class 2: estimating the size and structure of the us health industry -1980 to 2000
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Class 2: Estimating the size and structure of the US Health Industry -1980 to 2000. Two emphases: 1. The tools CMS uses to estimate size and structure of the US Health Industry 2. Interpreting the estimates published by CMS. - PowerPoint PPT PresentationTRANSCRIPT
Class 2: Estimating the size and structure of the US Health Industry -1980 to 2000
Two emphases:
1. The tools CMS uses to estimate size and structure of the US Health Industry
2. Interpreting the estimates published by CMS
U.S. National Health Accounts (NHA)(http://www.cms.gov/statistics/nhe)
• Starting in 1964, HHS has published annual statistics on national health expenditures.
• The NHA define sources of health expenditures and medical services exchanged for these expenditures.
• By maintaining a consistent set of these definitions, the NHA can compare NHE over time.
• Each health transaction is entered twice into the NHA - as an expenditure and a payment. This double-entry set-up enables NHA statisticians to compare expenditures against payments to check NHE estimates for accuracy.
The NHA Are Grouped Into Various Configurations That Measure Key Trends in
Health Policy Debates (http://www.cms.gov/statistics/nhe/historical/t3.asp)
• PHE as a portion of GDP• PHE by various sources of funds• Over time, changes in the sources-of-funds
structure• Payments for various types of services• Over time, changes in the types-of-services
structure• Projections
National Health Expenditures(NHE) by objects:
• Health services and supplies– Personal Health Care (PHC)
– Program administration and net cost of private health insurance
– Government public health activities
• Research and construction– Research
– Construction
NHE by Sources of Funds
• Out-of-pocket expenditure• Private health insurance• Non-patient revenue and philanthropy• Medicare • Medicaid• State and local government hospital subsidy• Other government programs (SCHIP)
Deflating PHC Expenditures
• Deflating health care spending separates the effects of price growth from growth attributable to all other factors.
• PHC expenditure fixed weight price index (M-CPI). Based on surveys taken by the Department of Labor.
• M-CPI is used to deflate current annual estimates of personal health care expenditures. This technique is used to eliminate the impact of market changes on PHC expenditures.
• Comments on current concerns about M-CPI