MUDLARK RESEARCH

Medical Care CPI Report

October-09
Medical Care Medical Care Professional Services
CUUR0000SAM U.S. City CUUR0000SEMC U.S. City
CUURA000SAM Class A CUURA000SEMC Class A
CUURX000SAM Class B/C CUURX000SEMC Class B/C
CUURD000SAM Class D CUURD000SEMC Class D
CUUR0100SAM NE CUUR0100SEMC NE
CUUR0200SAM MW CUUR0200SEMC MW
CUUR0300SAM S CUUR0300SEMC S
CUUR0400SAM W CUUR0400SEMC W
Medical Care Commodities CUUR0000SEMC01 Physicians' Services
CUUR0000SAM1 U.S. City CUUR0000SEMC02 Dental Services
CUURA000SAM1 Class A CUUR0000SEMC03 Eyeglasses & Eye Care
CUURX000SAM1 Class B/C CUUR0000SEMC04 Services by Other Med Professionals
CUURD000SAM1 Class D CUUR0000SEMD Hospital & Related Services
CUUR0100SAM1 NE CUUR0000SEMD01 Hospital Services
CUUR0200SAM1 MW CUUR0000SEMD02 Nursing Home & Adult Day Care Services
CUUR0300SAM1 S CUUR0000SEMD03 Care of Invalids & Elderly at Home
CUUR0400SAM1 W CUUR0000SS5702 Inpatient Hospital Services
CUUR0000SEMA Prescription Drugs CUUR0000SS5703 Outpatient Hospital Services
CUUR0000SEMB Nonprescription Drugs & Med Supplies
CUUR0000SEMB01 Internal & Respiratory OTC Drugs
CUUR0000SEMB02 Nonprescription Med Equip & Supplies
Medical Care Services
CUUR0000SAM2 U.S. City
CUURA000SAM2 Class A
CUURX000SAM2 Class B/C
CUURD000SAM2 Class D
CUUR0100SAM2 NE
CUUR0200SAM2 MW
CUUR0300SAM2 S
CUUR0400SAM2 W

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12%
MUDLARK RESEARCH
12 Month Change in Medical Care CPI
Not Seasonally Adjusted
Source: CPI-U
10%

8%

6%

4%

2%

0%
1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009
Class A Class B/C Class D NE MW S W U.S. City

MUDLARK RESEARCH
12 Month Change in Medical Care CPI
Not Seasonally Adjusted
Source: CPI-U
U.S. City Class A Class B/C Class D NE MW S W
Sep 3.2% 3.1% 3.5% 2.7% 3.2% 2.2% 3.5% 3.7%
Oct 2.8% 2.7% 2.9% 2.8% 2.6% 2.3% 3.0% 3.2%
Nov 2.7% 2.9% 2.4% 2.9% 2.5% 2.3% 2.8% 3.0%
Dec 2.6% 2.9% 2.4% 2.7% 2.6% 2.3% 2.7% 3.0%
2009 Jan 2.6% 2.6% 2.7% 1.9% 2.6% 1.7% 2.3% 3.9%
Feb 2.8% 2.9% 3.0% 2.0% 2.6% 2.4% 2.5% 3.9%
Mar 2.8% 2.7% 3.0% 2.8% 2.5% 3.1% 2.3% 3.4%
Apr 3.0% 3.0% 3.1% 3.0% 2.7% 3.3% 2.2% 4.1%
May 3.2% 3.2% 3.3% 2.7% 2.4% 4.0% 2.6% 3.9%
Jun 3.2% 3.2% 3.1% 3.3% 2.4% 4.0% 2.5% 3.8%
Jul 3.2% 3.2% 3.2% 3.5% 2.2% 4.2% 2.5% 4.1%
Aug 3.3% 3.2% 3.4% 3.6% 2.5% 4.2% 2.6% 4.1%
Sep 3.5% 3.3% 3.7% 4.0% 2.7% 4.2% 2.9% 4.2%

12 Mo. Mean 3.0% 3.0% 3.0% 2.9% 2.5% 3.2% 2.6% 3.7%

Class A: Size > 1.5 mm

Class B/C: Size > 50 k, < 1.5 mm
Class D: < 50 k
14%
MUDLARK RESEARCH
12 Month Change in
12%
Medical Care Commodities CPI
Not Seasonally Adjusted
Source: CPI-U
10%

8%

6%

4%

2%

0%

-2%

-4%
1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009
Class A Class B/C Class D NE MW S W U.S. City

MUDLARK RESEARCH
12 Month Change in Medical Care Commodities CPI
Not Seasonally Adjusted
Source: CPI-U
U.S. City Class A Class B/C Class D NE MW S W
Sep 1.4% 1.2% 1.3% 2.8% 3.2% -0.2% 1.5% 1.4%
Oct 1.2% 1.0% 1.2% 2.8% 2.4% -0.4% 1.4% 1.7%
Nov 1.4% 1.4% 1.1% 3.0% 2.4% -0.1% 1.5% 1.8%
Dec 1.6% 1.9% 1.0% 3.3% 2.7% -0.3% 1.8% 2.2%
2009 Jan 1.6% 1.8% 0.9% 3.3% 2.5% -0.7% 1.9% 2.5%
Feb 2.0% 2.5% 1.3% 3.6% 2.7% 1.2% 2.3% 1.8%
Mar 1.9% 1.7% 1.7% 3.5% 1.9% 2.9% 1.8% 1.1%
Apr 2.4% 2.5% 2.1% 3.1% 2.1% 3.1% 1.9% 2.5%
May 3.3% 3.3% 3.4% 2.7% 2.9% 4.0% 3.3% 3.0%
Jun 3.2% 3.5% 2.7% 4.0% 2.9% 4.1% 3.2% 2.7%
Jul 3.2% 3.6% 2.7% 3.8% 2.4% 4.2% 2.9% 3.4%
Aug 3.7% 3.8% 3.6% 3.1% 3.6% 4.0% 3.6% 3.5%
Sep 4.1% 4.2% 4.0% 4.0% 3.9% 4.1% 4.4% 3.9%

12 Mo. Mean 2.5% 2.6% 2.2% 3.4% 2.7% 2.2% 2.5% 2.5%

Class A: Size > 1.5 mm

Class B/C: Size > 50 k, < 1.5 mm
Class D: < 50 k
12%
MUDLARK RESEARCH
12 Month Change in
10%
Medical Care Commodities CPI (Detail)
Not Seasonally Adjusted U.S. City Average
Source: CPI-U
8%

6%

4%

2%

0%

-2%

-4%
1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009
Prescription Drugs Nonprescription Drugs & Med Supplies
Internal & Respiratory OTC Drugs Nonprescription Med Equip & Supplies
Medical Care Commodities

MUDLARK RESEARCH
12 Month Change in Medical Care Commodities CPI (Detail)
Not Seasonally Adjusted U.S. City Average
Source: CPI-U
Nonprescription Internal & Nonprescription
Medical Care Prescription
Drugs & Med Respiratory OTC Med Equip &
Commodities Drugs
Supplies Drugs Supplies

Sep 1.4% 1.7% 0.8% 1.2% -0.3%

Oct 1.2% 1.6% 0.1% 0.3% -0.4%
Nov 1.4% 1.7% 0.7% 0.9% 0.1%
Dec 1.6% 1.5% 2.1% 2.8% 0.6%
2009 Jan 1.6% 1.4% 2.0% 2.3% 1.4%
Feb 2.0% 1.9% 2.6% 3.2% 1.3%
Mar 1.9% 1.7% 2.5% 3.2% 1.0%
Apr 2.4% 2.4% 2.3% 2.6% 1.5%
May 3.3% 3.5% 2.8% 3.0% 2.5%
Jun 3.2% 3.5% 2.3% 2.4% 2.0%
Jul 3.2% 3.6% 1.7% 1.9% 1.3%
Aug 3.7% 4.4% 1.3% 1.1% 1.6%
Sep 4.1% 4.7% 2.3% 2.6% 1.6%

12 Mo. Mean 2.5% 2.7% 1.9% 2.2% 1.2%

Medical Care Commodities is comprised of the other four

12%
MUDLARK RESEARCH
12 Month Change in
Medical Care Services CPI
10% Not Seasonally Adjusted
Source: CPI-U

8%

6%

4%

2%

0%
1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009
Class A Class B/C Class D NE MW S W U.S. City

MUDLARK RESEARCH
12 Month Change in Medical Care Services CPI
Not Seasonally Adjusted
Source: CPI-U
U.S. City Class A Class B/C Class D NE MW S W
Sep 3.8% 3.6% 4.2% 2.7% 3.2% 3.1% 4.3% 4.4%
Oct 3.4% 3.3% 3.6% 2.8% 2.7% 3.2% 3.7% 3.7%
Nov 3.1% 3.3% 2.9% 2.9% 2.5% 3.2% 3.3% 3.4%
Dec 3.0% 3.2% 2.9% 2.4% 2.5% 3.1% 3.0% 3.2%
2009 Jan 3.0% 2.9% 3.4% 1.4% 2.6% 2.6% 2.4% 4.3%
Feb 3.1% 3.0% 3.6% 1.4% 2.5% 2.8% 2.6% 4.6%
Mar 3.1% 3.0% 3.4% 2.5% 2.7% 3.2% 2.5% 4.2%
Apr 3.3% 3.2% 3.4% 2.9% 2.8% 3.4% 2.4% 4.6%
May 3.2% 3.2% 3.2% 2.6% 2.2% 4.1% 2.3% 4.2%
Jun 3.1% 3.1% 3.2% 3.0% 2.2% 4.0% 2.3% 4.1%
Jul 3.2% 3.1% 3.4% 3.3% 2.1% 4.3% 2.4% 4.3%
Aug 3.2% 3.0% 3.3% 3.7% 2.1% 4.2% 2.2% 4.3%
Sep 3.3% 2.9% 3.5% 3.9% 2.3% 4.2% 2.4% 4.3%

12 Mo. Mean 3.2% 3.1% 3.3% 2.7% 2.4% 3.5% 2.6% 4.1%

Class A: Size > 1.5 mm

Class B/C: Size > 50 k, < 1.5 mm
Class D: < 50 k
9%
MUDLARK RESEARCH
12 Month Change in
8%
Medical Care Professional Services CPI
Not Seasonally Adjusted
Source: CPI-U
7%

6%

5%

4%

3%

2%

1%

0%
1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009
Class A Class B/C Class D NE MW S W U.S. City

MUDLARK RESEARCH
12 Month Change in Medical Care Professional Services CPI
Not Seasonally Adjusted
Source: CPI-U
U.S. City Class A Class B/C Class D NE MW S W
Sep 3.3% 3.4% 3.3% 3.2% 2.9% 3.2% 3.4% 3.7%
Oct 3.1% 3.0% 3.3% 3.0% 2.3% 3.5% 3.4% 2.9%
Nov 3.1% 3.1% 3.2% 3.1% 2.6% 3.5% 3.6% 2.7%
Dec 3.0% 2.9% 3.1% 2.8% 2.7% 3.6% 3.1% 2.6%
2009 Jan 3.0% 2.9% 3.0% 3.1% 2.9% 3.2% 2.9% 2.9%
Feb 2.9% 2.9% 3.1% 2.9% 2.4% 3.1% 3.2% 2.9%
Mar 2.8% 2.8% 2.8% 3.2% 2.3% 3.1% 3.0% 2.7%
Apr 2.7% 2.9% 2.5% 2.5% 2.3% 3.1% 2.8% 2.6%
May 2.7% 3.0% 2.5% 1.9% 1.5% 4.5% 2.5% 2.5%
Jun 2.7% 2.9% 2.5% 2.0% 1.5% 4.5% 2.5% 2.3%
Jul 2.6% 2.8% 2.5% 2.1% 1.3% 4.5% 2.5% 2.2%
Aug 2.5% 2.6% 2.3% 2.8% 1.2% 4.6% 2.4% 2.0%
Sep 2.6% 2.7% 2.4% 3.1% 1.6% 4.6% 2.5% 2.0%

12 Mo. Mean 2.8% 2.9% 2.8% 2.7% 2.1% 3.8% 2.9% 2.5%

Class A: Size > 1.5 mm

Class B/C: Size > 50 k, < 1.5 mm
Class D: < 50 k
10%
MUDLARK RESEARCH
12 Month Change in
Medical Care Professional Services CPI (Detail)
8% Not Seasonally Adjusted U.S. City Average
Source: CPI-U

6%

4%

2%

0%

-2%
1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009
Physicians' Services Dental Services
Eyeglasses & Eye Care Services by Other Med Professionals
Medical Care Professional Services

MUDLARK RESEARCH
12 Month Change in Medical Care Professional Services CPI (Detail)
Not Seasonally Adjusted U.S. City Average
Source: CPI-U
Medical Care Services by
Physicians' Eyeglasses & Eye
Professional Dental Services Other Med
Services Care
Services Professionals

Sep 3.3% 3.0% 4.7% -0.5% 4.8%

Oct 3.1% 2.7% 4.0% 0.8% 4.7%
Nov 3.1% 2.9% 3.9% 0.9% 4.2%
Dec 3.0% 2.9% 3.7% 0.3% 3.8%
2009 Jan 3.0% 2.8% 3.6% 0.7% 3.8%
Feb 2.9% 3.2% 3.3% 0.3% 3.0%
Mar 2.8% 3.4% 2.9% -0.9% 3.1%
Apr 2.7% 3.3% 2.9% -0.9% 2.7%
May 2.7% 3.3% 2.9% -0.2% 2.1%
Jun 2.7% 3.3% 3.0% -0.3% 1.8%
Jul 2.6% 3.4% 2.8% -0.1% 1.0%
Aug 2.5% 3.1% 2.7% 0.7% 1.3%
Sep 2.6% 2.9% 2.6% 3.4% 1.3%

12 Mo. Mean 2.8% 3.1% 3.2% 0.4% 2.7%

Medical Care Professional Services is comprised of the other four

 16% MUDLARK RESEARCH
12 Month Change in
14% Medical Care Hospital & Related Services CPI (Detail)
Not Seasonally Adjusted U.S. City Average
Source: CPI-U

12%

10%

8%

6%

4%

2%

0%
1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009
Nursing Home & Adult Day Care Services Care of Invalids & Elderly at Home
Hospital Services Inpatient Hospital Services
Outpatient Hospital Services Hospital & Related Services

MUDLARK RESEARCH
12 Month Change in Medical Care Hospital & Related Services CPI (Detail)
Not Seasonally Adjusted U.S. City Average
Source: CPI-U
Nursing Home &
Hospital & Inpatient Outpatient Care of Invalids &
Hospital Services Adult Day Care
Related Services Hospital Services Hospital Services Elderly at Home
Services

Sep 6.6% 7.1% 6.8% 7.1% 3.0% 4.7%

Oct 6.0% 6.5% 6.4% 6.2% 2.8% 5.0%
Nov 5.4% 5.9% 5.8% 5.5% 2.9% 4.8%
Dec 5.4% 5.9% 5.7% 5.6% 3.2% 1.6%
2009 Jan 5.3% 5.7% 5.3% 6.6% 3.7% 1.5%
Feb 5.8% 6.2% 5.8% 6.6% 3.6% 2.4%
Mar 6.1% 6.5% 6.1% 6.9% 3.6% 2.4%
Apr 6.5% 7.0% 6.6% 7.8% 4.1% 2.5%
May 6.2% 6.7% 6.6% 7.0% 4.0% 2.5%
Jun 6.2% 6.7% 6.5% 7.2% 3.7% 1.9%
Jul 6.5% 7.1% 6.9% 7.7% 3.7% 1.6%
Aug 6.5% 7.0% 7.2% 7.3% 3.9% 1.6%
Sep 6.6% 7.1% 7.1% 7.6% 3.7% 1.6%

12 Mo. Mean 6.0% 6.5% 6.3% 6.8% 3.6% 2.4%

Hospital & Related Services is comprised of the other five

Hospital Services is comprised of Inpatient Hospital Services and Outpatient Hospital Services