costs, not the total government cost of providing all health care services.

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Re:Employees Start to Feel the Squeeze of High-Deductible He... by tptacek on Saturday May 04, 2019 @09:42PM (#19830568)

Can you give me a deeper link to the specific data from which you drew the table you posted above? There's a lot of stuff hanging off the link you just posted.

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