Is this time different? The slowdown in health care spending

Brookings Papers on Economic Activity

Volumn , Issue FALL 2013, 2013, Pages 261-302

  Chandra, Amitabh ^a   Holmes, Jonathan ^a   Skinner, Jonathan ^b  

^a HARVARD UNIVERSITY   (United States)

^b DARTMOUTH COLLEGE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84899872331     PISSN: 00072303     EISSN: 15334465     Source Type: Journal    
DOI: 10.1353/eca.2013.0014     Document Type: Article

References (74)

1. Acemoglu, Daron, Amy Finkelstein, and Matthew J. Notowidigdo. 2013. "Income and Health Spending: Evidence from Oil Price Shocks." Review of Economics and Statistics 95, no. 4: 1079-1095.
2. Aizcorbe, Ana, Ralph Bradley, Ryan Greenaway-McGrevy, Brad Herauf, Richard Kane, Eli Liebman, Sara Pack, and Lyubov Rozental. 2011. "Alternative Price Indexes for Medical Care: Evidence from the MEPS Survey." Working Paper no. 0069. Washington: Bureau of Economic Analysis.
3. Al-Ississ, Mohamad M., and Nolan H. Miller. 2013. "What Does Health Reform Mean for the Health Care Industry? Evidence from the Massachusetts Special Senate Election." American Economic Journal: Economic Policy 5, no. 3: 1-29.
4. Anderson, Gerald F., Uwe E. Reinhardt, Peter S. Hussey, and Varduhi Petrosyan. 2003. "It's the Prices, Stupid: Why the United States Is so Different from Other Countries." Health Affairs 22, no. 3: 89-105.
5. Antos, Joseph R. 2013. "Containing Health Care Costs: Recent Progress and Remaining Challenges." Testimony before the U.S. Senate Committee on the Budget, Washington D.C., July 30.
6. Aron-Dine, Avivia, Liran Einav, Amy Finkelstein, and Mark R. Cullen. 2012. "Moral Hazard in Health Insurance: How Important Is Forward Looking Behavior?" NBER Working Paper no. 17802, February. Cambridge, Mass.: National Bureau of Economic Research.
7. Auerbach, David I., and Arthur L. Kellermann, 2011. "A Decade of Health Care Cost Growth Has Wiped Out Real Income Gains for an Average U.S. Family." Health Affairs 30, no. 9: 1630-1636.
8. Bach, Peter, Leonard B. Saltz, and Robert E. Wittes. 2012. "In Cancer Care, Cost Matters." New York Times, October 15, p. A25.
9. Baicker, Katherine, Michael Chernew, and Jacob Robbins. 2013. "The Spillover Effects of Medicare Managed Care: Medicare Advantage and Hospital Utilization." Working Paper no. 19070. Cambridge, Mass.: National Bureau of Economic Research.
10. Baicker, Katherine, and Dana Goldman. 2011. "Patient Cost-Sharing and Healthcare Spending Growth." Journal of Economic Perspectives 25, no. 2: 47-68.
11. Boards of Trustees, Federal Hospital Insurance and Federal Supplemental Medical Insurance (Boards of Trustees). 2013. The 2013 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplemental Medical Insurance. Washington: Center for Medicare and Medicaid Services.
12. Boden, William E., Robert A. O'Rourke, Koon K. Teo, Pamela M. Hartigan, and others. 2007. "Optimal Medical Therapy with or without PCI for Stable Coronary Disease." New England Journal of Medicine 356 (April 12): 1503-1516.
13. Borger, Christine, Thomas F. Rutherford, and Gregory Y. Won. 2008. "Projecting Long-Term Medical Spending Growth." Journal of Health Economics 27, no. 1: 69-88.
14. Bowler, Mary, and Teresa Morisi. 2006. "Understanding the Employment Measures from the CPS and CES Survey." Monthly Labor Review 129: 23-38.
15. Chandra, Amitabh, Maurice Dalton, and Jonathan Holmes. 2013. "Large Increases in Spending on Postacute Care in Medicare Point to the Potential for Cost Savings in These Settings." Health Affairs 32, no. 5: 864-872.
16. Chandra, Amitabh, and Jonathan Skinner. 2012. "Technology Growth and Expenditure Growth in Health Care." Journal of Economic Literature 50, no. 3: 645-680.
17. Clemens, Jeffrey. 2011. "The Effect of U.S. Health Insurance Expansions on Medical Innovation." SIEPR Discussion Paper No. 11-016, Stanford University.
18. Clemens, Jeffrey, and Joshua Gottlieb. 2013. "Do Physicians' Financial Incentives Affect Treatment Patterns and Patient Health?" SIEPR Discussion Paper no. 11-017, Stanford Institute for Economic Policy Research.
19. Colla, Carrie, David Wennberg, Ellen Meara, Jonathan Skinner, Daniel Gottlieb, Valerie Lewis, Christopher Snyder, and Elliot Fisher. 2012. "Spending Differences Associated with the Medicare Physician Group Practice Demonstration." Journal of the American Medical Association 308, no. 10: 1015-1023.
20. Collins, Sara R., Ruth Robertson, Tracy Garber, and Michelle Doty. 2013. "Insuring the Future: Current Trends in Health Coverage and the Effects of Implementing the Affordable Care Act." Washington/New York: Commonwealth Fund.
21. Congressional Budget Office. 2013. "The 2013 Long-Term Budget Outlook." Washington.
22. Council of Economic Advisors (CEA). 2013. "Trends in Healthcare, Cost Growth, and the Affordable Care Act." Washington (November).
23. Cutler, David, Mark McClellan, and Joseph Newhouse. 1998. "What Has Increased Medical-Care Spending Bought?" American Economic Review 88, no. 2: 132-136.
24. Cutler, David, and Nikhil Sahni. 2013. "If Slow Rate of Health Care Spending Growth Persists, Projections May Be Off by $770 billion." Health Affairs 32, no. 5: 841-850.
25. Dafny, Leemore. 2010. "Are Health Insurance Markets Competitive?" American Economic Review 100, no. 4: 1399-1431.
26. Einav, Liran, Amy Finkelstein, Stephen P. Ryan, Paul Schrimpf, and Mark R. Cullen. 2013. "Selection on Moral Hazard in Health Insurance." American Economic Review 103, no. 1: 178-219.
27. Finkelstein, Amy. 2007. "The Aggregate Effects of Health Insurance: Evidence from the Introduction of Medicare." Quarterly Journal of Economics 122 no. 3: 1-37.
28. Finkelstein, Amy, Sarah Taubman, Bill Wright, Mira Berstein, and others (including the Oregon Health Study Group). 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year." Quarterly Journal of Economics 126, no. 3: 1057-1106.
29. Fuchs, Victor. 2013. "The Gross Domestic Product and Health Care Spending." New England Journal of Medicine 369, no. 2: 107-109.
30. Gaynor, Martin, and Robert Town. 2012. "The Impact of Hospital Consolidation- Update." Princeton: The Synthesis Project, Robert Wood Johnson Foundation.
31. Getzen, Thomas E. 1992. "Population Aging and the Growth of Health Expenditures." Journal of Gerontology 47, no. 3: S98-S104.
32. Getzen, Thomas E. 2011. "Working Paper. Available at SSRN Long-Run Forecasts of National Health Expenditure Growth.": http://ssrn.com/abstract=1950810 or http:// dx.doi.org/10.2139/ssrn.1950810.
33. Glied, Sherry, and Joshua Griff Zivin. 2002. "How Do Doctors Behave When Some (But Not All) of Their Patients Are in Managed Care?" Journal of Health Economics 21, no. 2: 337-353.
34. Gold, Jenny, 2013. "Proton Beam Therapy Heats Up Hospital Arms Race." Kaiser Health News, May 31.
35. Goldsmith, Jeff. 2012. "Health Care: An Alternate Economic Universe." Health Affairs blog post dated August 23. http://healthaffairs.org/blog/2012/08/23/ health-care-an-alternate-economic-universe. Accessed January 15, 2014.
36. Health Care Cost Institute (HCCI). 2012. "Health Care Cost and Utilization Report: 2011." Washington.
37. Herrera, Carolina-Nicole, Martin Gaynor, Navid Newman, Robert J. Town, and Stephen T. Parente. 2013. "Trends Underlying Employer-Sponsored Health Insurance Growth for Americans Younger than Age Sixty-Five." Health Affairs 32, no. 10: 1715-1722.
38. Kaiser Family Foundation. 2013. "Assessing the Effects of the Economy on the Recent Slowdown in Health Spending." April 22. http://tinyurl.com/lo3sgh3
39. Karaki, Fatima. 2012. "Left Ventricular Assist Devices (LVADs): Overview and Future Directions." Presentation at the Biomedical Innovation Workshop, December 14, PARI (University of Tokyo).
40. Kronick, Richard, and Rosa Po. 2013. "Growth in Medicare Spending per Ben-efciary Continues to Hit Historic Lows." Washington: Offce of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.
41. Lee, David and Frank Levy. 2012. "The Sharp Slowdown in Growth of Medical Imaging: An Early Analysis Suggests Combination of Policies Was the Cause." Health Affairs 31, no. 8: 1876-1884.
42. Lemieux, Jeff, and Teresa Mulligan. 2013. "Trends in Inpatient Hospital Prices, 2008 to 2010." American Journal of Managed Care 19, no. 3: 106-113.
43. Levine, Michael, and Melinda Buntin. 2013. "Why Has Growth in Spending for Fee-for-Service Medicare Slowed?" Working Paper no. 2013-16. Washington: Congressional Budget Offce (August).
44. Lusardi, Annamaria, Daniel Schneider, and Peter Tufano. 2010. "The Economic Crisis and Medical Care Use: Comparative Evidence from Five High-Income Countries." Working Paper no. 15843. Cambridge, Mass.: National Bureau of Economic Research.
45. Manning, Willard G., Joseph P. Newhouse, Naihua Duan, Emmett B. Keeler, and Arleen Leibowitz. 1987. "Health Insurance and the Demand for Medical Care."American Economic Review 77, no. 3: 251-277.
46. Matlock, Daniel D., Peter W. Groeneveld, Steve Sidney, Susan Shetterly, and others. 2013. "Geographic Variation in Cardiovascular Procedure Use among Medicare Fee-for-Service vs. Medicare Advantage Benefciaries." JAMA 310, no. 2: 155-162.
47. McClellan, Mark, and Jonathan Skinner. 2006. "The Incidence of Medicare." Journal of Public Economics 90, no. 1: 257-276.
48. McInerney, Melissa Powell, and Jennifer M. Mellor. 2012. "State Unemployment in Recessions during 1991-2009 Was Linked to Faster Growth in Medicare Spending." Health Affairs 31, no. 11: 2464-2473.
49. McWilliams, J. Michael, Bruce E. Landon, and Michael E. Chernew. 2013. "Changes in Health Care Spending and Quality for Medicare Benefciaries Associated with a Commercial ACO Contract." JAMA 310, no. 8: 829-836.
50. MedMarket Diligence. 2012. "Advanced Medical Technologies: Insights, Perspectives and Inside Data from Medtech Market Analysis." Blog post dated December 19. http://blog.mediligence.com/2012/12/19/2013-medtech-outlook/. Accessed November 4, 2013.
51. MedMarket Diligence. 2013. "Medtech Financing: August 2013 and Trend 2009-2013." Blog post dated September 4. http://blog.mediligence.com/2013/09/04/medtech-fnancing-august-2013-and-trend-2009-2013/. Accessed November 4, 2013.
52. Newhouse, Joseph. 1992. "Medical Care Costs: How Much Welfare Loss?" Journal of Economic Perspectives 6, no. 3: 3-21.
53. Newhouse, Joseph. 1993. Free for All? Lessons from the RAND Health Insurance Experiment. Cambridge, Mass.: Harvard University Press.
54. Nichols, Len M. 2013. "Containing Health Care Costs: Recent Progress and Remaining Challenges." Testimony before the Committee on the Budget, U.S. Senate, Washington, July 30.
55. OECD. 2013. "Health Spending Continues to Stagnate, says OECD." OECD Health Policies and Data. http://www.oecd.org/els/health-systems/health-spending-continues-to-stagnate-says-oecd.htm. Accessed January 15, 2014.
56. Orszag, Peter. 2013. "Economy Can't Be All That's Slowing Health Care Costs." Politics in Minnesota (online), September 27. http://politicsinminnesota. com/2013/09/peter-orszag-economy-cant-be-all-thats-slowing-health-care-costs/.
57. Reinhart, Carmen, and Kenneth Rogoff. 2009. This Time Is Different: Eight Centuries of Financial Folly. Princeton: Princeton University Press.
58. Roehrig, Charles. 2012. "A New Look at the Simpson-Bowles Budget Plan: Implications for Sustainable Health Spending." Blog posting dated October 30, hosted by Altarum.org. http://altarum.org/health-policy-blog/a-new-look-at-the-simpson-bowles-budget-plan-implications-for-sustainable-health-spending.
59. Roehrig, Charles. 2013. "Further Thoughts on the Recession and Health Spending." Health Affairs blog, May 7. http://healthaffairs.org/blog/2013/05/07/further-thoughts-on-the-recession-and-health-spending/.
60. Roehrig, Charles, Ani Turner, Paul Hughes-Cromwick, and George Miller. 2012. "When the Cost Curve Bent-Pre-Recession Moderation in Health Care Spending." New England Journal of Medicine 367: 590-593.
61. Rogers, Joseph G., Robin R. Bostic, Kuo B. Tong, Rob Adamson, and others. 2012. "Cost-Effectiveness Analysis of Continuous-Flow Left Ventricular Assist Devices as Destination Therapy." Circulation: Heart Failure 5:10-16.
62. Ryu, Alexander, Teresa Gibson, Richard McKellar, and Michael Chernew. 2013. "The Slowdown in Health Care Spending in 2009-11 Refected Factors Other than the Weak Economy and Thus May Persist." Health Affairs 32, no. 5: 835-840.
63. Sack, Kevin. 2010. "As Medicaid Payments Shrink, Patients Are Abandoned." New York Times, March 15.
64. Song, Zirui, Dana Gelb Safran, Bruce E. Landon, Mary Beth Landrum, Yulei He, Robert E. Mechanic, Matthew P. Day, and Michael E. Chernew. 2012. "The 'Alternative Quality Contract,' Based on a Global Budget, Lowered Medical Spending and Improved Quality." Health Affairs 31, no. 8: 1885-1894.
65. Steuerle, Gene. 2013. "A Slower Rate of Health Cost Growth? What Happens When an Irresistible Force Meets an Increasingly Immovable Object?" Altarum Institute Health Policy Forum blog, May 10. http://altarum.org/health-policy-blog/a-slower-rate-of-health-cost-growth-what-happens-when-an-irresistible-force-meets-an-increasingly#sthash.P3JEZRdy.dpuf.
66. Stewart, Garrick C., and Lynne W. Stevenson. 2011. "Keeping Left Ventricular Assist Device Acceleration on Track." Circulation 123: 1559-1568.
67. Thomas, Katie. 2013. "U.S. Drug Costs Dropped in 2012, but Rises Loom." New York Times, March 18.
68. Turner, Ani, and Paul Hughes-Cromwick. 2013. "Connecting U.S. Health Expenditures with the Health Sector Workforce." Business Economics 48: 42-57.
69. Unger, Rick. 2013. "New Data Suggests Obamacare Is Actually Bending the Healthcare Cost Curve." Forbes Online, February 12.
70. U.S. Census Bureau. 2012. "Income, Poverty, and Health Insurance Coverage in the United States." Current Population Report, P-60-243, September. Washington.
71. White, Chapin. 2013. "Contrary to Cost-Shift Theory, Lower Medicare Hospital Payment Rates for In-Patient Care Lead to Lower Private Payment Rates." Health Affairs 32, no. 5: 935-943.
72. Yamamoto, Dale H. 2013. Health Care Costs-From Birth to Death. Washington: Health Care Cost Institute.
73. Zamanian, Kamran. 2013. "Interventional Cardiology Devices Forecast: Bio-absorbable Stents Will Impact U.S. Market upon Entry." Report dated November 4, posted on the website of DAIC.com.
74. Zuckerman, Stephen, and Dana Goin. 2012. "How Much Will Medicaid Physician Fees for Primary Care Rise in 2013? Evidence from a 2012 Survey of Medicaid Physician Fees." Urban Institute and Kaiser Commission on Med-icaid and the Uninsured. http://kff.org/medicaid/issue-brief/how-much-will-medicaid-physician-fees-for/.