Though health expenditures in the U.S. are carefully tracked by the Centers for Medicare and Medicaid Services and the Bureau of Economic Analysis, the health outcomes associated with these expenditures are not. To address this need, our past research has developed detailed measures of population health and medical spending using existing national data, in order to systematically and jointly measure the benefits and the costs of medical care. These methods have been developed to serve as a Satellite National Health Account, enabling a better understanding of the health sector in the United States. We propose two new avenues of analysis using these tools that will greatly expand our understanding of health change in relation to costs across the U.S. population. The first is to examine health in conjunction with costs among all age groups- -including the elderly, middle-aged, young adults, and children-and among different socioeconomic groups. The second is to examine the health of those with different diseases, and understand specifically how it has changed over time in terms of the relationship of each disease to health and medical spending. A major output of the project is the production of a satellite National Health Account for the U.S. population as a whole, that gives critical information on health outcomes and medical expenditures for specific diseases over time, overall and among different sociodemographic groups.
This project will result in a National Health Account for the whole U.S. population, providing detailed information on health in conjunction with medical expenditures-overall, among those with different diseases, and in different socioeconomic groups. These results will provide direction as to how to more efficiently target resources to improve population health and to increase the value of the medical spending.
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| Ly, Dan P; Cutler, David M (2018) Factors of U.S. Hospitals Associated with Improved Profit Margins: An Observational Study. J Gen Intern Med 33:1020-1027 |
| Cutler, David M (2018) What Is The US Health Spending Problem? Health Aff (Millwood) 37:493-497 |
