Page 11 - Summary Report
P. 11
Medical Cost Breakdown
Medical treatment is a primary driver of rising medical costs. Using our Medical
Data Call (MDC) data, we observe that, overall, the bulk of medical dollars are
attributable to medical procedures. Note that medical expenses are not included
in the MDC.
Drug
14%
Procedure
86%
As the claim ages, prescription drug costs increase more rapidly as a share of
medical costs.
100%
90%
80%
70% Procedure $
60%
50%
40%
30%
20%
10% Drug $
0%
1 2 3 4 5 6 7 8 9 10 11+
Age of Claim
As an enhancement in the 2016 report, we identified “Drugs” as any record where the Paid Procedure Code was an NDC
code; or Pharmacy Revenue code (REV: 0250-0259, 0630-0637); or HCPCS codes for Drugs Other Than Chemotherapy
(HCPCS: J0100-J8999) and Chemotherapy Drugs (HCPCS: J9000-J9999.) The reader should be aware of definition
changes when directly comparing the 2015 and 2016 reports.
Source: DE Medical Data Call Service Year 2016
