Developing a Framework for Decomposing Medical-Care Expenditure Growth: Exploring Issues of Representativeness
In: Measuring Economic Sustainability and Progress
Medical care expenditures have been rising rapidly over time and in 2009 health care accounted for 17.9 percent of GDP, but there are many areas where we have an incomplete understanding of spending growth in this sector. This is especially true of the commercial sector, where our primary data sources are often non-random convenience samples (i.e. available claims data from contributing insurers and employers). The goal of this paper is to better understand issues related to using convenience samples to obtain nationally representative estimates of the various components of expenditure growth. Using a multitude of weighting strategies, including weighted and unweighted estimates, we ?find similar qualitative results with higher prevalence and increases in medical care service prices being the key drivers of spending growth. Utilization per episode - which was relatively ?flat for both weighted and unweighted estimates - made no signi?cant contribution to growth in spending. However, applying population weights provide quantitative results that align better with aggregate price and expenditure measures, including BEA price measures and commercial expenditure per capita estimates from the NHEA, and may be more useful for certain policy and projection purposes.
(This abstract was borrowed from another version of this item.)
|This chapter was published in: ||This item is provided by National Bureau of Economic Research, Inc in its series NBER Chapters with number
12841.||Handle:|| RePEc:nbr:nberch:12841||Contact details of provider:|| Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.|
Web page: http://www.nber.org
More information through EDIRC
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- David M. Cutler & Mark McClellan & Joseph P. Newhouse & Dahlia Remler, 1998. "Are Medical Prices Declining? Evidence from Heart Attack Treatments," The Quarterly Journal of Economics, Oxford University Press, vol. 113(4), pages 991-1024.
- Abe Dunn & Eli Liebman & Adam Hale Shapiro, 2016.
"Decomposing Medical-Care Expenditure Growth,"
in: Measuring and Modeling Health Care Costs
National Bureau of Economic Research, Inc.
- Abe Dunn & Eli Liebman & Adam Hale Shapiro, 2012. "Decomposing medical-care expenditure growth," Working Paper Series 2012-26, Federal Reserve Bank of San Francisco.
- Abe Dunn & Eli Liebman & Adam Hale Shapiro, 2012. "Decomposing Medical-Care Expenditure Growth," BEA Working Papers 0088, Bureau of Economic Analysis.
- Irving Shapiro & Matthew D. Shapiro & David Wilcox, 2001. "Measuring the value of Cataract Surgery," NBER Chapters, in: Medical Care Output and Productivity, pages 411-438 National Bureau of Economic Research, Inc.
- Abe Dunn & Eli Liebman & Adam Hale Shapiro, 2012.
"Implications of Utilization Shifts on Medical-Care Price Measurement,"
BEA Working Papers
0087, Bureau of Economic Analysis.
- Abe Dunn & Eli Liebman & Adam Hale Shapiro, 2015. "Implications of Utilization Shifts on Medical‐care Price Measurement," Health Economics, John Wiley & Sons, Ltd., vol. 24(5), pages 539-557, 05.
- Berndt, Ernst R. & Cutler, David M. & Frank, Richard G. & Griliches, Zvi & Newhouse, Joseph P. & Triplett, Jack E., 2000. "Medical care prices and output," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 3, pages 119-180 Elsevier.
- Abe C. Dunn & Adam Shapiro & Eli Liebman, 2011. "Geographic Variation in Commercial Medical Care Expenditures: A Decomposition Between Price and Utilization," BEA Working Papers 0075, Bureau of Economic Analysis.
- Aizcorbe, Ana & Nestoriak, Nicole, 2011.
"Changing mix of medical care services: Stylized facts and implications for price indexes,"
Journal of Health Economics,
Elsevier, vol. 30(3), pages 568-574, May.
- Ana Aizcorbe & Nicole Nestoriak, 2010. "Changing Mix of Medical Care Services: Stylized Facts and Implications for Price Indexes," BEA Working Papers 0064, Bureau of Economic Analysis.
When requesting a correction, please mention this item's handle: RePEc:nbr:nberch:12841. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ()
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.