About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

28 Health Care Financing Review 1 (2006-2007)

handle is hein.usfed/hhcrefngrv0028 and id is 1 raw text is: Future Directions for the National Health Expenditure Accounts: Conference Overview Haiden A. Huskamp, Ph.D., Anna D. Sinaiko, M.P.P., and Joseph P. Newhouse, Ph.D. Since 1984 the Centers for Medicare & Medicaid Services (CMS) has sponsored a series of conferences to discuss improve- ments to national health expenditure account (NHEA) activities. This article summarizes the 2005 conference and highlights changes made since the previous conference, commis- sioned papers on future directions for NHEA projects, and participant recommendations. BACKGROUND Over the past 20 years, CMS, formerly the Health Care Financing Administration (HCFA), engaged in ongoing efforts to improve the methodology and data collec- tion processes used to develop the NHEA. The NHEA are an annual series of statistics on national health spending that were first published in 1964 (Lazenby et al., 1992). HCFA convened conferences in 1984, 1990, and 1998 to discuss recommendations for changes in methodology, dissemination strategies, and future improvements and extensions to NHEA projects (Lindsey and Newhouse, 1986; Haber and Newhouse, 1991; Huskamp and Newhouse, 1999). In April 2005, CMS held a fourth confer- ence to discuss possible improvements and extensions to current NHEA activities. This article summarizes recommendations from the previous conference in March 1998 and improvements since that time. Haiden A. Huskamp is with Harvard Medical School. Anna D. Sinaiko and Joseph P. Newhouse are with Harvard University. The statements expressed in this article are those of the authors and do not necessarily reflect the views or policies of Harvard Medical School, Harvard University, or the Centers for Medicare & Medicaid Services (CMS). It also provides an overview of four com- missioned papers on future directions for NHEA projects that were presented at the 2005 conference, and summarizes sugges- tions made by conference participants. 1998 STATUS RECOMMENDATIONS Within the constraints imposed by the underlying data and by resource limita- tions, CMS has addressed several of the recommendations made at the 1998 meet- ing, as follows: Release of State-Level Expenditure Estimates-In March 2006, CMS released State of provider estimates through 2004 (Centers for Medicare & Medicaid Services, 2006a). In 2002, CMS pub- lished State-of-provider and State-of-resi- dence estimates through 1998 (Martin et al., 2001). e Release of Expenditure Estimates by Age- CMS published spending estimates by age for the years 1987, 1996, and 1999 in December 2004, and plans to produce periodic updates of these estimates in the future (Keehan, et al., 2004). e Improve Treatment of Capital Investment in the NHEA-A methodological change in the treatment of capital investment was adopted for the 2004 NHEA release that more fully captures capital investments in the health care system. Capital investment was redefined to include the value put in place for all structures where the provi- sion of medical services is the primary activity of the occupants. Additionally, the HEALTH CARE FINANCING REVIEW/Fall 2006/Volume 28, Number 1

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most