Access the full text.
Sign up today, get DeepDyve free for 14 days.
A. Rosen, D. Cutler (2009)
Challenges in Building Disease-Based National Health AccountsMedical Care, 47
Tim Lang (2007)
Functional foodsBMJ : British Medical Journal, 334
David Lassman, Micah Hartman, Benjamin Washington, Kimberly Andrews, Aaron Catlin (2014)
US health spending trends by age and gender: selected years 2002-10.Health affairs, 33 5
M Fortin, H Soubhi, C Hudon, EA Bayliss, M van den Akker (2007)
Multimorbidity’s many challenges, 334
E. Finkelstein, J. Trogdon, Joel Cohen, William Dietz (2009)
Annual medical spending attributable to obesity: payer-and service-specific estimates.Health affairs, 28 5
M. Naghavi, Susanna Makela, Kyle Foreman, J. O'Brien, F. Pourmalek, R. Lozano (2010)
Algorithms for enhancing public health utility of national causes-of-death dataPopulation Health Metrics, 8
C. Roehrig, G. Miller, C. Lake, J. Bryant (2009)
National health spending by medical condition, 1996-2005.Health affairs, 28 2
Hannah Hamavid, Maxwell Birger, Anne Bulchis, L. Lomsadze, Jonathan Joseph, R. Baral, Anthony Bui, Cody Horst, Elizabeth Johnson, J. Dieleman (2016)
Assessing the Complex and Evolving Relationship between Charges and Payments in US Hospitals: 1996 – 2012PLoS ONE, 11
Abe Dunn, Lindsey Rittmueller, Bryn Whitmire (2016)
Health Care Spending Slowdown From 2000 To 2010 Was Driven By Lower Growth In Cost Per Case, According To A New Data Source.Health affairs, 35 1
K. Yabroff, J. Lund, D. Kepka, A. Mariotto (2011)
Economic Burden of Cancer in the United States: Estimates, Projections, and Future ResearchCancer Epidemiology, Biomarkers & Prevention, 20
Tina Highfill, David Johnson (2015)
Measuring Nursing Home Price Growth between 2000-2009
V. Feigin, Gregory Roth, M. Naghavi, P. Parmar, R. Krishnamurthi, S. Chugh, G. Mensah, B. Norrving, I. Shiue, Marie Ng, Kara Estep, Kelly Cercy, C. Murray, M. Forouzanfar (2016)
Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013The Lancet Neurology, 15
Ana Aizcorbe, E. Liebman, Sarah Pack, D. Cutler, M. Chernew, A. Rosen (2013)
Measuring health care costs of individuals with employer-sponsored health insurance in the U.S.: A comparison of survey and claims data.Statistical journal of the IAOS, 28 1-2
D. Bernard, C. Cowan, T. Selden, Liming Cai, Aaron Catlin, S. Heffler (2012)
Reconciling medical expenditure estimates from the MEPS and NHEA, 2007.Medicare & medicaid research review, 2 4
M. Sing, J. Banthin, T. Selden, C. Cowan, Sean Keehan (2006)
Reconciling Medical Expenditure Estimates from the MEPS and NHEA, 2002Health Care Financing Review, 28
M. Hurd, Paco Martorell, K. Langa (2013)
Monetary costs of dementia in the United States.The New England journal of medicine, 369 5
C. Roehrig (2016)
Mental Disorders Top The List Of The Most Costly Conditions In The United States: $201 Billion.Health affairs, 35 6
(2016)
Health care costs—from birth to death. http://www.healthcostinstitute.org/files/Age -Curve-Study_0.pdf
C. Roehrig, David Rousseau (2011)
The growth in cost per case explains far more of US health spending increases than rising disease prevalence.Health affairs, 30 9
J. Wolff, B. Starfield, G. Anderson (2002)
Prevalence, expenditures, and complications of multiple chronic conditions in the elderly.Archives of internal medicine, 162 20
T. Hodgson, A. Cohen (1999)
Medical care expenditures for diabetes, its chronic complications, and its comorbidities.Preventive medicine, 29 3
Anand Patil, David Huard, C. Fonnesbeck (2010)
PyMC: Bayesian Stochastic Modelling in Python.Journal of statistical software, 35 4
CJL Murray, RM Barber, KJ Foreman (2015)
Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990-2013: quantifying the epidemiological transition, 386
K. Thorpe, C. Florence, P. Joski (2004)
Which medical conditions account for the rise in health care spending?Health affairs, Suppl Web Exclusives
(2016)
Bspline. https://github.com/johntfoster /bspline
ImportanceUS health care spending has continued to increase, and now accounts for more than 17% of the US economy. Despite the size and growth of this spending, little is known about how spending on each condition varies by age and across time. ObjectiveTo systematically and comprehensively estimate US spending on personal health care and public health, according to condition, age and sex group, and type of care. Design and SettingGovernment budgets, insurance claims, facility surveys, household surveys, and official US records from 1996 through 2013 were collected and combined. In total, 183 sources of data were used to estimate spending for 155 conditions (including cancer, which was disaggregated into 29 conditions). For each record, spending was extracted, along with the age and sex of the patient, and the type of care. Spending was adjusted to reflect the health condition treated, rather than the primary diagnosis. ExposuresEncounter with US health care system. Main Outcomes and MeasuresNational spending estimates stratified by condition, age and sex group, and type of care. ResultsFrom 1996 through 2013, $30.1 trillion of personal health care spending was disaggregated by 155 conditions, age and sex group, and type of care. Among these 155 conditions, diabetes had the highest health care spending in 2013, with an estimated $101.4 billion (uncertainty interval [UI], $96.7 billion-$106.5 billion) in spending, including 57.6% (UI, 53.8%-62.1%) spent on pharmaceuticals and 23.5% (UI, 21.7%-25.7%) spent on ambulatory care. Ischemic heart disease accounted for the second-highest amount of health care spending in 2013, with estimated spending of $88.1 billion (UI, $82.7 billion-$92.9 billion), and low back and neck pain accounted for the third-highest amount, with estimated health care spending of $87.6 billion (UI, $67.5 billion-$94.1 billion). The conditions with the highest spending levels varied by age, sex, type of care, and year. Personal health care spending increased for 143 of the 155 conditions from 1996 through 2013. Spending on low back and neck pain and on diabetes increased the most over the 18 years, by an estimated $57.2 billion (UI, $47.4 billion-$64.4 billion) and $64.4 billion (UI, $57.8 billion-$70.7 billion), respectively. From 1996 through 2013, spending on emergency care and retail pharmaceuticals increased at the fastest rates (6.4% [UI, 6.4%-6.4%] and 5.6% [UI, 5.6%-5.6%] annual growth rate, respectively), which were higher than annual rates for spending on inpatient care (2.8% [UI, 2.8%–2.8%] and nursing facility care (2.5% [UI, 2.5%-2.5%]). Conclusions and RelevanceModeled estimates of US spending on personal health care and public health showed substantial increases from 1996 through 2013; with spending on diabetes, ischemic heart disease, and low back and neck pain accounting for the highest amounts of spending by disease category. The rate of change in annual spending varied considerably among different conditions and types of care. This information may have implications for efforts to control US health care spending.
JAMA – American Medical Association
Published: Dec 27, 2016
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.