U.S. Health Care Spending Distribution: People and Services

Topics:
(1) Course Overview
(2) U.S. Health Care Spending Distribution: People and Services
(3) Drivers of Health Care Cost Growth
(4) Introduction to the Economic Evaluation of Medical Interventions
Lesson Objectives:
(1) To describe the trajectory of historical and predicted U.S. health care spending.
(2) To differentiate between spending levels and spending growth rates.
(3) To differentiate between real and nominal growth.
(4) To identify and describe factors driving U.S. spending growth
(5) To be knowledgeable about the fundamentals of economic evaluation and
comparative effectiveness research and to understand the relevance of economic
evaluation and comparative effectiveness research to providers and insurers.
Readings:
FGS Ch. 4
NIHCM Foundation Data Brief, “The Concentration of Health Care Spending,” July 2012.
Newhouse, J. “Medical Care Costs: How Much Welfare Loss?” Journal of Economic
4
Perspectives, 1992, 6(3): 3-21.
Bundorf, MK, A. Royalty, and L. Baker. “Health Care Cost Growth among the Privately
Insured.” Health Affairs, September/October 2009, 1294-1304.
Eisenberg, John M. “Clinical Economics – A Guide to the Economic Analysis of Clinical
Practices.” JAMA, Vol. 262, #20, November 24, 1989, pp. 2879-2886.
Supplemental Resources:
Thorpe, Florence, and Joski. “Which Medical Conditions Account for the Rise in Health
Care Spending?” Health Affairs, 25 Aug 2004, Web Exclusive
Dartmouth Atlas of Health Care: http://www.dartmouthatlas.org/
HTA 101: Introduction to Health Technology Assessment. Accessed at:
http://www.nlm.nih.gov/nichsr/hta101/hta101.pdf.
Chandra, A., A. Jena, J. Skinner. “The Pragmatist’s Guide to Comparative Effectiveness
Research,” Journal of Economic Perspectives, 25(2), Spring 2011, 27-46.

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