Investor Presentaiton

Statewide Spending Trends by Service Category Exhibit 2.4. Per Capita State TME by Service Category $7,888 13.0% Other Claims, $417 -6.1% $8,262 Other Claims, $472 Non-Claims, $407 Non-Claims, $434 13.1% Other Professional, $780 Other Professional, $690 Professional Physician, $975 7.9% Professional Physician, $1,053 1.0% Retail Pharmacy, $1,223 Retail Pharmacy, $1,211 Long-Term Care, $1,210 Long-Term Care, $1,234 -1.9% Hospital Outpatient, $1,318 10.2% Hospital Outpatient, $1,452 Hospital Inpatient, $1,608 2020 3.4% Hospital Inpatient, $1,664 Source: OHIC analysis of TME data from insurers, CMS, and the Rhode Island EOHHS. A deeper look at spending by service categories shows that per capita spending on Long-Term Care and Non-Claims payments at the state level decreased in 2021, whereas spending on all other service categories increased (see Exhibit 2.4). Hospital services represent the largest portion of health care spending, with Hospital Inpatient and Outpatient services accounting for 38 percent of per capita TME. Service categories that experienced the most significant growth were Other Professional, Other Claims, Hospital Outpatient, and Professional Physician Services. The significant increase in Hospital Outpatient and Professional Physician spending represents a rebound in utilization for those services that were delayed, avoided, or canceled in 2020 at the height of the COVID-19 pandemic. The increase in Other Professional spending, which includes behavioral health services delivered by non- physician practitioners, may have been influenced by the pandemic's profoundly negative effects on mental health. The increase in Other Claims was driven by COVID-19 testing and vaccine administration. 2021 Annual Report: Health Care Spending and Quality in Rhode Island 13

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