Thursday, August 2, 2018

APPAM is the Natural Place to Encourage New Scholars in our Field | APPAM Leadership Blog Series

I can still remember my first APPAM presentation in 1993 like it was yesterday. It was at 8 am on a Friday and all six of the panel members were from the West Coast, so we were bleary-eyed and tired. On my panel was a former university system provost, two leading scholars on higher ed governance, the President and CEO of the leading national nonprofit, a senior economist from a renowned think tank, and me—a graduate student at the RAND Graduate School. What an amazing opportunity!

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Why Has Growth in Spending for Fee-for-Service Medicare Slowed?

September 2, 2014 10:00 AM

Growth in spending per beneficiary in the fee-for-service portion of Medicare has slowed substantially in recent years. The slowdown has been widespread, extending across all of the major service categories, groups of beneficiaries that receive very different amounts of medical care, and all major regions. In this week's featured paper Why Has Growth in Spending for Fee-for-Service Medicare Slowed?, authors Michael Levin, Congressional Budget Office, and Melinda Buntin, Vanderbilt University, estimates that slower growth in payment rates and changes in observable factors affecting beneficiaries’ demand for services explain little of the slowdown in spending growth for elderly beneficiaries between the 2000–2005 and 2007–2010 periods.

Available evidence does not support a finding that demand for health care by Medicare beneficiaries was measurably diminished by the financial turmoil and recession. Instead, much of the slowdown in spending growth appears to have been caused by other factors affecting beneficiaries’ demand for care and by changes in providers’ behavior. The authors discuss the contribution that those factors may have made to the slowdown in spending growth and the difficulties in quantifying those influences and predicting their persistence.

Download the paper [PDF]

 

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