A Satellite Account for Health in the United States

Author:

Cutler David M.1,Ghosh Kaushik2,Messer Kassandra L.3,Raghunathan Trivellore3,Rosen Allison B.4,Stewart Susan T.2

Affiliation:

1. Harvard University and NBER (email: )

2. National Bureau of Economic Research (email: )

3. University of Michigan (email: )

4. University of Massachusetts (email: )

Abstract

This paper develops a satellite account for the US health sector and measures productivity growth in health care for the elderly population between 1999 and 2012. We measure the change in medical spending and health outcomes for a comprehensive set of 80 conditions. Medical care has positive productivity growth over the time period, with aggregate productivity growth of 1.5 percent per year. However, there is significant heterogeneity in productivity growth. Care for cardiovascular disease has had very high productivity growth. In contrast, care for people with musculoskeletal conditions has been costly but has not led to improved outcomes. (JEL E01, H51, I10)

Publisher

American Economic Association

Subject

Economics and Econometrics

Reference67 articles.

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2. Abraham, Katherine G., and Christopher Mackie. 2006. "A Framework for Non-market Accounts." In A New Architecture for the U.S. National Accounts, edited by Dale W. Jorgenson, J. Steven Landefeld, and William D. Nordhaus, 161-192. Chicago: University of Chicago Press.

3. Advisory Commission to Study the Consumer Price Index. 1996. Toward a More Accurate Measure of the Cost of Living. Washington, DC: US Senate Finance Committee.

4. Agency for Healthcare Research and Quality (AHRQ). 2004. "MEPS 2002 Full Year Consolidated Data File." Agency for Healthcare Research and Quality. https://meps.ahrq.gov/mepsweb/data_ stats/download_data_files_detail.jsp?cboPufNumber=HC-070 (accessed August 27, 2021).

5. The medical treatment of depression, 1991–1996: productive inefficiency, expected outcome variations, and price indexes

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