Comparing Medicare And Private Insurers: Growth Rates In Spending Over Three Decades

Boccuti, Cristina; Moon, Marilyn

doi:10.1377/hlthaff.22.2.230

Cited by 58 publications

(36 citation statements)

References 2 publications

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“…Boccuti and Moon (2003) recommended growth rates to examine an extended period of time, calculate cumulative impacts, and compare like data. The annualized growth rate formula used in this study was: (2005) were used to meet the third objective.…”

Section: Methodsmentioning

confidence: 99%

Fifteen-Year Enrollment Trends Related to the Three Components of Comprehensive Agricultural Education Programs

Retallick¹,

Martin²

2008

JAE

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The purpose of this study was to identify the agricultural education enrollment trends in Iowa using 15 years of data collected from 1991 to 2005. It was found that agricultural education enrollment, Supervised Agricultural Experience (SAE) participation, and FFA membership have grown. Using annualized growth rates, agricultural education enrollment (4.06%) grew more rapidly than SAE participation (1.65%) and FFA membership (2.39%). Although growth was realized in all three components, the widening gap between students who only enroll in agricultural education and those who also choose to participate in SAE and FFA is a concern. Increased female participation, 31.96% in 2005, accounted for much of the overall growth in total enrollment. SAE growth was attributed to increased participation in agriscience and agribusiness. The findings have implications for the profession's ability to put into practice experiential learning theory, the philosophical approach of agricultural education, local program development and management, and the future of agricultural education. FIFTEEN-YEAR ENROLLMENT TRENDS RELATED TO THE THREE COMPONENTS OF COMPREHENSIVE AGRICULTURAL EDUCATION PROGRAMS

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Section: Methodsmentioning

confidence: 99%

Fifteen-Year Enrollment Trends Related to the Three Components of Comprehensive Agricultural Education Programs

Retallick¹,

Martin²

2008

JAE

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“…The argument for the former factor's effect, i.e. lower payment levels, is reinforced by evidence indicating that public payers are generally more successful in controlling health services costs for their beneficiaries, even in the most complex and mixed systems (22,23).…”

Section: Discussionmentioning

confidence: 99%

Association between payer mix and costs, revenues and profitability: a cross-sectional study of Lebanese hospitals

Saleh

Ammar

Natafgi

et al. 2015

Easter Mediterr Health J

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This study aimed to examine the association between the payer mix and the financial performance of public and private hospitals in Lebanon. The sample comprised 24 hospitals, representing the variety of hospital characteristics in Lebanon. The distribution of the payer mix revealed that the main sources of revenue were public sources (61.1%), out-of-pocket (18.4%) and private insurance (18.2%). Increases in the percentage of revenue from public sources were associated with lower total costs and revenues, but not profit margins. An inverse association was noted between increased revenue from private insurance and profitability, attributed to increased costs. Increased percentage of outof-pocket payments was associated with lower costs and higher profitability. The study provides evidence that payer mix is associated with hospital costs, revenues and profitability. This should initiate/inform discussions between public and private payers and hospitals about the level of payment and its association with hospital sector financial viability. RÉSUMÉ La présente étude visait à examiner l'association entre la pluralité des payeurs et la performance financière des hôpitaux publics et privés au Liban. L'échantillon portait sur 24 hôpitaux, représentant la diversité des caractéristiques des établissements au Liban. La répartition des différents payeurs a révélé que parmi les principales sources de revenus figuraient le secteur public (61,1 %), les paiements directs (18,4 %) et les assurances privées (18,2 %). Des augmentations du pourcentage des revenus provenant du secteur public étaient associées à des coûts et à des revenus totaux plus faibles, mais non toutefois aux marges bénéficiaires. Une association inverse a été observée entre l'augmentation de revenus issus des assurances privées et la rentabilité, attribuée à des coûts plus élevés. Une hausse du pourcentage de paiements directs était associée à des coûts moindres et à une meilleure rentabilité. La présente étude fournit des élèments de preuve montrant que la pluralité de payeurs est associée aux coûts, aux revenus et à la rentabilité des hôpitaux. Cette situation devrait non seulement lancer des discussions entre les payeurs publics et privés et les hôpitaux sur le niveau de paiement et son association à la viabilité financière du secteur hospitalier, mais également contribuer aux débats à ce sujet. ‫اللبنانية‬ ‫للمستشفيات‬ ‫مقطعية‬ ‫دراسة‬

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“…Empirically, the evidence is pretty clear on Medicare: its spending growth per covered person tracks closely privately insured spending growth, and as well the total spending (including out of pocket payments) of Medicare beneficiaries tracks well the path of private spending per privately insured person (though of course the level of average Medicare spending is much higher because its insureds are older or disabled) (Boccuti and Moon 2003). If there is any regularity here it is that Medicare spending is a little less "inflated" than private spending, but there is no major gap that has emerged over time (despite occasional overages and underages in terms of reimbursement, coverage, and spending).…”

Section: What Is Special About Medical Care Spending?mentioning

confidence: 99%

Medical Spending Reform and the Fiscal Future of the United States

Pauly¹

2014

Pathways to Fiscal Reform in the United States

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The rate of growth in medical spending in the United States and most other developed countries is high most of the time, and is commonly higher (over the long term) than the rate of growth in GDP. Because much of medical spending affects and is affected by government spending and taxation, the growth in this share of consumption expenditures is both more important for fiscal policy and raises more potential problems than consumer spending growth in other sectors of the economy. Given the growing importance of the major federal programs Medicare and Medicaid in the US budget, and the impending health reform expansion in Medicaid eligibility and insurance subsidies for Exchanges, federally-financed spending growth has developed a major challenge to present and future fiscal stability. In addition, the strong role played in private insurance markets by federal tax, spending, and regulatory policy means that even private spending growth is a matter of fiscal policy concern. We know there is a problem, and that current policies are not sustainable. But designing solutions that will do more good than harm requires both a clear idea of the causes of the problem and a precise and politically feasible articulation of our social goals concerned with medical care use, health insurance protection, and health outcomes of Americans. In this paper I will describe the problem and talk about solutions.

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Comparing Medicare And Private Insurers: Growth Rates In Spending Over Three Decades

Cited by 58 publications

References 2 publications

Fifteen-Year Enrollment Trends Related to the Three Components of Comprehensive Agricultural Education Programs

Fifteen-Year Enrollment Trends Related to the Three Components of Comprehensive Agricultural Education Programs

Association between payer mix and costs, revenues and profitability: a cross-sectional study of Lebanese hospitals

Medical Spending Reform and the Fiscal Future of the United States

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