Health spending growth up in 1999; Faster growth expected in the future

Health Affairs

Volumn 20, Issue 2, 2001, Pages 193-203

  Heffler, Stephen ^a   Levit, Katharine ^a   Smith, Sheila ^a   Smith, Cynthia ^a   Cowan, Cathy ^a   Lazenby, Helen ^a   Freeland, Mark ^a  

^a Health Care Financing Administration   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BUDGET; ECONOMICS; HEALTH CARE COST; HEALTH ECONOMICS; HEALTH SERVICE; HUMAN; LEGAL ASPECT; MEDICARE; NURSING HOME; PRESCRIPTION; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

BUDGETS; ECONOMICS, HOSPITAL; HEALTH EXPENDITURES; HEALTH SERVICES; HUMANS; MEDICARE; NURSING HOMES; PRESCRIPTIONS, DRUG; UNITED STATES;

EID: 0000957676     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.20.2.193     Document Type: Article

References (25)

1. Several major conceptual revisions were incorporated with the data in this paper. Updated definitions and methodology are available at "HCFA Data and Statistics," 〈www.hcfa.gov/ stats/nhe-oact〉 (3 January 2001). Projections for Medicare are based on actuarial projections in the 2000 Annual Reports of the Board of Trustees of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund, 〈www.hcfa.gov/puforms/tr〉. Projections for Medicaid were prepared using actuarial assumptions consistent with those used to project Medicare. Demographic and economic assumptions drew from the 2000 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds, 〈www.ssa.gov/OACT/ TR/index.htm〉.
2. E. Seskin and D. Sullivan, "Annual Revision of the National Income and Product Accounts," Survey of Current Business (August 2000): 6-33.
3. Adjusted by GDP chain-type price index.
4. L. Levitt et al., Employer Health Benefits 1999: Annual Survey (Menlo Park, Calif.: Henry J. Kaiser Family Foundation; and Chicago: Health Research and Educational Trust, 2000), 57.
5. M. Chernew et al., "Managed Care, Medical Technology, and Health Care Cost Growth: A Review of the Evidence," Medical Care Research and Review (September 1998): 259-297; L. Baker et al., "HMO Market Penetration and Costs of Employer-Sponsored Health Plans," Health Affairs (Sep/Oct 2000): 121-128; and J. Zwanziger et al., "The Effect of Selective Contracting on Hospital Costs and Revenues," Health Services Research (April 2000): 849-867.
6. M. Chernew et al., "Managed Care, Medical Technology, and Health Care Cost Growth: A Review of the Evidence," Medical Care Research and Review (September 1998): 259-297; L. Baker et al., "HMO Market Penetration and Costs of Employer-Sponsored Health Plans," Health Affairs (Sep/Oct 2000): 121-128; and J. Zwanziger et al., "The Effect of Selective Contracting on Hospital Costs and Revenues," Health Services Research (April 2000): 849-867.
7. M. Chernew et al., "Managed Care, Medical Technology, and Health Care Cost Growth: A Review of the Evidence," Medical Care Research and Review (September 1998): 259-297; L. Baker et al., "HMO Market Penetration and Costs of Employer-Sponsored Health Plans," Health Affairs (Sep/Oct 2000): 121-128; and J. Zwanziger et al., "The Effect of Selective Contracting on Hospital Costs and Revenues," Health Services Research (April 2000): 849-867.
8. Y. Dreazen, "Number of Uninsured Americans Drops as Benefits Jump in Tight Labor Market," Wall Street Journal Online Edition, 〈interactive. wsj.com/articles/SB970181853251341716.htm〉 (subscriber access only, 29 September 2000).
9. B. Japsen, "Health-Care Insurance Bills to Jump," Chicago Tribune, 22 October 2000; and J. Bryant, "Health Costs Heading Higher in 2001," Atlanta Business Chronicle, 20 October 2000.
10. B. Japsen, "Health-Care Insurance Bills to Jump," Chicago Tribune, 22 October 2000; and J. Bryant, "Health Costs Heading Higher in 2001," Atlanta Business Chronicle, 20 October 2000.
11. J. Holahan and J. Kim, "Why Does the Number of Uninsured Americans Continue to Grow?" Health Affairs (July/Aug 2000): 188-196.
12. K. Levit et al., "Health Spending in 1998: Signals of Change," Health Affairs (Jan/Feb 2000): 124-132.
13. Department of Health and Human Services, "State Children's Health Insurance Program (SCHIP) Status Report," 27 October 1999, 〈www.hcfa.gov/init/chstatus.htm〉 (5 December 2000).
14. Testimony of Stanley S. Wallack, executive director, Brandeis University, Schneider Institute for Health Policy Prescription Drug Analysis Group, before the Senate Committee on Health, Education, Labor, and Pensions, "Factors Driving Prescription Drug Expenditure Increases" (18 July 2000).
15. Scott-Levin, "Managed Care Co-Pays: Higher and Higher; More HMOs and Pharmacy Benefit Managers Using Three-Tier Cost-Control Measures," press release, 2 August 2000, 〈www.scottlevin.com〉 (3 August 2000).
16. According to a major pharmacy benefit manager, Express Scripts, 1999 Drug Trends Report, 〈www.express-scripts.com/outcomes/rqst_ drugtrend_choice.htm〉 (30 November 2000).
17. C. Mullins et al., "The Impact of Pipeline Drugs on Pharmaceutical Spending" (Presentation at BlueCross BlueShield/Health Insurance Association of America symposium, Washington, D.C., 13-14 April 2000), 〈membership.hiaa.org/pdfs/drugsymposium.pdf〉.
18. IMS Health, "IMS Health Reports U.S. Pharmaceutical Promotional Spending Reached Record $13.9 Billion in 1999," press release, 20 April 2000, 〈www.imshealth.com/public/structure/ dispcontent/1,2779,1009-1009-75077,00.html〉 (20 November 2000).
19. M. Hunt et al., Prescription Drugs and Intellectual Property Protection: Finding the Right Balance Between Access and Innovation, Issue Brief (Washington: National Institute for Health Care Management Foundation, August 2000), 2-12.
20. Bureau of Labor Statistics, "Measuring Price Change for Medical Care in the CPI," 7 July 1998, 〈stats.bls.gov/cpifact4.htm〉 (12 December 2000).
21. Lehman Brothers Global Equity Research, "Large Capitalization Pharmaceuticals: Volume Growth to Propel Industry Despite Washington Concerns," U.S. Drug Industry: Rx Insight (18 January 2000), 32.
22. U.S.General Accounting Office, Skilled Nursing Facilities: Medicare Payment Changes Require Provider Adjustments but Maintain Access, Pub. no. GAO/ HEHS-00-23 (Washington: GAO, 1999), 1-30.
23. American Hospital Association, Hospital Statistics 2001 (Chicago: AHA, 2001), 3.
24. Merger activity declined slightly in 1999 compared to recent years of growing consolidation. Irving Levin Associates, "Hospital Mergers, Acquisitions Drop in 1999," Healthcare Financial Management (1 April 2000): 22.
25. Bureau of Labor Statistics, Producer Price Index for General Medical and Surgical Hospitals, 〈stats.bls.gov/ppihome.htm〉 (11 December 2000).