{"title":"美国医疗保健支出的集中和对未来支出的预测","authors":"S. Cohen","doi":"10.3233/JEM-160427","DOIUrl":null,"url":null,"abstract":"Estimates of health care expenses for the U.S. population are critical to policymakers and others concerned with access to medical care and the cost and sources of payment for that care. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC), this study provides detailed estimates of the concentration and persistence in the level of health care expenditures in the United States. Attention is given to identifying the characteristics of individuals with the highest levels of medical expenditures, in addition to those factors that are associated with low medical expense profiles. Analyses are included to discern the most salient factors that serve to predict the likelihood of experiencing high levels of medical expenditures in a subsequent year, in addition to the factors operational in predictions of experiencing low levels of medical expenditures in a subsequent year.","PeriodicalId":53705,"journal":{"name":"Journal of Economic and Social Measurement","volume":"41 1","pages":"167-189"},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/JEM-160427","citationCount":"13","resultStr":"{\"title\":\"The concentration of health care expenditures in the U.S. and predictions of future spending\",\"authors\":\"S. Cohen\",\"doi\":\"10.3233/JEM-160427\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Estimates of health care expenses for the U.S. population are critical to policymakers and others concerned with access to medical care and the cost and sources of payment for that care. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC), this study provides detailed estimates of the concentration and persistence in the level of health care expenditures in the United States. Attention is given to identifying the characteristics of individuals with the highest levels of medical expenditures, in addition to those factors that are associated with low medical expense profiles. Analyses are included to discern the most salient factors that serve to predict the likelihood of experiencing high levels of medical expenditures in a subsequent year, in addition to the factors operational in predictions of experiencing low levels of medical expenditures in a subsequent year.\",\"PeriodicalId\":53705,\"journal\":{\"name\":\"Journal of Economic and Social Measurement\",\"volume\":\"41 1\",\"pages\":\"167-189\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.3233/JEM-160427\",\"citationCount\":\"13\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Economic and Social Measurement\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3233/JEM-160427\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Social Sciences\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Economic and Social Measurement","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3233/JEM-160427","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Social Sciences","Score":null,"Total":0}
The concentration of health care expenditures in the U.S. and predictions of future spending
Estimates of health care expenses for the U.S. population are critical to policymakers and others concerned with access to medical care and the cost and sources of payment for that care. Medical care expenses, however, are highly concentrated among a relatively small proportion of individuals in the community population. Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC), this study provides detailed estimates of the concentration and persistence in the level of health care expenditures in the United States. Attention is given to identifying the characteristics of individuals with the highest levels of medical expenditures, in addition to those factors that are associated with low medical expense profiles. Analyses are included to discern the most salient factors that serve to predict the likelihood of experiencing high levels of medical expenditures in a subsequent year, in addition to the factors operational in predictions of experiencing low levels of medical expenditures in a subsequent year.
期刊介绍:
The Journal of Economic and Social Measurement (JESM) is a quarterly journal that is concerned with the investigation of all aspects of production, distribution and use of economic and other societal statistical data, and with the use of computers in that context. JESM publishes articles that consider the statistical methodology of economic and social science measurements. It is concerned with the methods and problems of data distribution, including the design and implementation of data base systems and, more generally, computer software and hardware for distributing and accessing statistical data files. Its focus on computer software also includes the valuation of algorithms and their implementation, assessing the degree to which particular algorithms may yield more or less accurate computed results. It addresses the technical and even legal problems of the collection and use of data, legislation and administrative actions affecting government produced or distributed data files, and similar topics. The journal serves as a forum for the exchange of information and views between data producers and users. In addition, it considers the various uses to which statistical data may be put, particularly to the degree that these uses illustrate or affect the properties of the data. The data considered in JESM are usually economic or social, as mentioned, but this is not a requirement; the editorial policies of JESM do not place a priori restrictions upon the data that might be considered within individual articles. Furthermore, there are no limitations concerning the source of the data.