Annual Growth Rates Decelerate in November 2012 According to the S&P Healthcare Economic Indices

     Annual Growth Rates Decelerate in November 2012 According to the S&P
                         Healthcare Economic Indices

PR Newswire

NEW YORK, Jan. 17, 2013

NEW YORK, Jan. 17, 2013 /PRNewswire/ --Data released today by S&P Dow Jones
Indices for the S&P Healthcare Economic Composite Index indicates that the
average per capita cost of healthcare services covered by commercial insurance
and Medicare programs increased by 5.07% over the 12-months ending November
2012. This is a deceleration from the +5.27% annual growth rate recorded in
October 2012.

Eight out of nine S&P Healthcare Economic Indices posted deceleration in their
annual growth rates in November 2012. As measured by the S&P Healthcare
Economic Commercial Index, healthcare costs covered by commercial insurance
plans increased by 6.86% over the year ending November 2012, down from +7.15%
reported for October 2012. Annual growth rates in Medicare claim costs rose by
2.32%, according to the S&P Healthcare Economic Medicare Index, down from
+2.40% recorded in October 2012. The Professional Services Index annual
growth rate was +6.49% in November 2012, down from the +6.61% October print.
The Hospital Index's growth rate hit its historic low of +3.57% in November
from +3.83% recorded in October 2012. It was driven by the Hospital Commercial
Index, which hit its lowest rate since the index began in January 2005 with an
annual growth rate of +4.26%. It posted a +4.79% annual rate last month.

The Professional Services Commercial Index decelerated to +9.03% in November,
down from +9.06% reported in October. The Professional Services Medicare
annual growth rate decelerated to +1.61% in November from +1.91% posted in
October 2012. The Hospital Medicare annual growth rate posted +2.61% in
November, up from its +2.54% October rate.

"Eight out of nine headline healthcare indices we cover, showed deceleration
in their annual growth rates in November 2012," says David M. Blitzer,
Chairman of the Index Committee at S&P Dow Jones Indices. "The Composite Index
posted an annual rate of +5.07%, the Commercial Index +6.86% and the Medicare
Index +2.32%. These three rates are lower than their respective October 2012
levels.

"With November data, we observe that the growth rate in the Hospital Index has
decelerated for seven consecutive months, from a recent high of +5.75% in
April 2012 to its historic low of +3.57%, posted in November. This downward
trend was driven by a deceleration in hospital commercial plans. The +4.26%
annual rate in November for Hospital Commercial Index is 0.53 percentage
points below the +4.79% rate recorded in October and 4.47 percentage points
below the 8.73% annual rate recorded in April 2012. The only index that showed
acceleration in November was the Hospital Medicare Index; it posted +2.61%
this month, 0.07 percentage points above its October rate.

"In November, the Professional Services Commercial Index was +9.03%, slightly
lower than its October peak of +9.06%. It remains the highest index among
healthcare indices we cover.

"The Professional Services Medicare Index was up 1.61%, 0.30 percentage points
below its October rate. It is only 0.05 percentage points up from its historic
low of +1.56% posted in September. It has the lowest annual growth rate among
our healthcare indices."

The S&P Healthcare Economic Indices estimate the per capita change in revenues
accrued each month by hospital and professional services facilities for
services provided to patients covered under traditional Medicare and
commercial health insurance programs in the U.S. The annual growth rates are
determined by calculating a percent change of the 12-month moving averages of
the monthly index levels versus the same month of the prior year.

The S&P Healthcare Economic Composite Index is a weighted average of the S&P
Healthcare Economic Commercial Index and the S&P Healthcare Economic Medicare
Index. Alternatively, it is a weighted average of the S&P Healthcare Economic
Hospital Index and the S&P Healthcare Economic Professional Services Index, as
each of these indices has the analogous Commercial and Medicare component.

The table below summarizes the year-over-year change in the S&P Healthcare
Economic Indices for the 12-month period ending November 2012. With each
monthly release, the index levels, including the 12-month moving averages, are
recalculated for the full history of the indices, whenever there are revisions
to underlying data used in the models. The entire revised history, as well as
full results for the underlying S&P Healthcare Economic Indices, is available
from S&P Dow Jones Indices as a subscription service.

S&P Healthcare Economic Indices
(12-Month Moving Average)
Index                                                        1-Year Change (%)
S&P Healthcare Economic Composite Index                      5.07%
S&P Healthcare Economic Medicare Index                       2.32%
S&P Healthcare Economic Commercial Index                     6.86%
S&P Healthcare Economic Hospital Index                       3.57%
S&P Healthcare Economic Hospital Medicare Index              2.61%
S&P Healthcare Economic Hospital Commercial Index            4.26%
S&P Healthcare Economic Professional Services Index          6.49%
S&P Healthcare Economic Professional Services Medicare Index 1.61%
S&P Healthcare Economic Professional Services Commercial     9.03%
Index
Source: S&P Dow Jones Indices
Data through November 2012

As observed in the past, medical costs funded by commercial insurance plans
significantly exceed those funded by Medicare.

The S&P Healthcare Economic Indices were developed in consultation with Health
Index Advisors, a joint venture between Aon Hewitt and Milliman, Inc., and
were derived from the former Milliman, Inc. Health Cost Index™ which was first
published in 1987. The complete methodology, fact sheet and supporting
research for the S&P Healthcare Economic Indices are available at
http://www.spindices.com/index-family/specialty/healthcare-cost

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For more information:

Dave Guarino
Communications
S&P Dow Jones Indices
dave_guarino@spdji.com
201-755-5334

David Blitzer
Managing Director and Chairman of the Index Committee
S&P Dow Jones Indices
david_blitzer@spdji.com
917-376-1204

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