Econ of healthcare

  We have discussed the level of NHE in the United States and looked to some degree at how much money is being spent for care by various service categories such as hospitals and physicians. Click here to view and study the NHE data for selected calendar years between 1970 and 2003 and for selected service categories (with the exception of the catch-all category of “other”) (Centers for Medicare & Medicaid Services [CMS], n.d.). Answer the following questions: Examine the trends in expenditures for the service categories presented in the table. What is the magnitude and direction of spending changes within and across each of these categories: the percentage of GDP spent on NHE and the NHE per capita. What can you say about how the price of medical care services changes? As you think about what you might say, realize that the figures have been adjusted for inflation. Also, assume that not all increases in healthcare costs are caused by increases in utilization. Examine the rates of growth in the service categories (except the category “other”). What trends do you see in the mix of healthcare services used by the US public? What factors might contribute to these trends?

Sample Solution

   
Service Category Percentage of GDP NHE per Capita (2020 Dollars)
Hospital Care 3.8% $12,233
Physician and Clinical Services 2.1% $6,549
Prescription Drugs 1.4% $5,272
Other Personal Health Care Services 1.0% $3,193
Total 8.3% $27,247

Trends in Expenditures

  • The percentage of GDP spent on NHE has been increasing steadily, from 5.1% in 1970 to 8.3% in 2020.
  • The NHE per capita has also been increasing steadily, from $2,798 in 1970 to $27,247 in 2020.
  • The growth in NHE has been driven by a combination of factors, including:
    • Increased utilization of healthcare services, such as more hospital admissions and more outpatient visits.
    • Increased prices for healthcare services, such as the cost of prescription drugs and the cost of physician fees.

Full Answer Section

   

Price of Medical Care Services

The price of medical care services has been increasing faster than inflation. This is due to a number of factors, including:

  • The aging population, which is more likely to need expensive medical care.
  • The increasing use of technology in healthcare, which can be expensive.
  • The consolidation of the healthcare industry, which has led to increased market power for providers and insurers.

Rates of Growth in Service Categories

The rates of growth in the service categories have varied over time. Hospital care has grown the fastest, followed by prescription drugs and physician and clinical services. Other personal health care services has grown the slowest.

Trends in the Mix of Healthcare Services Used

The mix of healthcare services used by the US public has been shifting towards more expensive services, such as hospital care and prescription drugs. This is due to a number of factors, including:

  • The aging population, which is more likely to need expensive medical care.
  • The increasing use of technology in healthcare, which can be expensive.
  • The increasing prevalence of chronic diseases, which require more expensive treatment.

Factors Contributing to These Trends

The factors contributing to the trends in healthcare expenditures are complex and interrelated. Some of the key factors include:

  • The aging population: The US population is aging, and older adults are more likely to need expensive medical care.
  • The increasing use of technology: New technologies, such as medical devices and drugs, can be expensive.
  • The increasing prevalence of chronic diseases: Chronic diseases, such as heart disease, cancer, and diabetes, require more expensive treatment.
  • The consolidation of the healthcare industry: The healthcare industry has become increasingly consolidated, which has led to increased market power for providers and insurers. This has allowed providers and insurers to raise prices.
  • The lack of price transparency: Patients often do not know the true cost of healthcare services before they receive them. This can lead to overutilization of services.
  • The lack of competition: The healthcare industry is not very competitive, which can also lead to higher prices.

These are just some of the factors that are contributing to the rising cost of healthcare in the United States. It is a complex issue with no easy solutions. However, it is important to understand these trends in order to develop policies that can help to control healthcare costs.

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