The Concentration And Persistence Of Health Care Spending

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The Concentration and Persistence in the Level of Health Expenditures Over Time

Author : Steven B. Cohen
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.:/5 (654 download)

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Book Synopsis The Concentration and Persistence in the Level of Health Expenditures Over Time by : Steven B. Cohen

Download or read book The Concentration and Persistence in the Level of Health Expenditures Over Time written by Steven B. Cohen and published by . This book was released on 2010 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: Estimates of the health care expenses of the U.S. civilian noninstitutionalized (community) population are critical to policymakers and others concerned with access to medical care and the cost and sources of payment for that care. In 2007, health care expenses among the U.S. community population totaled $1.13 trillion. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. As previously reported in 1996, the top 1 percent of the U.S. population accounted for 28 percent of the total health care expenditures and the top 5 percent for more than half. More recent data have revealed that over time there has been some decrease in the extent of this concentration at the upper tail of the expenditure distribution. Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC) for 2006 and 2007, this report provides detailed estimates of the persistence in the level of health care expenditures over time. Studies that examine the persistence of high levels of expenditures over time are essential to help discern the factors most likely to drive health care spending and the characteristics of the individuals who incur them. The MEPS-HC data are particularly well suited for measuring trends in concentration and persistence. All differences between estimates discussed in the text are statistically significant at the 0.05 level unless otherwise noted.

The Concentration and Persistence in the Level of Health Expenditures Over Time

Author : Steven B. Cohen
Publisher :
ISBN 13 :
Total Pages : 5 pages
Book Rating : 4.:/5 (698 download)

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Book Synopsis The Concentration and Persistence in the Level of Health Expenditures Over Time by : Steven B. Cohen

Download or read book The Concentration and Persistence in the Level of Health Expenditures Over Time written by Steven B. Cohen and published by . This book was released on 2010 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt: Estimates of health care expenses for the U.S. civilian noninstitutionalized (community) population are critical to policymakers and others concerned with access to medical care and the cost and sources of payment for that care. In 2008, health care expenses among the U.S. community population totaled $1.15 trillion. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. As previously reported in 1996, the top 1 percent of the U.S. population accounted for 28 percent of the total health care expenditures and the top 5 percent for more than half. More recent data have revealed that over time there has been some decrease in the extent of this concentration at the upper tail of the expenditure distribution (Yu and Ezzati- Rice, 2005). Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC) for 2007 and 2008, this report provides detailed estimates of the persistence in the level of health care expenditures over time. Studies that examine the persistence of high levels of expenditures over time are essential to help discern the factors most likely to drive health care spending and the characteristics of the individuals who incur them. The MEPS-HC data are particularly well suited for measuring trends in concentration and persistence. All differences between estimates discussed in the text are statistically significant at the 0.05 level unless otherwise noted.

The Concentration and Persistence in the Level of Health Expenditures Over Time

Author :
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.:/5 (316 download)

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Book Synopsis The Concentration and Persistence in the Level of Health Expenditures Over Time by :

Download or read book The Concentration and Persistence in the Level of Health Expenditures Over Time written by and published by . This book was released on 2009 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: Estimates of the health care expenses of the U.S. civilian noninstitutionalized (community) population are critical to policymakers and others concerned with access to medical care and the cost and sources of payment for that care. In 2006, health care expenses among the U.S. community population totaled $1.034 trillion. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. As previously reported in 1996, the top 1 percent of the U.S. population accounted for 28 percent of the total health care expenditures and the top 5 percent for more than half. More recent data have revealed that over time there has been some decrease in the extent of this concentration at the upper tail of the expenditure distribution (Yu and Ezzati-Rice, 2005). Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC) for 2005 and 2006, this report provides detailed estimates of the persistence in the level of health care expenditures over time. Studies that examine the persistence of high levels of expenditures over time are essential to help discern the factors most likely to drive health care spending and the characteristics of the individuals who incur them. The MEPS-HC data are particularly well suited for measuring these trends in the concentration of expenditures over time. All differences between estimates discussed in the text are statistically significant at the 0.05 level unless otherwise noted.

The Concentration and Persistence of Health Care Spending

Author : Tom Miller
Publisher :
ISBN 13 :
Total Pages : 8 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis The Concentration and Persistence of Health Care Spending by : Tom Miller

Download or read book The Concentration and Persistence of Health Care Spending written by Tom Miller and published by . This book was released on 2018 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's commonly argued that the individual mandate and other provisions of the Affordable Care Act are necessary to induce people to purchase health insurance and thereby share in the cost burden of a permanent, small, but very unhealthy and costly segment of the population. Without such a requirement, this argument claims, not enough people would join insurance pools to make them generally affordable. However, the notion that there is a small, permanent, high-risk population has mixed empirical support; though there are always some people with very high medical costs each year, there is a lot of turnover in that group. As a result, healthy people have more incentive to purchase insurance than ACA proponents claim.

The Concentration and Persistence in the Level of Health Expenditures Over Time

Author :
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.:/5 (773 download)

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Book Synopsis The Concentration and Persistence in the Level of Health Expenditures Over Time by :

Download or read book The Concentration and Persistence in the Level of Health Expenditures Over Time written by and published by . This book was released on 2012 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2009, health care expenses among the U.S. community population totaled $1.26 trillion. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. In 2008, the top 1 percent of the U.S. population accounted for 20.2 percent of the total health care expenditures, and in 2009, the top 1 percent accounted for 21.8 percent of the total expenditures.

Variation in Health Care Spending

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030928872X
Total Pages : 207 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Variation in Health Care Spending by : Institute of Medicine

Download or read book Variation in Health Care Spending written by Institute of Medicine and published by National Academies Press. This book was released on 2013-10-01 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care in the United States is more expensive than in other developed countries, costing $2.7 trillion in 2011, or 17.9 percent of the national gross domestic product. Increasing costs strain budgets at all levels of government and threaten the solvency of Medicare, the nation's largest health insurer. At the same time, despite advances in biomedical science, medicine, and public health, health care quality remains inconsistent. In fact, underuse, misuse, and overuse of various services often put patients in danger. Many efforts to improve this situation are focused on Medicare, which mainly pays practitioners on a fee-for-service basis and hospitals on a diagnoses-related group basis, which is a fee for a group of services related to a particular diagnosis. Research has long shown that Medicare spending varies greatly in different regions of the country even when expenditures are adjusted for variation in the costs of doing business, meaning that certain regions have much higher volume and/or intensity of services than others. Further, regions that deliver more services do not appear to achieve better health outcomes than those that deliver less. Variation in Health Care Spending investigates geographic variation in health care spending and quality for Medicare beneficiaries as well as other populations, and analyzes Medicare payment policies that could encourage high-value care. This report concludes that regional differences in Medicare and commercial health care spending and use are real and persist over time. Furthermore, there is much variation within geographic areas, no matter how broadly or narrowly these areas are defined. The report recommends against adoption of a geographically based value index for Medicare payments, because the majority of health care decisions are made at the provider or health care organization level, not by geographic units. Rather, to promote high value services from all providers, Medicare and Medicaid Services should continue to test payment reforms that offer incentives to providers to share clinical data, coordinate patient care, and assume some financial risk for the care of their patients. Medicare covers more than 47 million Americans, including 39 million people age 65 and older and 8 million people with disabilities. Medicare payment reform has the potential to improve health, promote efficiency in the U.S. health care system, and reorient competition in the health care market around the value of services rather than the volume of services provided. The recommendations of Variation in Health Care Spending are designed to help Medicare and Medicaid Services encourage providers to efficiently manage the full range of care for their patients, thereby increasing the value of health care in the United States.

The Persistence in the Level of Health Expenditures Over Time

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (191 download)

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Book Synopsis The Persistence in the Level of Health Expenditures Over Time by :

Download or read book The Persistence in the Level of Health Expenditures Over Time written by and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC) for 2004 and 2005, this report provides detailed estimates of the persistence in the level of health care expenditures over time. Studies that examine the persistence of high levels of expenditures over time are essential to help discern the factors most likely to drive health care spending and the characteristics of the individuals who incur them.

The Concentration in Health Expenditures Over a Two Year Time Interval, Estimates for the U.S. Population, 2005-2006

Author :
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.:/5 (423 download)

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Book Synopsis The Concentration in Health Expenditures Over a Two Year Time Interval, Estimates for the U.S. Population, 2005-2006 by :

Download or read book The Concentration in Health Expenditures Over a Two Year Time Interval, Estimates for the U.S. Population, 2005-2006 written by and published by . This book was released on 2009 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: Estimates of health care expenses for the U.S. civilian noninstitutionalized (community) population are critical to policymakers and others concerned with access to medical care and the cost and sources of payment for that care. Over the two year period 2005-2006, health care expenses among the U.S. community population totaled approximately $2.1 trillion. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. In 2005, 1 percent of the population accounted for 23.3 percent of total health care expenditures, and in 2006, the top 1 percent accounted for 21.1 percent of the total expenditures. Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC) for 2005 and 2006, this report provides detailed estimates of the concentration of health care expenditures over a two year time interval. Studies that examine the concentration of high levels of expenditures over extended time periods are essential to help discern the factors most likely to drive health care spending and the characteristics of the individuals who incur them. The MEPS-HC data are particularly well suited for measuring these trends in the concentration of expenditures over time. All differences between estimates discussed in the text are statistically significant at the 0.05 level unless otherwise noted.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Concentration of Health Care Expenditures in the U.S. Civilian Noninstitutionalized Population

Author : William W. Yu
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (19 download)

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Book Synopsis Concentration of Health Care Expenditures in the U.S. Civilian Noninstitutionalized Population by : William W. Yu

Download or read book Concentration of Health Care Expenditures in the U.S. Civilian Noninstitutionalized Population written by William W. Yu and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Spending in the US

Author : Svetlana Pashchenko
Publisher :
ISBN 13 :
Total Pages : 28 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Medical Spending in the US by : Svetlana Pashchenko

Download or read book Medical Spending in the US written by Svetlana Pashchenko and published by . This book was released on 2015 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: We document facts about medical spending of the US population using the Medical Expenditure Panel Survey dataset. We find that for the entire population, around 44% of the total medical spending is paid by private insurance but there is a substantial difference in terms of financing medical care by age: for working age adults (25 to 65 years old) private insurance covers around 57% of the total medical spending, whereas for the elderly (older than 65 years old) the largest payor is the government which covers 65% of the total. Inpatient hospital care accounts for a third of the aggregate medical expenditures. Medical spending is highly concentrated: the top 5% of spenders account for more than half of the total expenditure. Even higher concentration is observed among hospital spending where the top 5% of spenders contribute around 80% to the total expenditure. The concentration in medical spending decreases with age: the Gini coefficient of the total medical spending is 0.75 for people aged between 25 and 64 years old and 0.63 for people older than 65 years old. We find that average medical spending of people in the bottom income quintile is higher than that of people in the top income quintile for all age groups. In terms of persistence of medical spending, we find that the correlation of medical expenditure in two consecutive years is 0.36. When persistence is measured by quintile of medical spending distribution, medical spending of people in the bottom and top quintiles has higher persistence relative to other groups.

Health Care Spending

Author : U S Government Accountability Office (G
Publisher : BiblioGov
ISBN 13 : 9781289111311
Total Pages : 34 pages
Book Rating : 4.1/5 (113 download)

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Book Synopsis Health Care Spending by : U S Government Accountability Office (G

Download or read book Health Care Spending written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pursuant to a congressional request, GAO reviewed the: (1) per capita spending for health services in each state; (2) reasons for the differences in spending levels between states; and (3) extent to which state cost-containment policies have contributed to decreased health spending. GAO found that: (1) in over half of the states, health spending is within 10 percent of the U.S. average personal health care expenditure per capita; (2) most of the states with the highest health spending are concentrated in the Northeast, Midwest, and Far West, while the Southern and Rocky Mountain states tend to spend less than the national average on health care; (3) between 1982 and 1990, annual per capita personal health expenditures nearly doubled, from $1,200 to $2,255; (4) state differences in personal income, the supply of health care resources, the concentration of hospital services in urban areas, and health status explain over 80 percent of the differences in health spending among the states in 1982; (5) generally, per capita health care spending was higher in states with higher personal income, greater hospital bed capacity, and a larger number of physicians per capita; (6) other factors such as geographic variations in medical practice patterns may also cause state differences in health spending; (7) personal income, health status, and other nonpolicy factors that strongly influence per capita health spending limit the ability of state health policies to constrain the level of health spending; and (8) mandatory hospital rate regulation and all-payer systems appear to reduce hospital costs in the states that implement them.

Dying in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309303133
Total Pages : 470 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Dying in America by : Institute of Medicine

Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Moral Hazard in Health Insurance

Author : Amy Finkelstein
Publisher : Columbia University Press
ISBN 13 : 0231538685
Total Pages : 161 pages
Book Rating : 4.2/5 (315 download)

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Book Synopsis Moral Hazard in Health Insurance by : Amy Finkelstein

Download or read book Moral Hazard in Health Insurance written by Amy Finkelstein and published by Columbia University Press. This book was released on 2014-12-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice

Coverage Matters

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309076099
Total Pages : 204 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Coverage Matters by : Institute of Medicine

Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

The High Concentration of U.S. Health Care Expenditures

Author : Mark W. Stanton
Publisher :
ISBN 13 :
Total Pages : 11 pages
Book Rating : 4.:/5 (212 download)

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Book Synopsis The High Concentration of U.S. Health Care Expenditures by : Mark W. Stanton

Download or read book The High Concentration of U.S. Health Care Expenditures written by Mark W. Stanton and published by . This book was released on 2006 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health and Wealth

Author : Robert J. Maxwell
Publisher : Lexington, Mass. : Published for Sandoz Institute for Socio-Economic Studies by Lexington Books
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health and Wealth by : Robert J. Maxwell

Download or read book Health and Wealth written by Robert J. Maxwell and published by Lexington, Mass. : Published for Sandoz Institute for Socio-Economic Studies by Lexington Books. This book was released on 1981 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Australien, canada, frankrig, brd, italien, holland, sverige schweiz, storbritannien, usa. Ghere has long been a need for a book which documents and analyses he alth care expenditure. The study defines four faces of health care spending - sources of finance, control of health care delivery, manpower and supplies, and services provided. The numerous figures and tables will be of great value to statisticians, but many interes- ting facts emerge which make the book a great deal more than a sta- tistical cronical. For instance, the quality of health care in each country is analysed, proving that high expenditure does not in itself garantee a totally adequate health level.