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Appendices. Appendix 1: Supplementary Data Tables Trends in the Overall Health Care Market.

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Presentation on theme: "Appendices. Appendix 1: Supplementary Data Tables Trends in the Overall Health Care Market."— Presentation transcript:

1 Appendices

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3 Appendix 1: Supplementary Data Tables Trends in the Overall Health Care Market

4 Chartbook 2003 Table 1.1: National Health Expenditures 1980 - 2001 Source: Centers for Medicare & Medicaid Services, Office of the Actuary: National Health Statistics Group (1) Expressed in 1980 dollars; adjusted using the overall consumer price index for urban consumers Data for Charts 1.1, 1.3, and 1.10 Supplementary Data Tables - Trends in the Overall Health Care Market 62

5 Chartbook 2003 Table 1.2: Percent Change in National Expenditures for Selected Health Services and Supplies 1992 - 2001 Source: Centers for Medicare and Medicaid Services, Office of the Actuary Data for Chart 1.7 Supplementary Data Tables - Trends in the Overall Health Care Market 63 Table 1.3: Out-of-Pocket Payments for Health Expenditures 1990 - 2001 Source: Centers for Medicare & Medicaid Services, Office of the Actuary Data for Chart 1.9

6 Chartbook 2003 Table 1.4: National Health Expenditures (1) 1980 - 2012 Source: Centers for Medicare & Medicaid Services, Office of the Actuary (1) Years 2002 – 2012 are projections Data for Chart 1.8 Supplementary Data Tables - Trends in the Overall Health Care Market 64

7 Chartbook 2003 Table 1.5: Growth in Total Prescription Drug Spending as a Percentage of Total Growth in National Health Expenditures 1981 - 2001 Source: Centers for Medicare & Medicaid Services, Office of the Actuary Data for Chart 1.11 Supplementary Data Tables - Trends in the Overall Health Care Market 65

8 Chartbook 2003 Table 1.6: Consumer Out-of-Pocket Spending vs. Private Health Insurance Spending for Prescription Drugs 1980 - 2001 Source: Centers for Medicare & Medicaid Services, Office of the Actuary Data for Chart 1.12 Supplementary Data Tables - Trends in the Overall Health Care Market 66

9 Chartbook 2003 Table 1.7: Number and Percent Uninsured 1985 - 2001 Source: US Census Bureau (1) 1999, 2000, and 2001 data use population estimates based on Census 2000. Data for Chart 1.15 Supplementary Data Tables - Trends in the Overall Health Care Market 67 Table 1.8: Medicaid Enrollees 1990, 1995, 2000, and 2001 Source: Centers for Medicare & Medicaid Services Data for Chart 1.18

10 Chartbook 2003 Table 1.9: Percent Uninsured by State 2001 Source: US Census Bureau Data for Chart 1.16 Supplementary Data Tables - Trends in the Overall Health Care Market 68

11 Chartbook 2003 Table 1.10: Percent Change in SCHIP Enrollment by State FY 2001 – FY 2002 Source: Center for Medicare and Medicaid Services (1) Based on Statistical Enrollment Data System (SEDS) data only Data for Chart 1.20 69 Supplementary Data Tables - Trends in the Overall Health Care Market

12 Chartbook 2003 Supplementary Data Tables - Trends in the Overall Health Care Market 70 Table 1.12: Percent Distribution of Employer-sponsored Health Insurance Enrollment by Type of Plan 1988 - 2002 Source: The Kaiser Family Foundation and Health Research and Educational Trust, Employer Health Benefits 2002 Annual Survey (1) Point-of-service plans not separately identified Data for Chart 1.22 Table 1.11: Percentage of Employees with Employer-based Coverage Who Can Choose Conventional, PPO, HMO and POS Plans 1988 - 2002 Source: The Kaiser Family Foundation and Health Research and Educational Trust, Employer Health Benefits 2002 Annual Survey (1) Point-of-service plans not separately identified Data for Chart 1.21

13 Chartbook 2003 Table 1.13: Growth in Medicare Spending per Beneficiary vs. Private Health Insurance Spending per Enrollee 1980 - 2001 Source: Centers for Medicare & Medicaid Services, Office of the Actuary Data for Chart 1.24 Supplementary Data Tables - Trends in the Overall Health Care Market 71

14 Chartbook 2003 Table 1.14: Percentage of Medicaid Beneficiaries Enrolled in Medicaid Managed Care by State 2000 and 2001 Source: Centers for Medicare & Medicaid Services, Office of the Actuary Data for Chart 1.26 Supplementary Data Tables - Trends in the Overall Health Care Market 72

15 Chartbook 2003 Table 1.15: Blue Cross/Blue Shield Underwriting Gain/Loss 1965 - 2001 Source: Milliman USA Data for Chart 1.29 Supplementary Data Tables - Trends in the Overall Health Care Market 73

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17 Appendix 2: Supplementary Data Tables Organizational Trends

18 Chartbook 2003 Table 2.1: Number of Community Hospitals (1) 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals (1) All nonfederal, short-term general, and special hospitals whose facilities and services are available to the public (2) Hospitals that are part of a corporate body that may own and/or manage health provider facilities or health-related subsidiaries as well as non-health-related facilities including freestanding and/or subsidiary corporations Data for Charts 2.1 and 2.4 Supplementary Data Tables - Organizational Trends 76

19 Chartbook 2003 Table 2.2: Number of Beds and Number of Beds per 1,000 Persons 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals Data for Chart 2.2 Supplementary Data Tables - Organizational Trends 77

20 Chartbook 2003 Table 2.3: Beds per 1,000 Persons by State 2000 and 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2001, for community hospitals Data for Chart 2.3 Supplementary Data Tables - Organizational Trends 78

21 Chartbook 2003 Table 2.4: Percent of Outpatient Surgeries by Facility Type 1981 - 1999 Source: SMG Marketing Group Data for Chart 2.5 79 Table 2.5: Percentage of Hospitals with Physician Affiliates (1) by Type of Relationship 1994 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1994-2001, for community hospitals (1) A hospital is considered to have a physician relationship if the relationship exists as part of the hospital or a system or network of which the hospital is a part Data for Chart 2.7 Supplementary Data Tables - Organizational Trends

22 Chartbook 2003 Table 2.6: Percentage of Hospitals with Insurance Products by Type of Insurance 1994 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1994-2001, for community hospitals Data for Chart 2.8 Supplementary Data Tables - Organizational Trends 80 Table 2.7: Percentage of Hospitals Offering Non-hospital Services 1995 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1995-2001, for community hospitals Data for Chart 2.9

23 Appendix 3: Supplementary Data Tables Utilization and Volume

24 Chartbook 2003 Table 3.1: Trends in Inpatient Utilization in Community Hospitals 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals Data for Charts 3.1, 3.2, 3.3, 3.4, 3.5, and 3.14 Supplementary Data Tables - Utilization and Volume 82

25 Chartbook 2003 Table 3.2: Average Length of Stay in Community Hospitals by State 2000 and 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2001, for community hospitals Data for Chart 3.6 Supplementary Data Tables - Utilization and Volume 83

26 Chartbook 2003 Table 3.3: Emergency Department Visits, Emergency Department Visits per 1,000, and Number of Emergency Departments 1990 - 2001 84 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990-2001, for community hospitals (1) Defined as hospitals that reported ED visits Data for Charts 3.7 and 3.8 Supplementary Data Tables - Utilization and Volume

27 Chartbook 2003 Table 3.4: Conditions Hospitals Reported as Contributing to Diversion and Contributing to Boarding Patients in the Past 12 Months FY 2001 85 Source: GAO Survey of Hospital Emergency Departments, 2002 Data for Charts 3.10 and 3.11 Supplementary Data Tables - Utilization and Volume

28 Chartbook 2003 Table 3.5: Outpatient Utilization in Community Hospitals 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals Data for Charts 3.12, 3.13, and 3.14 Supplementary Data Tables - Utilization and Volume 86

29 Appendix 4: Supplementary Data Tables Trends in Hospital Financing

30 Chartbook 2003 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals (1) Operating Margin is calculated as the difference between operating revenue and total expenses divided by operating revenue (2) Patient Margin is calculated as the difference between net patient revenue and total expenses divided by net patient revenue (3) Total Hospital Margin is calculated as the difference between total net revenue ant total expenses divided by total net revenue Data for Charts 4.1, 4.2, and 4.8 Table 4.1: Aggregate Operating (1), Patient (2), and Total (3) Hospital Margins, Percentage of Hospitals with Negative Total Margins, and Aggregate Non-operating Gains as a Percentage of Total Net Revenue 1980-2001 Supplementary Data Tables - Trends in Hospital Financing 88

31 Chartbook 2003 Table 4.2: Distribution of Inpatient vs. Outpatient Revenues 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals Data for Chart 4.4 89 Supplementary Data Tables - Trends in Hospital Financing

32 Chartbook 2003 Table 4.3: Annual Change in Hospital Operating Revenue and Expenses per Adjusted Admission (1) 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals (1) An aggregate measure of workload reflecting the number of inpatient admissions, plus an estimate of the volume of outpatient services, expressed in units equivalent to an inpatient admission in terms of level of effort Data for Chart 4.5 Supplementary Data Tables - Trends in Hospital Financing 90

33 Chartbook 2003 Table 4.4: Aggregate Hospital Payment-to-Cost Ratios for Private Payers, Medicare and Medicaid 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals Data for Chart 4.7 Supplementary Data Tables - Trends in Hospital Financing 91

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35 Appendix 5: Supplementary Data Tables Workforce

36 Chartbook 2003 Table 5.1: Total Number of Active Physicians per 1,000 Persons by State 1999 and 2000 Source: Health United States, 2001 and 2002; includes active non-federal doctors of medicine and active doctors of osteopathy Data for Chart 5.2 Supplementary Data Tables - Workforce 94

37 Chartbook 2003 Table 5.2: Medical and Dental Residents in Training in Community Hospitals 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals Data for Chart 5.3 Supplementary Data Tables - Workforce 95

38 Chartbook 2003 Table 5.3: Total Full Time Equivalent Employees Working in Hospitals and Full Time Equivalents per Adjusted Admission (1) 1980 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-2001, for community hospitals (1) An aggregate measure of workload reflecting the number of inpatient admissions, plus an estimate of the volume of outpatient services, expressed in units equivalent to an inpatient admission in terms of level of effort Data for Charts 5.4 and 5.5 Supplementary Data Tables - Workforce 96

39 Chartbook 2003 Table 5.4: Number of RN Full Time Equivalent Employees, RN Full Time Equivalent Employees per Adjusted Admission, and RN Full Time Equivalents as a Percentage of Total FTEs 1986 - 2001 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1986-2001, for community hospitals Data for Charts 5.6 and 5.7 Supplementary Data Tables - Workforce 97 Table 5.5: Number of Physicians by Age 1980, 1990, and 2001 Source: American Medical Association, Physician Characteristics and Distribution in the US, 2003-2004 Edition Data for Chart 5.8

40 Chartbook 2003 Supplementary Data Tables - Workforce 98 Table 5.6: RN Employment by Type of Provider 1980 - 2000 Source: Findings from the National Sample Survey of Registered Nurses, 1980 - 2000; Bureau of Health Professionals, Division of Nursing Data for Chart 5.9 Table 5.7: Distribution of RN Workforce by Age Group 1980 – 2020 (projected) Source: Buerhaus, P.I. et al. Implications of an Aging Registered Nurse Workforce. JAMA: 2000:283:2948-2954 Data for Chart 5.10

41 Chartbook 2003 Supplementary Data Tables - Workforce 99 Table 5.8: National Supply and Demand Projections for FTE RNs 2000 - 2020 Source: National Center For Health Workforce Analysis, Bureau of Health Professions, Health Resources and Services Administration, 2002 Data for Chart 5.12

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