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
The table shows that spending on healthcare in the United States has increased dramatically over the past few decades. In 1970, NHE was equal to 7.2% of GDP. By 2003, it had risen to 15.3% of GDP. NHE per capita also increased significantly, from \$2,533 in 1970 to \$5,398 in 2003.
The rate of growth in NHE has been uneven across the different service categories. Hospital care has consistently been the largest component of NHE, accounting for about 34% of spending in 2003. However, the rate of growth in hospital spending has slowed in recent years. In contrast, spending on physician services has grown more rapidly, and now accounts for about 20% of NHE.
Full Answer Section
Spending on other services, such as prescription drugs and home health care, has also grown rapidly in recent years. These services now account for about 15% of NHE.
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.
The price of medical care services has increased significantly over time, even after adjusting for inflation. This is due to a number of factors, including the increasing use of technology, the aging population, and the rising cost of prescription drugs.
It is important to note that not all of the increase in healthcare costs is due to increases in the price of services. Some of the increase is due to increases in utilization, such as the growing number of people who are getting preventive care or who are living longer with chronic conditions.
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?
The table shows that the rate of growth in spending on hospital care has slowed in recent years, while the rate of growth in spending on physician services and other services has accelerated. This suggests that there is a shift in the mix of healthcare services used by the US public.
There are a number of factors that could contribute to this trend. One factor is the increasing use of technology, which has made it possible to provide more care outside of the hospital setting. Another factor is the aging population, which is more likely to need physician services and other services.
The shift in the mix of healthcare services has implications for the future of healthcare. Hospitals will need to adapt to the changing needs of the population, and they may need to focus more on providing outpatient care. Physicians will also need to adapt, and they may need to focus more on preventive care and chronic disease management.
In addition, the shift in the mix of healthcare services has implications for the cost of healthcare. The cost of hospital care is typically higher than the cost of physician services and other services. This means that the shift to more outpatient care could help to slow the growth in healthcare costs.
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