
by James A. Bacon
Virginia’s healthcare system, like that of the U.S. as a whole, functions as a massive income redistribution scheme from private insurance customers to Medicare and Medicaid patients.
That’s the conclusion I draw from data from a new report, “Tracking Virginia’s 2023 Health Care Spending & Employment Trends,” prepared for the Virginia Hospital & Healthcare Association (VHHA) by OnPoint Health Data.
That’s not what the VHHA chooses to emphasize. In its press release accompanying the report, VHHA touts the finding that private health insurance premiums increased at a dramatically faster rate (22.1% for family policies) than personal health care (PHC) spending (1.2%) between 2019 to 2023.
VHHA also notes that Virginians spent 12.2% less on hospitalization compared to the national average in 2023. If that’s so, it’s a fair point for the VHHA to bring to the public’s attention. We should seek to understand the reason why in the hope that, whatever we’re doing right, maybe we can do more of it. It’s also fair for the hospital trade association to shift blame for rising insurance premiums to the insurance industry. If hospitals have been holding down their charges, they deserve credit for it.
But there’s more to the story. If hospital, prescription and nursing-home spending is stable, why are private insurance rates spiking?
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