Burden of Health Care Costs Businesses, Households and.pptVIP

Ultimate Source of Funding in the United States, 1987-2003 Presented by Cathy A. Cowan National Health Statistics Group Office of the Actuary Centers for Medicare Medicaid Services September 30, 2005 National Health Expenditure Accounts SHA Definitions The first perspective, commonly used in National Health Accounts, aims a break down of expenditure on health into the complex range of third-party -payment arrangements plus the direct payments by households or other direct funders of , e.g., government provided health care. The second perspective asks for the ultimate burden of financing born by sources of funding . In this kind of analysis, the sources of financing of the intermediary sources of funding ( social security funds; private social and other private insurance; NPISHs) are traced back to their origin. Additional transfers such as intergovernmental transfers, tax deductions; subsidies to providers; and financing by the rest of the world are included to complete the picture.` Structure of United States’ National Health Expenditures Accounts Personal Health Care -- therapeutic goods or services rendered to treat or prevent a specific disease or condition in a specific person. Health Services and Supplies – personal health care expenditures plus government public health activity, and program administration. National Health Expenditures -- the combined value of health services and supplies, research, and construction. Ultimate Source of Funding Disaggregation of health services and supplies By sponsors of health care Businesses Households Governments Federal State and Local Other private funds Crosswalk of National Health Expenditures Payers to Business Households and Government Sponsors Data Sources Private Health Insurance Employer sponsored health insurance Agency for Healthcare Research and Quality Medical Expenditure Panel Survey Bureau of Labor Statistics National Compensation Survey Individually purchased insurance Bureau