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Texas Health Care Costs and Performance

Healthcare costs in Texas are slightly below the national average for the individual consumer, but so is overall quality and performance. A single premium employer plan costs an employee an average of $617 compared to the national average of $723, with an employer contribution of $3,491 compared to the national average of $3,268.

Employees pay less than the national average for family premiums (25% compared to 24%) of the total cost with employers also contributing less (75% compared with the national average of 76%). The state spends a total of approximately 103 billion per year (see Table 1 for a basic breakdown with comparison).


Table 1

  United States Texas
Hospital Care 36.50% 37.80%
Physician / Professional Services 28.80% 31.10%
Drugs / Medical Nondurables 14.30% 13.10%
Nursing Home Care 7.40% 5.30%
Dental Services 5.20% 4.60%
Home Health Care 2.80% 3.40%
Medical Durables 1.50% 1.60%
Personal Health Care 3.40% 3.10%
Total 100.00% 100.00%

 

Performance statistics from the U.S. Department of Health shows overall performance to be below average (see Table 2 for a basic breakdown).


Table 2

Health Care Measures Compared with National Average Direction
Preventive Care Below average Unchanged
Acute Care Below average Unchanged
Chronic Care Below average Worsened
Hospital Care Below average Improved
Ambulatory Care Below average Worsened
Nursing Home Care Above average Unchanged
Home Health Care Below average Unchanged
Cancer Care Below average Worsened
Diabetes Care Below average Unchanged
Heart Disease Care Below average Unchanged
Maternal and Child Health Care Below average Worsened
Respiratory Diseases Care Below average Unchanged

 


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Sources:

  • The Kaiser Family Foundation, statehealthfacts.org.
  • Data Source: Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends. 2005 Medical Expenditure Panel Survey (MEPS) -Insurance Component. Tables II.C.1, II.C.2, II.C.3 available at: Medical Expenditure Panel survey (MEPS), accessed August 8, 2007.
  • Additional data was provided from the U.S. Department of Health and Human Services.