Factors accounting for the rise in health-care spending in the United States: The role of rising disease prevalence and treatment intensity

Author:

Thorpe Kenneth E.

Publisher

Elsevier BV

Subject

Public Health, Environmental and Occupational Health,General Medicine

Reference20 articles.

1. See, 〈http://www.cms.hhs.gov/NationalHealthExpendData/downloads/tables.pdf.〉, Accessed August 15, 2006.

2. Medical care costs: how much welfare loss?;Newhouse;J. Econ Perspect,1992

3. Thorpe KE, Florence C, Howard D, Joski P. The rising prevalence of treated disease: effects on private health insurance spending. Health Affair Web Exclusive, June 27, 2005.

4. Thorpe KE, Florence C, Joski P. Which medical conditions accounts for the rise in health care spending?. Health Affair Web Exclusive, August 25, 2004.

5. Available at URL: 〈http://www.ahrq.gov/data/mepsweb.htm#full-year〉. Accessed June 1, 2005. Compared to the spending estimates developed by the Department of Health and Human Services (the National Health Accounts (NHA) estimates), the MEPS spending estimates focuses on the non-institutionalized population and does not include the same breadth of services (e.g. spending for nursing home care). As a result, the MEPS produces estimates of national health-care spending lower than those produced through the NHA approach. However, both the populations and services included in the MEPS are those typically financed through private insurance. A detailed cross-walk between the two estimates has been developed by T. Seldon, K. Levitt, J. Cohen, S. Zuvekas, et. al., “Reconciling Medical Expenditure Estimates from the MEPS and NHA, 1996,” Health-care Financing Review 23, no. 1 (2001): 161–178. This review found substantial agreement in the estimates for the non-institutionalized population for services generally included in private health insurance plans. When the NHE is compared to the MEPS (on a comparable basis focusing on to spending included in both surveys among the civilian non-institutionalized population) spending totals were within 6.7 per cent of each other.

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