Health spending in 1998: Signals of change

Health Affairs

Volumn 19, Issue 1, 2000, Pages 124-132

  Levit, Katharine ^a   Cowan, Cathy ^a   Lazenby, Helen ^a   Sensenig, Arthur ^a   Mcdonnell, Patricia ^a   Stiller, Jean ^a   Martin, Anne ^a  

^a Health Care Financing Administration   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ECONOMICS; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH ECONOMICS; HOME CARE; HUMAN; INFORMATION PROCESSING; MEDICAID; MEDICARE; NURSING HOME; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PHYSICIAN; PRESCRIPTION; REVIEW; STATISTICS; UNITED STATES;

DATA COLLECTION; ECONOMICS, HOSPITAL; FINANCING, PERSONAL; HEALTH EXPENDITURES; HOME CARE SERVICES; HUMANS; MEDICAID; MEDICARE; NURSING HOMES; ORGANIZATIONAL INNOVATION; PHYSICIANS; PRESCRIPTIONS, DRUG; PRIVATE SECTOR; PUBLIC SECTOR; UNITED STATES;

EID: 0001640011     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.19.1.124     Document Type: Article

References (21)

1. K. Levit et al., "National Health Expenditures in 1997: More Slow Growth," Health Affairs (Nov/Dec 1998): 99-110; and S. Smith et al., "The Next Decade of Health Spending: A New Outlook," Health Affairs (July/Aug 1999): 86-95. Health spending information for 1960-1998 is available on the Internet at www.hcfa.gov.
2. K. Levit et al., "National Health Expenditures in 1997: More Slow Growth," Health Affairs (Nov/Dec 1998): 99-110; and S. Smith et al., "The Next Decade of Health Spending: A New Outlook," Health Affairs (July/Aug 1999): 86-95. Health spending information for 1960-1998 is available on the Internet at www.hcfa.gov.
3. American Hospital Association, Monthly Panel Survey of Community Hospitals, 1963-1998.
4. G. Savord, "Analysis of PPS Hospital Case-Mix Change between 1997 and 1998" (Memorandum, Office of the Actuary, HCFA, 19 November 1998).
5. D. Bellandi, "A Year of More and Less: Number of Hospital Deals Drops, But More Facilities Change Hands," Modern Healthcare (11 January 1999): 48; PR Newswire, "Hospital Mergers and Acquisitions Fall for the First Time in Four Years-Irving Levin Associates, Inc." (4 March 1999); and M. Casey, "Hospital Mergers: Where Have They Gone?" Medical Industry Today, www.medicaldata.com/MIT (22 May 1998).
6. D. Bellandi, "A Year of More and Less: Number of Hospital Deals Drops, But More Facilities Change Hands," Modern Healthcare (11 January 1999): 48; PR Newswire, "Hospital Mergers and Acquisitions Fall for the First Time in Four Years-Irving Levin Associates, Inc." (4 March 1999); and M. Casey, "Hospital Mergers: Where Have They Gone?" Medical Industry Today, www.medicaldata.com/MIT (22 May 1998).
7. D. Bellandi, "A Year of More and Less: Number of Hospital Deals Drops, But More Facilities Change Hands," Modern Healthcare (11 January 1999): 48; PR Newswire, "Hospital Mergers and Acquisitions Fall for the First Time in Four Years-Irving Levin Associates, Inc." (4 March 1999); and M. Casey, "Hospital Mergers: Where Have They Gone?" Medical Industry Today, www.medicaldata.com/MIT (22 May 1998).
8. Estimates of Medicare freestanding home health include expenditures for beneficiaries enrolled in managed care organizations in addition to FFS enrollees. However, utilization data are available for FFS enrollees only and include service delivery by both freestanding and hospital-based facilities.
9. U.S. General Accounting Office, Medicare Home Health Agencies: Closures Continue, with Little Evidence Beneficiary Access Is Impaired, Pub. no. GAO/HEHS-99-120 (Washington: GAO, 14 September 1999); and George Washington University Medical Center, "Sickest Elderly Adversely Affected by Changes in Medicare Reimbursement; Elderly Patients with Most Intensive Needs Having Difficulty Accessing or Sustaining Care" (Press Release, 14 September 1999).
10. U.S. General Accounting Office, Medicare Home Health Agencies: Closures Continue, with Little Evidence Beneficiary Access Is Impaired, Pub. no. GAO/HEHS-99-120 (Washington: GAO, 14 September 1999); and George Washington University Medical Center, "Sickest Elderly Adversely Affected by Changes in Medicare Reimbursement; Elderly Patients with Most Intensive Needs Having Difficulty Accessing or Sustaining Care" (Press Release, 14 September 1999).
11. Authors' calculation, using data from the American Medical Association, Socioeconomic Characteristics of Medical Practice, 1999-2000 and earlier editions; and J. Moser, "Recent Developments in Physician Income," in Physician Socioeconomic Statistics, 1999-2000 Edition (Chicago: American Medical Association, 1999), 5-14.
12. Authors' calculation, using data from the American Medical Association, Socioeconomic Characteristics of Medical Practice, 1999-2000 and earlier editions; and J. Moser, "Recent Developments in Physician Income," in Physician Socioeconomic Statistics, 1999-2000 Edition (Chicago: American Medical Association, 1999), 5-14.
13. The Prescription Drug User Fee Act of 1992 allowed the PDA to hire additional personnel to review new drug applications and finance this effort by collecting user fees from pharmaceutical companies. The PDA Modernization Act of 1997 limited the amount of time a drug is in the clinical development phase.
14. Barents Group, Factors Affecting the Growth of Prescription Drug Expenditures (Washington: National Institute for Health Care Management Research and Educational Foundation, 9 July 1999), iii.
15. Ibid., 13.
16. Since 1986 growth in this population has been decelerating. Annual growth in 1998 slowed by two-tenths of a percentage point over 1997. However, that trend is expected to reverse itself by 2000.
17. See Savord, "Analysis of PPS Hospital Case-Mix Change."
18. These payments have decelerated from a high of 35.1 percent in 1996 to 24 percent in 1998.
19. GAO, Medicare Managed Care Plans: Many Factors Contribute to Recent Withdrawals; Plan Interest Continues, Pub. no. HEHS-99-91 (Washington: GAO, 27 April 1999).
20. 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, 1999), 57.
21. Smith et al., "The Next Decade."