Alternative Price Indexes for Medical Care: Evidence from the MEPS Survey

Spending on medical care is a large and growing component of GDP. There are wellknown measurement problems that are estimated to overstate inflation and understate real growth for this sector by as much as 1-1/2 percentage points per year. Because of its size, this would translate into an overstatement of inflation for the overall economy of about ¼ percentage point with an equal understatement in real GDP growth. In this paper, we use data from the Medical Expenditure Panel Survey to obtain new, more comprehensive estimates for this bias and to explore a possible adjustment to existing official price indexes. The MEPS data show an upward bias to price growth in this sector of 1 percentage point, which translates into an overstatement of overall inflation of .2 percentage point and an understatement of GDP growth of the same amount. We also find that an adjustment recently used in Bradley et al provides a useful approximation to the indexes advocated by health economists.

[1]  Joseph P. Newhouse,et al.  Are Medical Prices Declining? Evidence from Heart Attack Treatments , 1998 .

[2]  Micah B. Hartman,et al.  A Reconciliation of Health Care Expenditures in the National Health Expenditures Accounts and in Gross Domestic Product , 2010 .

[3]  D. Cutler,et al.  Measuring health care costs of individuals with employer-sponsored health insurance in the U.S.: A comparison of survey and claims data. , 2013, Statistical journal of the IAOS.

[4]  C. Cowan,et al.  Reconciling Medical Expenditure Estimates from the MEPS and NHEA, 2002 , 2006, Health care financing review.

[5]  Han Bleichrodt,et al.  Handbook of Health Economics , 2001 .

[6]  Gary L. Olin,et al.  Validating household reports of health care use in the medical expenditure panel survey. , 2009, Health services research.

[7]  C. Schultze,et al.  At what price? : conceptualizing and measuring cost-of-living and price indexes , 2002 .

[8]  David W. Wilcox,et al.  Measuring the Value of Cataract Surgery , 2001 .

[9]  E. Berndt,et al.  Treatment Price Indexes for Acute Phase Major Depression , 2001 .

[10]  Joel W. Cohen,et al.  The Medical Expenditure Panel Survey: A National Information Resource to Support Healthcare Cost Research and Inform Policy and Practice , 2009, Medical care.

[11]  K. Thorpe,et al.  Which medical conditions account for the rise in health care spending? , 2004, Health affairs.

[12]  D. Cutler,et al.  Challenges in Building Disease-Based National Health Accounts , 2009, Medical care.

[13]  Z. Griliches,et al.  Medical Care Prices and Output , 2000 .

[14]  Gary L. Olin,et al.  Accuracy of Medicare Expenditures in the Medical Expenditure Panel Survey , 2009, Inquiry : a journal of medical care organization, provision and financing.

[15]  Rice Dp,et al.  Estimating the cost of illness. , 1967 .

[16]  David M. Cutler,et al.  Measuring Medical Care Productivity: A Proposal for U.S. National Health Accounts , 2007 .

[17]  Z. Griliches,et al.  Pharmaceutical Innovations and Market Dynamics: Tracking Effects on Price Indexes for Antidepressant Drugs , 1996 .

[18]  George Miller,et al.  National health spending by medical condition, 1996-2005. , 2009, Health affairs.

[19]  T. Hodgson,et al.  Medical Expenditures for Major Diseases, 1995 , 1999, Health care financing review.

[20]  J. Levy,et al.  Clinician Feedback on Using Episode Groupers with Medicare Claims Data , 2009, Health care financing review.

[21]  Matthew D. Shapiro,et al.  Mismeasurement in the Consumer Price Index: An Evaluation , 1996, NBER Macroeconomics Annual.

[22]  S. Normand,et al.  The Medical Treatment of Depression, 1991-1996: Productive Inefficiency, Expected Outcome Variations, and Price Indexes , 2000, Journal of health economics.

[23]  Ana Aizcorbe,et al.  Changing mix of medical care services: stylized facts and implications for price indexes. , 2013, Journal of health economics.

[24]  A. Rosen Accounting for Health and Health Care: Approaches to Measuring the Sources and Costs of Their Improvement , 2010 .

[25]  A. Scitovsky Changes in the Costs of Treatment of Selected Illnesses, 1971-1981 , 1985, Medical care.

[26]  C. Cowan,et al.  Reconciling medical expenditure estimates from the MEPS and NHEA, 2007. , 2012, Medicare & medicaid research review.