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Cowan CA, Lazenby HC, Martin AB, McDonnell PA, Sensenig AL, Smith CE, Whittle LS, Zezza MA, Donham CS, Long AM, Stewart MW. National health expenditures, 1999. Health Care Financ Rev 2001; 22:77-110. [PMID: 12378783 PMCID: PMC4194743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The health care spending share of gross domestic product (GDP) remained steady between 1993 and 1999 as moderate-to-strong economic growth coincided with a rapid shift to managed care. This shift, along with decelerating growth in Medicare spending, appears to have generated a mostly one-time saving that lowered aggregate health expenditure growth.
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Cowan CA, Lazenby HC, Martin AB, McDonnell PA, Sensenig AL, Stiller JM, Whittle LS, Kotova KA, Zezza MA, Donham CS, Long AM, Stewart MW. National health expenditures, 1998. Health Care Financ Rev 1999; 21:165-210. [PMID: 11481774 PMCID: PMC4194653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
In 1998, national health care expenditures reached $1.1 trillion, an increase of 5.6 percent from the previous year. This marked the fifth consecutive year of spending growth under 6 percent. Underlying the stability of the overall growth, major changes began taking place within the Nation's health care system. Public payers felt the initial effects of the Balanced Budget Act of 1997 (BBA), and private payers experienced increased health care costs and increased premium growth.
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Affiliation(s)
- C A Cowan
- Office of the Actuary, National Health Statistics Group, Health Care Financing Administration, 7500 Security Boulevard, N3-02-02, Baltimore, MD 21244-1850, USA
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3
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Braden BR, Cowan CA, Lazenby HC, Martin AB, McDonnell PA, Sensenig AL, Stiller JM, Whittle LS, Donham CS, Long AM, Stewart MW. National health expenditures, 1997. Health Care Financ Rev 1998; 20:83-126. [PMID: 10387428 PMCID: PMC4194531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
In 1997 health spending in the United States increased just 4.8 percent to $1.1 trillion. As a share of gross domestic product (GDP), national health expenditures (NHE) absorbed 13.5 percent of the country's output in 1997--a share that has remained relatively constant for 5 years. Despite the relative stability in recent years, signs of changing trends are emerging.
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Affiliation(s)
- B R Braden
- U.S. Health Care Financing Administration, Office of the Actuary, USA
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4
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Levit KR, Lazenby HC, Braden BR, Cowan CA, Sensenig AL, McDonnell PA, Stiller JM, Won DK, Martin AB, Sivarajan ML, Donham CS, Long AM, Stewart MW. National health expenditures, 1996. Health Care Financ Rev 1997; 19:161-200. [PMID: 10179997 PMCID: PMC4194488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The national health expenditures (NHE) series presented in this report for 1960-96 provides a view of the economic history of health care in the United States through spending for health care services and the sources financing that care. In 1996 NHE topped $1 trillion. At the same time, spending grew at the slowest rate, 4.4 percent, ever recorded in the current series. For the first time, this article presents estimates of Medicare managed care payments by type of service, as well as nursing home and home health spending in hospital-based facilities.
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Affiliation(s)
- K R Levit
- Office of the Actuary, Health Care Financing Administration, Baltimore, MD 21244-4850, USA
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5
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Sensenig AL, Heffler SK, Donham CS. Hospital, employment, and price indicators for the health care industry: first quarter 1997. Health Care Financ Rev 1997; 19:207-49. [PMID: 10180000 PMCID: PMC4194495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care spending, employment, and prices. The statistics presented in this article are valuable in their own right and for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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6
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Sensenig AL, Heffler SK, Donham CS. Hospital, employment, and price indicators for the health care industry: third quarter 1996. Health Care Financ Rev 1997; 18:231-73. [PMID: 10170351 PMCID: PMC4194512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care spending, employment, and prices. The statistics presented in this article are valuable in their own right and for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Sensenig AL, Heffler SK, Donham CS. Hospital, employment, and price indicators for the health care industry: second quarter 1997. Health Care Financ Rev 1997; 19:159-201. [PMID: 10345404 PMCID: PMC4194483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/30/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care spending, employment, and prices. The statistics presented in this article are valuable in their own right and for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Sensenig AL, Heffler SK, Donham CS. Hospital, employment, and price indicators for the health care industry: fourth quarter 1996 and annual data for 1988-96. Health Care Financ Rev 1997; 18:133-75. [PMID: 10175609 PMCID: PMC4194473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care spending, employment, and prices. The statistics presented in this article are valuable in their own right and for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes before the availability of more comprehensive data.
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Affiliation(s)
- A L Sensenig
- Office of the Actuary, Health Care Financing Administration, USA
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9
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Sensenig AL, Heffler SK, Donham CS. Health care indicators. Hospital, employment, and price indicators for the health care industry--third quarter 1995. Health Care Financ Rev 1996; 17:269-306. [PMID: 10158734 PMCID: PMC4193597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care spending, employment, and prices. The statistics presented in this article are valuable in their own right and for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Affiliation(s)
- A L Sensenig
- Office of the Actuary, Health Care Financing Administration, USA
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Sensenig AL, Heffler SK. Hospital, employment, and price indicators for the health care industry: first quarter 1996. Health Care Financ Rev 1996; 18:253-69. [PMID: 10165035 PMCID: PMC4193621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care spending, employment, and prices. The statistics presented in this article are valuable in their own right and for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Affiliation(s)
- A L Sensenig
- Health Care Financing Administration, Baltimore, MD 21244, USA
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11
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Levit KR, Lazenby HC, Sivarajan L, Stewart MW, Braden BR, Cowan CA, Donham CS, Long AM, McDonnell PA, Sensenig AL, Stiller JM, Won DK. National health expenditures, 1994. Health Care Financ Rev 1996; 17:205-42. [PMID: 10158731 PMCID: PMC4193598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
This article presents data on health care spending for the United States, covering expenditures for various types of medical services and products and their sources of funding from 1960 to 1994. Although these statistics for 1994 show the slowest growth in more than three decades, health spending continued to grow faster than the overall economy. The Federal Government continued to fund an increasing share of health care expenditures in 1994, offset by a falling share from out-of-pocket sources. Shares paid by State and local governments and by other private payers including private health insurance remained unchanged from 1993.
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Affiliation(s)
- K R Levit
- Office of the Actuary, Health Care Financing Administration, USA
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12
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Heffler SK, Donham CS, Won DK, Sensenig AL. Health care indicators. Hospital, employment, and price indicators for the health care industry: fourth quarter 1995 and annual data for 1987-95. Health Care Financ Rev 1996; 17:217-56. [PMID: 10165709 PMCID: PMC4193584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care spending, employment, and prices. The statistics presented in this article are valuable in their own right and for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Affiliation(s)
- S K Heffler
- Office of the Actuary, Health Care Financing Administration, USA
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13
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Donham CS, Sensenig AL, Heffler SK. Health care indicators ... community hospital statistics; private sector employment, hours, earnings; prices; national economic indicators. Health Care Financ Rev 1995; 16:243-72. [PMID: 10151891 PMCID: PMC4193531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Donham CS, Sensenig AL, Heffler SK. Health care indicators ... community hospital statistics; private sector employment, hours, earnings; prices; national economic indicators. Health Care Financ Rev 1995; 16:213-44. [PMID: 10142578 PMCID: PMC4193512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
This regular feature of the journal includes a discussion of each of the following four topics community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Affiliation(s)
- C S Donham
- Office of the Actuary, Health Care Financing Administration
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Sensenig AL, Heffler SK, Donham CS. Health care indicators. Hospital, employment, and price indicators for the health care industry: second quarter 1995. Health Care Financ Rev 1995; 17:249-87. [PMID: 10157377 PMCID: PMC4193557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This regular feature of the journal includes a discussion of recent trends in health care employment and prices. The statistics presented in this article are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Donham CS, Sensenig AL. Health care indicators ... community hospital statistics; private sector employment, hours, earning; prices; national economic indicators. Health Care Financ Rev 1994; 16:201-31. [PMID: 10142373 PMCID: PMC4193494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data.
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Affiliation(s)
- C S Donham
- Office of the Acutary, HCFA, Baltimore, MD 21207, USA
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Levit KR, Sensenig AL, Cowan CA, Lazenby HC, McDonnell PA, Won DK, Sivarajan L, Stiller JM, Donham CS, Stewart MS. National health expenditures, 1993. Health Care Financ Rev 1994; 16:247-94. [PMID: 10140156 PMCID: PMC4193484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
This article presents data on health care spending for the United States, covering expenditures for various types of medical services and products and their sources of funding from 1960 to 1993. Although these statistics show a slowing in the growth of health care expenditures over the past few years, spending continues to increase faster than the overall economy. The share of the Nation's health care bill funded by the Federal Government through the Medicaid and Medicare programs steadily increased from 1991 to 1993. This significant change in the share of health expenditures funded by the public sector has caused Federal health expenditures as a share of all Federal spending to increase dramatically.
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Affiliation(s)
- K R Levit
- Health Care Financing Administration, Office of the Actuary
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Abstract
In 1993 the nation spent $884.2 billion on health care, a 7.8 percent increase from 1992. Although this spending growth was among the lowest rates of growth recorded since 1960, it is too soon to tell whether slower growth in health spending is a new trend or merely a temporary perturbation in the long-term trend. The portion of the economy devoted to health care increased from 13.6 percent in 1992 to 13.9 percent in 1993--a 0.3 percentage point increase that equaled the average rate of increase recorded since 1960. The federal government's share of the total health care bill rose between 1991 and 1993, the first significant change in the share of the nation's health care bill funded by the federal government since the early 1970s.
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Affiliation(s)
- K R Levit
- National Health Accounts Branch, Office of National Health Statistics, Health Care Financing Administration, Baltimore
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