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1
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85019790598
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Health spending estimates for years before 2013 differ from those published January 6, 2014, and reflect new and revised source data that were unavailable for previous vintages of the National Health Expenditure (NHE) Accounts
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Most notably, the NHE growth rate was revised from 3.7 percent to 4.1 percent, mainly because of upward revisions to hospital care and investment in structures and equipment categories
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Health spending estimates for years before 2013 differ from those published January 6, 2014, and reflect new and revised source data that were unavailable for previous vintages of the National Health Expenditure (NHE) Accounts. Most notably, the 2012 NHE growth rate was revised from 3.7 percent to 4.1 percent, mainly because of upward revisions to hospital care and investment in structures and equipment categories.
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(2012)
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2
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84920896056
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After a year of moving sideways, nonresidential building activity poised to resume recovery in 2014 [Internet]
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Washington (DC): American Institute of Architects, Jan 24 [cited 2014 Oct 21]
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Baker K. After a year of moving sideways, nonresidential building activity poised to resume recovery in 2014 [Internet]. Washington (DC): American Institute of Architects; 2014 Jan 24 [cited 2014 Oct 21]. Available from: http://www.aia.org/practicing/AIAB101318
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(2014)
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Baker, K.1
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3
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84920896055
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Market reset
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2013 Feb 01 [cited Oct 21]
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Carpenter D, Hoppszallern S. Market reset. Health Facilities Management [serial on the Internet]. 2013 Feb 01 [cited 2014 Oct 21]. Available from: http://www.hfmmagazine.com/display/HFM-newsarticle.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HFM/Magazine/2013/Feb/0213HFM_FEA_CoverStory
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(2014)
Health Facilities Management [serial on the Internet]
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Carpenter, D.1
Hoppszallern, S.2
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4
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84920896054
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For further description of the selection of the periods for analysis, see the Exhibit 3 notes.
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For further description of the selection of the periods for analysis, see the Exhibit 3 notes.
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5
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85019819221
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Residual use and intensity is calculated by removing the effects of population, age-sex factors, and price growth from the nominal expenditure level.
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Residual use and intensity is calculated by removing the effects of population, age-sex factors, and price growth from the nominal expenditure level.
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6
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84872179882
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National health spending in 2011: overall growth remains low, but some payers and services show signs of acceleration
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Hartman M, Martin AB, Benson J, Catlin A, National Health Expenditure Accounts Team. National health spending in 2011: overall growth remains low, but some payers and services show signs of acceleration. Health Aff (Millwood). 2013;32(01): 87-99.
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Hartman, M.1
Martin, A.B.2
Benson, J.3
Catlin, A.4
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7
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84920930720
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The medical loss ratio requires individual and group health insurance plans to spend a minimum portion of premium revenues on clinical services and quality improvement
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The ACA's provision on rate review has set minimum standards for the review of any proposed premium rate increases above 10 percent in the individual and small-group market
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The medical loss ratio requires individual and group health insurance plans to spend a minimum portion of premium revenues on clinical services and quality improvement. The ACA's provision on rate review has set minimum standards for the review of any proposed premium rate increases above 10 percent in the individual and small-group market.
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8
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84920873558
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The ACA also required that beginning in 2012, plans' quality ratings be factored into Medicare Advantage payments
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Quality ratings may either increase payments to qualified plans through bonus payments, or decrease payments to qualified plans by affecting the amount of rebates paid to plans
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The ACA also required that beginning in 2012, plans' quality ratings be factored into Medicare Advantage payments. Quality ratings may either increase payments to qualified plans through bonus payments, or decrease payments to qualified plans by affecting the amount of rebates paid to plans.
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9
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84922334629
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Boards of Trustees. annual report of the boards of trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds [Internet]
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Baltimore (MD): Centers for Medicare and Medicaid Services; 2014 Jul 28 [cited 2014 Aug 13]
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Boards of Trustees. 2014 annual report of the boards of trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; 2014 Jul 28 [cited 2014 Aug 13]. Available from: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ReportsTrustFunds/Downloads/TR2014.pdf
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(2014)
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10
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84857600817
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Menlo Park (CA): KFF; [cited 2014 Oct 22]
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Kaiser Family Foundation, Health Research and Educational Trust. Employer health benefits: 2013 annual survey [Internet]. Menlo Park (CA): KFF; 2013 [cited 2014 Oct 22]. Available from: https://kaiserfamilyfoundation.files.wordpress.com/2012/09/8465-employer-healthbenefits-2013.pdf
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(2013)
Employer health benefits: 2013 annual survey [Internet]
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12
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8844274883
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Consumer-directed health plans and the RAND Health Insurance Experiment
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Newhouse JP. Consumer-directed health plans and the RAND Health Insurance Experiment. Health Aff (Millwood). 2004;23(6):107-13.
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(2004)
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, pp. 107-113
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Newhouse, J.P.1
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13
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84920896051
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Based on an unpublished analysis by the CMS Office of the Actuary of enrollment data from CMS.gov. Medicaid Statistical Information System (MSIS) state summary database [Internet]
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Baltimore (MD): Centers for Medicare and Medicaid Services; [last modified 2014 Jul 22; cited Oct 22]
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Based on an unpublished analysis by the CMS Office of the Actuary of enrollment data from CMS.gov. Medicaid Statistical Information System (MSIS) state summary database [Internet]. Baltimore (MD): Centers for Medicare and Medicaid Services; [last modified 2014 Jul 22; cited 2014 Oct 22]. Available from: http://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/MedicaidDataSourcesGenInfo/MSIS-Mart-Home.html
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(2014)
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14
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84956710645
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Medicaid in a historic time of transformation: results from a 50-state Medicaid budget survey for state fiscal years 2013 and 2014 [Internet]
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Washington (DC): Kaiser Commission on Medicaid and the Uninsured, [cited 2014 Oct 22]
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Smith VK, Gifford K, Ellis E, Rudowitz R, Snyder L. Medicaid in a historic time of transformation: results from a 50-state Medicaid budget survey for state fiscal years 2013 and 2014 [Internet]. Washington (DC): Kaiser Commission on Medicaid and the Uninsured; 2013 Oct [cited 2014 Oct 22]. Available from: http://kaiserfamilyfoundation.files.wordpress.com/2013/10/8498-medicaid-in-a-historic-time-oftransformation.pdf
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(2013)
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Smith, V.K.1
Gifford, K.2
Ellis, E.3
Rudowitz, R.4
Snyder, L.5
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15
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66149174854
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Actuarial report on the financial outlook for Medicaid [Internet]
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Baltimore (MD): CMS; [cited Jul 7]
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Centers for Medicare and Medicaid Services. 2013 actuarial report on the financial outlook for Medicaid [Internet]. Baltimore (MD): CMS; 2013 [cited 2014 Jul 7]. Available from: http://medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Financing-and-Reimbursement/Downloads/medicaid-actuarial-report-2013.pdf
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(2013)
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16
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Washington (DC): BLS; [cited Aug 08]
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Bureau of Labor Statistics. Producer Price Index industry data, series report: series ID PCU622-- -622-- - [Internet]. Washington (DC): BLS; [cited 2014 Aug 08]. Available for download from: http://data.bls.gov/cgi-bin/srgate
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(2014)
Producer Price Index industry data, series [Internet]
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17
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84920896049
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Business and industry: time series/trend charts: hospitals: U.S. total-not seasonally adjusted total inpatient days [Internet]
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Washington (DC): Census Bureau; Sep 11 [cited 2014 Oct 30]
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Census Bureau. Business and industry: time series/trend charts: hospitals: U.S. total-not seasonally adjusted total inpatient days [Internet]. Washington (DC): Census Bureau; 2014 Sep 11 [cited 2014 Oct 30]. Available from: http://www.census.gov/econ/currentdata/dbsearch?program=QSS&startYear=2003&endYear=2014&categories=622A&dataType=INPAT&geoLevel=US¬Adjusted=1&submit=GET+DATA
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(2014)
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18
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84920896049
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Business and industry: time series/trend charts: hospitals: U.S. total-not seasonally adjusted total discharges [Internet]
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Washington (DC): Census Bureau; Sep 11 [cited 2014 Oct 30]
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Census Bureau. Business and industry: time series/trend charts: hospitals: U.S. total-not seasonally adjusted total discharges [Internet]. Washington (DC): Census Bureau; 2014 Sep 11 [cited 2014 Oct 30]. Available from: http://www.census.gov/econ/currentdata/dbsearch?program=QSS&startYear=2003&endYear=2014&categories=622A&dataType=DISC&geoLevel=US¬Adjusted=1&submit=GET+DATA
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(2014)
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19
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84874355663
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Employer health benefits: 2012 annual survey [Internet]
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Menlo Park (CA): KFF; [cited 2014 Sep 10]
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Kaiser Family Foundation, Health Research and Educational Trust. Employer health benefits: 2012 annual survey [Internet]. Menlo Park (CA): KFF; 2012 [cited 2014 Sep 10]. Available from: http://kaiserfamilyfoundation.files.wordpress.com/2013/04/8345.pdf
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(2012)
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20
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84920896048
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The definition of physician and clinical services in the National Health Expenditure Accounts includes expenditures for offices of physicians (North American Industry Classification System [NAICS] code 6211) and outpatient care centers (NAICS 6214), and some spending for independently billing laboratories (NAICS 6215)
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For more information, see Centers for Medicare and Medicaid Services. National Health Expenditures Accounts methodology paper: definitions, sources, and methods [Internet]. Baltimore (MD): CMS; [cited 2014 Dec 3]
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The definition of physician and clinical services in the National Health Expenditure Accounts includes expenditures for offices of physicians (North American Industry Classification System [NAICS] code 6211) and outpatient care centers (NAICS 6214), and some spending for independently billing laboratories (NAICS 6215). For more information, see Centers for Medicare and Medicaid Services. National Health Expenditures Accounts methodology paper, 2013: definitions, sources, and methods [Internet]. Baltimore (MD): CMS; [cited 2014 Dec 3]. Available from: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/dsm-13.pdf
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(2013)
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21
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85019795854
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Authors' analysis of Producer Price Index data for North American Industry Classification Codes 6211 and 6215 as of October 2013. See Bureau of Labor Statistics
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Producer Price Indexes [Internet]. Washington (DC): BLS; [cited Aug 22]
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Authors' analysis of Producer Price Index data for North American Industry Classification Codes 6211 and 6215 as of October 2013. See Bureau of Labor Statistics. Producer Price Indexes [Internet]. Washington (DC): BLS; [cited 2014 Aug 22]. Available from: http://www.bls.gov/ppi/
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(2014)
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Woonsocket (RI): CVS Caremark; [cited 2014 Oct 23]
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CVS Caremark. Insights 2014: 7 sure things [Internet].Woonsocket (RI): CVS Caremark; 2014 [cited 2014 Oct 23]. Available from: http://info.cvscaremark.com/insights2014/INSIGHTS%20Trend%202014-v2.pdf
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(2014)
Insights: 7 sure things [Internet]
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24
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85019775051
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Specialty drugs are used to treat complex conditions and are typically more expensive than traditional brand-name drugs
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Specialty drugs are used to treat complex conditions and are typically more expensive than traditional brand-name drugs.
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25
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84920896045
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Authors' analysis, based on unpublished data from the Bureau of Labor Statistics Consumer Price Index
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Authors' analysis, based on unpublished data from the Bureau of Labor Statistics Consumer Price Index.
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26
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84920886759
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Express Scripts. drug trend report [Internet]
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St. Louis (MO): Express Scripts; 2014 April 8 [cited 2014 Oct 23]
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Express Scripts. 2013 drug trend report [Internet]. St. Louis (MO): Express Scripts; 2014 April 8 [cited 2014 Oct 23]. Available from: http://www.drugtrendreport.com/docs/downloads/Commercial.pdf
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(2013)
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27
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84909581422
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Parsippany (NJ): The Institute; 2014 Apr
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IMS Institute for Healthcare Informatics. Medicine use and shifting costs of healthcare. Parsippany (NJ): The Institute; 2014 Apr.
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Medicine use and shifting costs of healthcare
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84878557587
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Silver Spring (MD): FDA; [last updated 2012 Sep 19; cited 2014 Oct 23]
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Food and Drug Administration. Facts about generic drugs [Internet]. Silver Spring (MD): FDA; [last updated 2012 Sep 19; cited 2014 Oct 23]. Available from: http://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/understandinggenericdrugs/ucm167991.htm#_ftn3
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Facts about generic drugs [Internet]
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84920896044
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Washington (DC): MedPAC; 2014 Mar. Chapter 14: Status report on Part D [cited 2014 Sep 19]
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Medicare Payment Advisory Commission. Report to the Congress: Medicare payment policy [Internet]. Washington (DC): MedPAC; 2014 Mar. Chapter 14: Status report on Part D [cited 2014 Sep 19]. Available from: http://www.medpac.gov/documents/reports/mar14_entirereport.pdf?sfvrsn=0
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Report to the Congress: Medicare payment policy [Internet]
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30
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84907812640
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National health expenditure projections, 2013-23: faster growth expected with expanded coverage and improving economy
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Sisko AM, Keehan SP, Cuckler GA, Madison AJ, Smith SD, Wolfe CJ, et al. National health expenditure projections, 2013-23: faster growth expected with expanded coverage and improving economy. Health Aff (Millwood). 2014;33(10):1841-50.
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(2014)
Health Aff (Millwood)
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, pp. 1841-1850
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Sisko, A.M.1
Keehan, S.P.2
Cuckler, G.A.3
Madison, A.J.4
Smith, S.D.5
Wolfe, C.J.6
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