Marginal Analysis

• In this paper the authors compare the incremental or marginal increases in US health spending to that of the historical and projected Gross Domestic Product, Federal Outlays, and State and Local government expenditures.  When viewed relative to the constraints in financial resources, these incremental changes in health spending provide a better understanding of the implications of decisions made by our Nation's health policymakers and financers of health care.

NHE Conference

• Future Directions for the National Health Expenditure Accounts:

  In April 2005, the National Health Statistics Group in the Office of the Actuary sponsored a conference to discuss future directions for the National Health Expenditure Accounts.  A conference overview and a paper ("Reconciling Medical Expenditure Estimates from MEPS and NHEA, 2002") presented at that conference were published in the Fall 2006 Issue of the Health Care Financing Review.  Additional papers presented at the conference are available in downloadable files below. 

  These papers include:

  • "The OECD System of Health Accounts and the US National Health Account: Improving Connections Through Shared Experiences" by Eva Orosz – A discussion of harmonization issues between the OECD and US measures of health spending.

  •  "How Policy Makers Use the National Health Accounts" by Nancy-Ann DeParle –The first paper discusses the impact of the MMA on the health accounting  and what policy makers would like to see in the presentation of the  Part D benefit.

  • "Display and Categorization of Source of Funds Estimates in the National Health Accounts: Incorporating the MMA" by the National Health Statistics Group –This paper discusses how NHSG proposes to classify Part D spending from a health accounting perspective.

Capital in the National Health Accounts

• The National Health Expenditure Accounts were revised with the release of the 2004 estimates to include new measures of investment in medical sector structures and capital equipment.  This study, "Capital in the National Health Accounts," prepared by Gerald F. Donahoe, formed the basis of the methodology for the new estimate.  The study includes sections on the uses of data on capital, definitions of capital in various economic accounting systems, a survey of data available to estimates medical sector capital investment, as well as recommendations and prototype investment estimates.

Downloads
Marginal analysis tables (PDF, 70KB) Hartman et al: Monitoring Health Spending Increases: Incremental Budget Analyses Reveal Challenging Tradeoffs (PDF, 250KB) Orosz: OECD System of Health Accounts and the US National Health Account (PDF, 274KB) DeParle: How Policy Makers Use the National Health Accounts (PDF, 31KB) Display and Categorization of Source of Funds Estimates in the National Health Expenditure Accounts: Incorporating the MMA (PDF, 93KB) Donahoe: Capital in the National Health Accounts (PDF, 584KB)
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