Appendix A
Summary Statistics from the Medical CPI and U.S. Medical Expenditures Panel Survey

The tables in this appendix were distributed in a handout at the workshop by participants from the Bureau of Labor Statistics. Table A.1 lists the number of people in each conditions field from the associated Medical Expenditure Panel Survey (MEPS) file; these are national estimates, so person weights are being used for cases in which at least one diagnosis is present for these diseases. For example, in 1998, 25 million people had at least one diagnosis of infectious diseases. Table A.2 gives the nominal expenditures that are in the MEPS event files by disease, by year. For example, $1.61 billion was spent on physicians for infectious and parasitic diseases in 1998. Table A.3 gives utilization or quantities used to adjust the experimental disease index. For example, in 1998, for infectious and parasitic diseases, there was an average of 1.2 physician visits for that year. Table A.4 details, by source, expenditures based on the consumer price index strata for various services. Table A.5 gives the cumulative growth rate from January 1999 to December 2004 by disease for various indexes.



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Appendix A Summary Statistics from the Medical CPI and U.S. Medical Expenditures Panel Survey The tables in this appendix were distributed in a handout at the workshop by participants from the Bureau of Labor Statistics. Table A.1 lists the number of people in each conditions field from the associated Medical Expenditure Panel Survey (MEPS) file; these are national estimates, so person weights are being used for cases in which at least one diagnosis is present for these diseases. For example, in 1998, 25 million people had at least one diagnosis of infectious diseases. Table A.2 gives the nominal expenditures that are in the MEPS event files by disease, by year. For example, $1.61 billion was spent on physicians for infectious and parasitic diseases in 1998. Table A.3 gives utilization or quantities used to adjust the experimental disease index. For example, in 1998, for infec- tious and parasitic diseases, there was an average of 1.2 physician visits for that year. Table A.4 details, by source, expenditures based on the consumer price index strata for various services. Table A.5 gives the cumulative growth rate from January 1999 to December 2004 by disease for various indexes. 

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 STrATEgiES fOr A BEA SATElliTE HEAlTH CArE ACCOuNT TABLE A.1 Number of Diagnoses by Major Disease and Year, 1998-2004 (in millions) Disease 1998 1999 2000 2001 2002 2003 2004 Infectious diseases 25.1 23.8 24.5 26.2 26.1 26.0 23.9 Neoplasms 17.2 16.9 17.2 18.9 20.7 20.6 20.1 Endocrine, nutritional, and related 47.1 50.2 55.0 60.8 64.7 67.7 75.6 diseases Diseases of the blood 3.1 3.3 3.9 4.2 4.2 4.1 4.2 Mental disorders 40.7 38.2 39.8 45.7 54.5 56.0 59.7 Diseases of the nervous system 85.5 79.1 76.9 81.7 82.6 86.6 88.2 Diseases of the circulatory system 65.7 65.1 68.8 72.4 80.0 83.6 87.5 Diseases of the respiratory system 175.6 172.7 168.9 183.2 179.1 184.4 177.4 Diseases of the digestive system 79.1 82.1 82.7 83.4 90.4 93.8 92.2 Diseases of the genitourinary 34.7 35.3 38.0 40.8 41.3 41.8 41.3 system Complications of pregnancy 13.7 14.6 16.9 18.4 18.0 19.0 18.8 Diseases of the skin 27.4 25.8 28.2 31.4 31.6 30.9 29.2 Diseases of the musculoskeletal 75.9 75.8 76.4 86.3 96.6 99.6 102.6 system Congenital anomalies 2.3 1.6 1.6 1.7 1.7 1.8 1.9 Certain conditions in the perinatal 0.4 0.5 0.8 0.8 0.9 1.1 0.9 period Injury and poisoning 64.3 60.1 60.8 64.7 66.1 68.0 68.5 Other conditions 64.2 66.6 71.3 79.2 81.7 83.4 83.7 SOURCE: Workshop presentation by Ralph Bradley.

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TABLE A.2 National Expenditures for Various Medical Services by Major Disease and Year, 1998-2004 (in billions of dollars) Cumulative Outpatient Emergency Pharma- Inpatient Growth in Year Disease Physicians Services Room ceutical Hospital Total Totals 1998 Infectious and parasitic diseases 1.61 0.56 0.44 1.92 2.81 7.33 1.00 1999 Infectious and parasitic diseases 2.32 0.52 0.38 2.21 5.72 11.16 1.52 2000 Infectious and parasitic diseases 2.07 0.54 0.25 1.74 4.56 9.16 1.25 2001 Infectious and parasitic diseases 2.46 0.50 0.55 2.58 2.19 8.27 1.13 2002 Infectious and parasitic diseases 2.62 0.81 0.54 4.21 8.21 16.39 2.23 2003 Infectious and parasitic diseases 3.15 0.88 0.47 4.69 2.55 11.74 1.60 2004 Infectious and parasitic diseases 3.19 0.85 0.65 5.41 4.40 14.50 1.98 1998 Neoplasms 9.08 8.01 0.18 1.51 22.54 41.32 1.00 1999 Neoplasms 8.59 5.70 0.24 1.36 17.86 33.75 0.82 2000 Neoplasms 9.95 7.22 0.22 1.16 23.78 42.33 1.02 2001 Neoplasms 14.61 8.76 0.31 1.82 23.81 49.31 1.19 2002 Neoplasms 15.03 9.78 0.41 1.68 25.79 52.69 1.28 2003 Neoplasms 13.32 15.41 0.36 1.77 23.07 53.93 1.31 2004 Neoplasms 22.85 11.62 0.49 2.09 30.19 67.25 1.63 1998 Endocrine, nutritional, and metabolic diseases and 7.63 1.49 0.39 10.85 9.39 29.75 1.00 immunity disorders 1999 Endocrine, nutritional, and metabolic diseases and 7.25 1.04 0.35 13.89 7.86 30.38 1.02 immunity disorders 2000 Endocrine, nutritional, and metabolic diseases and 9.04 1.97 0.65 16.42 6.77 34.85 1.17 immunity disorders 2001 Endocrine, nutritional, and metabolic diseases and 9.42 4.19 0.93 23.18 9.55 47.27 1.59 immunity disorders  continued

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TABLE A.2 Continued 0 Cumulative Outpatient Emergency Pharma- Inpatient Growth in Year Disease Physicians Services Room ceutical Hospital Total Totals 2002 Endocrine, nutritional, and metabolic diseases and 12.45 3.37 0.65 24.19 9.89 50.55 1.70 immunity disorders 2003 Endocrine, nutritional, and metabolic diseases and 13.13 2.52 0.95 29.72 11.10 57.43 1.93 immunity disorders 2004 Endocrine, nutritional, and metabolic diseases and 16.24 2.86 0.87 33.72 14.45 68.14 2.29 immunity disorders 1998 Diseases of the blood and blood-forming organs 0.61 0.24 0.05 0.21 1.16 2.27 1.00 1999 Diseases of the blood and blood-forming organs 0.47 0.21 0.03 0.31 2.27 3.29 1.45 2000 Diseases of the blood and blood-forming organs 0.81 0.32 0.06 0.31 1.09 2.60 1.15 2001 Diseases of the blood and blood-forming organs 1.26 0.76 0.05 0.55 2.38 5.00 2.21 2002 Diseases of the blood and blood-forming organs 1.50 1.03 0.15 0.45 1.96 5.09 2.24 2003 Diseases of the blood and blood-forming organs 1.40 0.26 0.08 0.64 1.80 4.18 1.85 2004 Diseases of the blood and blood-forming organs 1.38 0.84 0.20 0.54 2.32 5.27 2.33 1998 Mental disorders 9.26 3.51 0.25 9.24 12.08 34.35 1.00 1999 Mental disorders 8.01 2.27 0.22 8.78 17.18 36.45 1.06 2000 Mental disorders 9.48 1.94 0.27 13.77 7.68 33.14 0.96 2001 Mental disorders 11.23 1.19 0.57 15.50 10.66 39.13 1.14 2002 Mental disorders 14.89 1.73 0.96 17.31 12.58 47.47 1.38 2003 Mental disorders 13.60 2.05 0.82 20.19 9.95 46.61 1.36 2004 Mental disorders 15.63 1.61 0.73 22.94 10.64 51.55 1.50 1998 Diseases of the nervous system and sense organs 13.04 7.33 1.33 5.20 9.09 35.99 1.00 1999 Diseases of the nervous system and sense organs 12.05 5.59 1.11 5.83 6.19 30.76 0.85 2000 Diseases of the nervous system and sense organs 12.65 5.38 1.16 6.35 9.94 35.49 0.99

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2001 Diseases of the nervous system and sense organs 15.32 6.95 1.95 7.42 9.60 41.24 1.15 2002 Diseases of the nervous system and sense organs 20.22 8.43 1.84 9.07 10.72 50.29 1.40 2003 Diseases of the nervous system and sense organs 20.67 8.55 1.90 10.20 51.99 93.31 2.59 2004 Diseases of the nervous system and sense organs 22.86 7.63 2.37 10.72 11.31 54.90 1.53 1998 Diseases of the circulatory system 11.42 5.69 2.62 16.02 63.23 98.98 1.00 1999 Diseases of the circulatory system 12.34 4.83 1.93 19.24 66.20 104.55 1.06 2000 Diseases of the circulatory system 13.85 6.50 2.96 19.76 71.51 114.57 1.16 2001 Diseases of the circulatory system 15.87 7.80 3.73 22.97 64.19 114.57 1.16 2002 Diseases of the circulatory system 20.34 7.85 4.29 25.48 67.99 125.95 1.27 2003 Diseases of the circulatory system 18.72 10.61 4.71 29.85 79.54 143.43 1.45 2004 Diseases of the circulatory system 22.50 10.71 6.38 32.57 91.06 163.21 1.65 1998 Diseases of the respiratory system 10.75 2.35 1.74 9.21 27.63 51.67 1.00 1999 Diseases of the respiratory system 10.07 2.52 2.16 11.33 22.72 48.80 0.94 2000 Diseases of the respiratory system 10.31 2.26 2.22 11.28 26.35 52.43 1.01 2001 Diseases of the respiratory system 13.37 3.10 2.78 16.76 29.37 65.37 1.27 2002 Diseases of the respiratory system 15.52 4.71 3.13 19.40 24.79 67.54 1.31 2003 Diseases of the respiratory system 14.57 3.43 3.40 20.25 26.97 68.62 1.33 2004 Diseases of the respiratory system 13.93 3.31 3.64 19.88 38.33 79.09 1.53 1998 Diseases of the digestive system 4.42 4.70 1.39 5.10 20.48 36.09 1.00 1999 Diseases of the digestive system 4.84 4.59 2.05 5.82 18.24 35.54 0.98 2000 Diseases of the digestive system 5.33 4.68 1.99 6.56 21.07 39.62 1.10 2001 Diseases of the digestive system 5.91 6.37 2.31 9.79 23.18 47.56 1.32 2002 Diseases of the digestive system 7.53 6.79 2.53 11.67 29.79 58.32 1.62 2003 Diseases of the digestive system 8.19 8.17 3.46 15.51 24.52 59.85 1.66 2004 Diseases of the digestive system 10.90 9.46 3.75 16.26 43.23 83.59 2.32  continued

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TABLE A.2 Continued  Cumulative Outpatient Emergency Pharma- Inpatient Growth in Year Disease Physicians Services Room ceutical Hospital Total Totals 1998 Diseases of the genitourinary system 5.94 4.66 1.05 3.39 9.17 24.21 1.00 1999 Diseases of the genitourinary system 5.85 3.56 0.63 3.74 9.89 23.68 0.98 2000 Diseases of the genitourinary system 6.26 5.18 1.41 3.76 11.60 28.21 1.17 2001 Diseases of the genitourinary system 9.14 7.69 1.61 4.44 10.25 33.13 1.37 2002 Diseases of the genitourinary system 12.02 9.28 2.52 5.03 10.96 39.82 1.64 2003 Diseases of the genitourinary system 11.71 8.88 2.27 6.54 17.85 47.26 1.95 2004 Diseases of the genitourinary system 14.85 10.24 2.68 5.80 16.73 50.30 2.08 1998 Complications of pregnancy, childbirth, and the 3.81 1.34 0.36 0.78 15.09 21.39 1.00 puerperium 1999 Complications of pregnancy, childbirth, and the 4.60 0.93 0.19 1.15 15.81 22.69 1.06 puerperium 2000 Complications of pregnancy, childbirth, and the 5.35 0.84 0.76 1.20 16.79 24.95 1.17 puerperium 2001 Complications of pregnancy, childbirth, and the 5.59 1.72 0.53 1.46 18.28 27.58 1.29 puerperium 2002 Complications of pregnancy, childbirth, and the 5.94 0.97 0.63 1.53 24.09 33.16 1.55 puerperium 2003 Complications of pregnancy, childbirth, and the 6.14 1.39 0.57 2.19 24.38 34.67 1.62 puerperium 2004 Complications of pregnancy, childbirth, and the 6.45 2.04 0.61 2.16 23.93 35.20 1.65 puerperium 1998 Diseases of the skin and subcutaneous tissue 3.41 1.13 0.23 1.82 1.96 8.56 1.00 1999 Diseases of the skin and subcutaneous tissue 3.27 0.96 0.18 2.13 2.15 8.69 1.02 2000 Diseases of the skin and subcutaneous tissue 3.65 1.10 0.21 2.16 4.71 11.83 1.38

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2001 Diseases of the skin and subcutaneous tissue 4.55 1.47 0.62 2.83 2.66 12.12 1.42 2002 Diseases of the skin and subcutaneous tissue 5.37 1.48 0.40 2.85 4.50 14.59 1.71 2003 Diseases of the skin and subcutaneous tissue 5.21 1.24 0.57 3.23 4.78 15.02 1.76 2004 Diseases of the skin and subcutaneous tissue 5.56 1.74 0.50 3.15 6.94 17.89 2.09 1998 Diseases of the musculoskeletal system and 16.78 6.55 1.04 5.45 15.10 44.93 1.00 connective tissue 1999 Diseases of the musculoskeletal system and 15.30 5.75 0.64 7.40 16.92 46.02 1.02 connective tissue 2000 Diseases of the musculoskeletal system and 20.15 5.41 0.84 8.55 15.50 50.45 1.12 connective tissue 2001 Diseases of the musculoskeletal system and 24.60 7.23 1.33 12.21 20.53 65.89 1.47 connective tissue 2002 Diseases of the musculoskeletal system and 26.84 9.33 1.87 13.63 19.59 71.26 1.59 connective tissue 2003 Diseases of the musculoskeletal system and 30.61 11.07 1.23 17.22 21.90 82.03 1.83 connective tissue 2004 Diseases of the musculoskeletal system and 34.10 12.51 2.60 17.82 23.54 90.57 2.02 connective tissue 1998 Congenital anomalies 0.41 0.41 0.04 0.09 2.32 3.26 1.00 1999 Congenital anomalies 0.61 0.27 0.02 0.07 3.19 4.17 1.28 2000 Congenital anomalies 0.54 0.51 0.01 0.07 1.00 2.13 0.65 2001 Congenital anomalies 0.68 0.51 0.15 0.15 1.53 3.02 0.92 2002 Congenital anomalies 0.78 0.92 0.02 0.19 2.08 3.98 1.22 2003 Congenital anomalies 0.85 0.49 0.04 0.15 4.51 6.03 1.85 2004 Congenital anomalies 1.20 0.88 0.02 0.22 1.49 3.81 1.17  continued

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TABLE A.2 Continued  Cumulative Outpatient Emergency Pharma- Inpatient Growth in Year Disease Physicians Services Room ceutical Hospital Total Totals 1998 Injury and poisoning 11.50 6.47 6.42 1.08 19.56 45.03 1.00 1999 Injury and poisoning 12.89 6.53 6.95 1.56 23.79 51.73 1.15 2000 Injury and poisoning 13.59 5.98 6.14 1.74 19.60 47.05 1.04 2001 Injury and poisoning 14.93 5.99 8.09 1.85 24.21 55.06 1.22 2002 Injury and poisoning 16.27 5.31 9.04 2.26 27.81 60.69 1.35 2003 Injury and poisoning 16.92 7.91 9.15 2.38 59.44 95.80 2.13 2004 Injury and poisoning 19.94 8.85 11.37 2.20 25.94 68.29 1.52 1998 Other conditions 5.04 2.35 0.80 5.87 7.39 21.44 1.00 1999 Other conditions 5.91 1.66 0.87 7.47 4.22 20.13 0.94 2000 Other conditions 6.27 2.14 0.76 8.74 5.81 23.73 1.11 2001 Other conditions 8.15 2.06 1.05 11.45 5.26 27.97 1.30 2002 Other conditions 9.85 3.01 1.40 13.15 8.72 36.12 1.68 2003 Other conditions 9.69 3.45 1.48 14.48 19.56 48.66 2.27 2004 Other conditions 11.48 3.36 2.03 16.64 10.65 44.16 2.06 1998 No diagnosis 1.53 0.15 0.02 0.12 0.01 1.82 1.00 1999 No diagnosis 1.30 0.17 0.01 0.12 0.02 1.62 0.89 2000 No diagnosis 1.28 0.10 0.01 0.14 0.09 1.62 0.89 2001 No diagnosis 1.56 0.23 0.05 0.10 0.01 1.94 1.06 2002 No diagnosis 1.89 0.24 0.08 0.18 0.02 2.41 1.32 2003 No diagnosis 1.62 0.29 0.02 0.14 0.00 2.07 1.13 2004 No diagnosis 2.12 0.21 0.08 0.33 0.01 2.75 1.51 SOURCE: Bureau of Labor Statistics handout at the workshop; see text.

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TABLE A.3 Mean Utilization of Various Medical Services by Major Disease and Year, 1998-2004 Mean Mean Mean Hospital Mean Mean Office Hospital Number of Emergency Outpatient Mean Year Disease Visits Admissions Nights Room Visits Visits Prescriptions 1998 Infectious and parasitic diseases 1.2236 0.0209 0.1202 0.0530 0.0945 0.9731 1999 Infectious and parasitic diseases 1.3810 0.0359 0.2287 0.0651 0.0811 1.0283 2000 Infectious and parasitic diseases 1.3001 0.0233 0.2649 0.0463 0.0768 0.9595 2001 Infectious and parasitic diseases 1.2851 0.0237 0.1137 0.0668 0.0776 0.9496 2002 Infectious and parasitic diseases 1.3524 0.0398 0.4376 0.0696 0.1035 0.9537 2003 Infectious and parasitic diseases 1.3855 0.0273 0.1645 0.0626 0.1048 1.0476 2004 Infectious and parasitic diseases 1.3689 0.0321 0.1709 0.0740 0.0963 1.0495 1998 Neoplasms 3.1064 0.1457 0.8734 0.0231 0.9312 0.5913 1999 Neoplasms 3.6210 0.1275 0.8367 0.0260 0.9735 0.6670 2000 Neoplasms 3.4116 0.1306 0.9531 0.0453 0.8232 0.5834 2001 Neoplasms 3.7468 0.1250 1.0338 0.0343 1.0669 0.7089 2002 Neoplasms 3.5347 0.1180 0.9139 0.0417 0.9083 0.5469 2003 Neoplasms 3.2690 0.1092 0.6854 0.0367 1.1519 0.5091 2004 Neoplasms 4.0979 0.1048 0.6971 0.0393 0.9771 0.5722 1998 Endocrine, nutritional, and metabolic 1.7589 0.0242 0.1709 0.0249 0.1176 2.2373 diseases and immunity disorders 1999 Endocrine, nutritional, and metabolic 1.8338 0.0280 0.1845 0.0219 0.1122 2.5034 diseases and immunity disorders 2000 Endocrine, nutritional, and metabolic 1.8667 0.0262 0.1399 0.0231 0.1494 2.4908 diseases and immunity disorders 2001 Endocrine, nutritional, and metabolic 1.6095 0.0244 0.1766 0.0245 0.1963 2.4307 diseases and immunity disorders  continued

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TABLE A.3 Continued  Mean Mean Mean Hospital Mean Mean Office Hospital Number of Emergency Outpatient Mean Year Disease Visits Admissions Nights Room Visits Visits Prescriptions 2002 Endocrine, nutritional, and metabolic 1.7970 0.0250 0.1643 0.0262 0.1715 2.4305 diseases and immunity disorders 2003 Endocrine, nutritional, and metabolic 1.8119 0.0255 0.1421 0.0259 0.1400 2.5238 diseases and immunity disorders 2004 Endocrine, nutritional, and metabolic 1.8725 0.0225 0.2115 0.0227 0.1296 2.5136 diseases and immunity disorders 1998 Diseases of the blood and blood-forming 3.4285 0.0643 0.4220 0.0437 0.3589 0.9949 organs 1999 Diseases of the blood and blood-forming 2.1867 0.0666 0.5243 0.0278 0.1970 1.1658 organs 2000 Diseases of the blood and blood-forming 2.5232 0.0538 0.2253 0.0173 0.3310 1.3447 organs 2001 Diseases of the blood and blood-forming 2.3217 0.1087 0.4886 0.0578 0.4512 1.1011 organs 2002 Diseases of the blood and blood-forming 2.9677 0.1141 0.5096 0.0667 0.6263 0.9778 organs 2003 Diseases of the blood and blood-forming 3.0383 0.0573 0.3197 0.0664 0.2180 0.9380 organs 2004 Diseases of the blood and blood-forming 2.4521 0.1043 0.6139 0.0726 0.4862 1.0349 organs 1998 Mental disorders 4.7332 0.0539 0.9543 0.0301 0.4362 1.8566 1999 Mental disorders 4.3933 0.0464 0.5197 0.0258 0.4570 1.9756 2000 Mental disorders 4.4950 0.0338 0.2949 0.0261 0.3297 2.0237 2001 Mental disorders 3.7914 0.0527 0.4110 0.0488 0.1782 2.0307

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2002 Mental disorders 3.8819 0.0437 0.3906 0.0439 0.1755 2.0127 2003 Mental disorders 3.8347 0.0381 0.4189 0.0407 0.2123 2.0235 2004 Mental disorders 3.9862 0.0348 0.3994 0.0359 0.2175 2.0572 1998 Diseases of the nervous system and 1.9514 0.0163 0.1275 0.0643 0.1440 1.1255 sense organs 1999 Diseases of the nervous system and 1.8573 0.0156 0.1018 0.0547 0.1055 1.1270 sense organs 2000 Diseases of the nervous system and 1.8705 0.0189 0.1008 0.0627 0.1208 1.1418 sense organs 2001 Diseases of the nervous system and 1.9397 0.0185 0.1169 0.0697 0.1460 1.1565 sense organs 2002 Diseases of the nervous system and 2.1008 0.0199 0.1979 0.0718 0.1786 1.1258 sense organs 2003 Diseases of the nervous system and 2.1749 0.0188 0.1941 0.0643 0.1582 1.1096 sense organs 2004 Diseases of the nervous system and 2.1025 0.0167 0.1408 0.0631 0.1327 1.0828 sense organs 1998 Diseases of the circulatory system 2.0754 0.0946 0.6922 0.0703 0.2546 2.5144 1999 Diseases of the circulatory system 2.0493 0.1079 0.6768 0.0662 0.2167 2.7369 2000 Diseases of the circulatory system 2.0463 0.1095 0.7434 0.0845 0.3516 2.6195 2001 Diseases of the circulatory system 2.0276 0.0985 0.6220 0.0859 0.2885 2.7506 2002 Diseases of the circulatory system 2.0976 0.0890 0.5522 0.0866 0.2412 2.6152 2003 Diseases of the circulatory system 2.0843 0.0886 0.5877 0.0811 0.2807 2.6643 2004 Diseases of the circulatory system 2.0546 0.0969 0.7219 0.0821 0.2410 2.7529 1998 Diseases of the respiratory system 1.3310 0.0302 0.2023 0.0613 0.0461 1.5380 1999 Diseases of the respiratory system 1.3178 0.0290 0.1739 0.0657 0.0467 1.5630 2000 Diseases of the respiratory system 1.2969 0.0304 0.2254 0.0581 0.0536 1.5892  continued

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TABLE A.3 Continued  Mean Mean Mean Hospital Mean Mean Office Hospital Number of Emergency Outpatient Mean Year Disease Visits Admissions Nights Room Visits Visits Prescriptions 2001 Diseases of the respiratory system 1.3657 0.0290 0.1992 0.0608 0.0549 1.6520 2002 Diseases of the respiratory system 1.4015 0.0279 0.1673 0.0690 0.0788 1.6418 2003 Diseases of the respiratory system 1.3170 0.0280 0.1669 0.0686 0.0565 1.6078 2004 Diseases of the respiratory system 1.3276 0.0327 0.2292 0.0734 0.0638 1.6519 1998 Diseases of the digestive system 1.0991 0.0749 0.3365 0.0820 0.1474 1.1945 1999 Diseases of the digestive system 0.9684 0.0632 0.3453 0.0785 0.1198 1.1997 2000 Diseases of the digestive system 0.9723 0.0618 0.3673 0.0854 0.1255 1.2256 2001 Diseases of the digestive system 0.9556 0.0629 0.3021 0.0890 0.1379 1.3280 2002 Diseases of the digestive system 0.9907 0.0629 0.3196 0.0897 0.1422 1.2872 2003 Diseases of the digestive system 1.0613 0.0586 0.2884 0.0940 0.1365 1.3331 2004 Diseases of the digestive system 0.9877 0.0642 0.3574 0.0912 0.1506 1.3425 1998 Diseases of the genitourinary system 1.9154 0.0626 0.2641 0.0759 0.3805 1.2889 1999 Diseases of the genitourinary system 1.5096 0.0459 0.2114 0.0664 0.1976 1.3634 2000 Diseases of the genitourinary system 1.5128 0.0476 0.2013 0.0687 0.4445 1.3171 2001 Diseases of the genitourinary system 1.8411 0.0479 0.1676 0.0770 0.5529 1.2981 2002 Diseases of the genitourinary system 2.1907 0.0504 0.2230 0.0912 0.5597 1.2770 2003 Diseases of the genitourinary system 2.1940 0.0460 0.2520 0.0925 0.4301 1.2796 2004 Diseases of the genitourinary system 2.2455 0.0531 0.2784 0.0965 0.4568 1.2822 1998 Complications of pregnancy, childbirth, 3.3424 0.3046 0.8987 0.0834 0.3021 0.9071 and the puerperium 1999 Complications of pregnancy, childbirth, 3.2021 0.2663 0.7609 0.0488 0.1813 1.0745 and the puerperium

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2000 Complications of pregnancy, childbirth, 3.0388 0.2751 0.8858 0.0887 0.1562 1.0039 and the puerperium 2001 Complications of pregnancy, childbirth, 2.7624 0.2422 0.8438 0.0724 0.2236 1.0668 and the puerperium 2002 Complications of pregnancy, childbirth, 2.9531 0.2382 1.0157 0.0818 0.1556 1.0527 and the puerperium 2003 Complications of pregnancy, childbirth, 2.9300 0.2447 0.9399 0.0853 0.1904 1.0800 and the puerperium 2004 Complications of pregnancy, childbirth, 2.8581 0.2271 0.7521 0.0660 0.2478 1.1065 and the puerperium 1998 Diseases of the skin and subcutaneous 1.3847 0.0130 0.0842 0.0305 0.0578 1.1085 tissue 1999 Diseases of the skin and subcutaneous 1.5433 0.0137 0.1120 0.0244 0.0673 1.1914 tissue 2000 Diseases of the skin and subcutaneous 1.5102 0.0163 0.1172 0.0264 0.0649 1.1728 tissue 2001 Diseases of the skin and subcutaneous 1.4430 0.0165 0.1241 0.0373 0.0959 1.1831 tissue 2002 Diseases of the skin and subcutaneous 1.5322 0.0196 0.4013 0.0341 0.0993 1.2104 tissue 2003 Diseases of the skin and subcutaneous 1.5868 0.0184 0.1295 0.0419 0.0823 1.2065 tissue 2004 Diseases of the skin and subcutaneous 1.5200 0.0190 0.1435 0.0417 0.0834 1.1089 tissue 1998 Diseases of the musculoskeletal system 3.8286 0.0302 0.2675 0.0444 0.3233 1.1572 and connective tissue 1999 Diseases of the musculoskeletal system 3.5155 0.0293 0.2159 0.0380 0.2932 1.2659 and connective tissue  continued

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TABLE A.3 Continued 0 Mean Mean Mean Hospital Mean Mean Office Hospital Number of Emergency Outpatient Mean Year Disease Visits Admissions Nights Room Visits Visits Prescriptions 2000 Diseases of the musculoskeletal system 3.5490 0.0307 0.2023 0.0452 0.2691 1.3400 and connective tissue 2001 Diseases of the musculoskeletal system 3.6099 0.0314 0.2001 0.0489 0.2899 1.3520 and connective tissue 2002 Diseases of the musculoskeletal system 3.5617 0.0234 0.1281 0.0472 0.3105 1.2897 and connective tissue 2003 Diseases of the musculoskeletal system 3.8879 0.0229 0.1229 0.0338 0.2701 1.2703 and connective tissue 2004 Diseases of the musculoskeletal system 3.7781 0.0254 0.1324 0.0476 0.2876 1.2979 and connective tissue 1998 Congenital anomalies 2.8022 0.1846 0.8865 0.0487 0.1666 0.6433 1999 Congenital anomalies 5.9628 0.1917 1.5292 0.0626 0.2815 0.8122 2000 Congenital anomalies 3.3537 0.1065 0.6976 0.0292 0.7034 0.6986 2001 Congenital anomalies 3.4440 0.1076 0.7964 0.0650 0.9594 0.7943 2002 Congenital anomalies 4.4862 0.1450 1.3944 0.0387 1.4109 0.7631 2003 Congenital anomalies 5.1589 0.1706 0.9526 0.0337 0.4354 0.8738 2004 Congenital anomalies 4.6310 0.1222 0.4082 0.0438 1.1813 0.9655 1998 Injury and poisoning 2.9741 0.0549 0.3398 0.3262 0.2691 0.6217 1999 Injury and poisoning 2.8727 0.0649 0.3563 0.3303 0.3039 0.6548 2000 Injury and poisoning 2.7218 0.0592 0.5439 0.3496 0.2142 0.7107 2001 Injury and poisoning 2.7101 0.0633 0.3878 0.3813 0.3522 0.7172 2002 Injury and poisoning 3.0501 0.0640 0.4327 0.3762 0.3173 0.6753 2003 Injury and poisoning 3.0321 0.0664 0.5234 0.3695 0.3225 0.6875 2004 Injury and poisoning 3.1563 0.0541 0.3164 0.3724 0.2748 0.6568

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1998 Other conditions 1.2777 0.0200 0.1612 0.0431 0.1247 1.2794 1999 Other conditions 1.3427 0.0167 0.0853 0.0428 0.0726 1.4015 2000 Other conditions 1.1272 0.0169 0.0990 0.0340 0.1119 1.4490 2001 Other conditions 1.1439 0.0177 0.0710 0.0391 0.0772 1.4752 2002 Other conditions 1.1510 0.0191 0.1086 0.0416 0.1029 1.4686 2003 Other conditions 1.3404 0.0156 0.1066 0.0432 0.1285 1.4266 2004 Other conditions 1.1988 0.0205 0.1015 0.0477 0.1109 1.5059 1998 No diagnosis 1.5179 0.0090 0.0672 0.0054 0.0508 0.1640 1999 No diagnosis 1.4112 0.0067 0.0524 0.0051 0.0339 0.1456 2000 No diagnosis 1.4522 0.0138 0.0463 0.0069 0.0420 0.1369 2001 No diagnosis 1.4922 0.0023 0.0095 0.0114 0.0499 0.1060 2002 No diagnosis 1.5589 0.0044 0.0529 0.0133 0.0607 0.1275 2003 No diagnosis 1.4133 0.0096 0.0452 0.0060 0.0584 0.1157 2004 No diagnosis 1.5486 0.0072 0.0630 0.0109 0.0397 0.1420 SOURCE: Bureau of Labor Statistics handout at the workshop; see text. 

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 STrATEgiES fOr A BEA SATElliTE HEAlTH CArE ACCOuNT TABLE A.4 Total National Medical Expenditures by CPI Stratum and Payee Type (in billions of dollars) Total Expenditures Professional Services Hospitals Prescriptions Year Expenditures Shares Expenditures Shares Expenditures Shares 1999 165.15 32.15% 256.07 49.85% 92.43 17.99% 2000 177.20 31.94% 273.88 49.36% 103.74 18.70% 2001 213.90 33.18% 295.72 45.87% 135.04 20.95% 2002 248.60 33.62% 338.61 45.79% 152.28 20.59% 2003 254.27 29.20% 437.43 50.23% 179.14 20.57% 2004 293.08 32.48% 416.72 46.19% 192.44 21.33% Out-of-Pocket Expenditures Professional Services Hospitals Prescriptions Year Expenditures Shares Expenditures Shares Expenditures Shares 1999 22.77 30.80% 9.56 12.93% 41.61 56.27% 2000 22.23 28.19% 9.33 11.83% 47.30 59.98% 2001 28.62 29.42% 9.87 10.15% 58.79 60.44% 2002 33.86 30.92% 11.93 10.90% 63.70 58.18% 2003 32.00 25.84% 12.29 9.92% 79.56 64.24% 2004 36.62 27.96% 13.44 10.26% 80.90 61.77% All Third-Party Payments Professional Services Hospitals Prescriptions Year Expenditures Shares Expenditures Shares Expenditures Shares 1999 142.38 32.38% 246.50 56.06% 50.82 11.56% 2000 154.97 32.56% 264.55 55.58% 56.44 11.86% 2001 185.28 33.85% 285.85 52.22% 76.25 13.93% 2002 214.74 34.09% 326.68 51.85% 88.58 14.06% 2003 222.27 29.76% 425.15 56.91% 99.57 13.33% 2004 256.46 33.25% 403.28 52.29% 111.53 14.46% SOURCE: Bureau of Labor Statistics handout at the workshop; see text.

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 APPENDiX A TABLE A.5 Preliminary Results from the Experimental Disease-Based Indexes (CPI January 1999 to December 2004) With Without With Without Updatesa Updatesa Updatesb Updatesb Disease Infectious and parasitic diseases 66.33 39.28 44.23 29.70 Neoplasms 34.70 42.53 35.34 36.30 Endocrine, nutritional, and metabolic diseases 46.05 34.68 43.61 29.23 and immunity disorders Diseases of the blood and blood-forming 20.01 42.63 18.04 30.06 organs Mental disorders 7.80 37.09 13.08 33.96 Diseases of the nervous system and sense 51.21 37.59 37.73 29.34 organs Diseases of the circulatory system 39.21 41.82 36.77 31.21 Diseases of the respiratory system 37.36 39.40 34.15 32.37 Diseases of the digestive system 24.69 41.82 34.69 33.63 Diseases of the genitourinary system 34.72 40.88 36.81 33.37 Complications of pregnancy, childbirth, and 15.92 41.84 21.52 31.64 the puerperium Diseases of the skin and subcutaneous tissue 71.01 36.03 49.43 29.70 Diseases of the musculoskeletal system and 20.89 37.48 29.46 29.37 connective tissue Congenital anomalies 69.95 43.41 79.66 36.87 Injury and poisoning 63.29 41.71 50.62 36.17 Other conditions 33.02 35.61 39.37 29.58 No diagnosis 21.63 27.14 19.61 27.61 aWeighted by total expenditures. bWeighted by out-of-pocket expenditures. SOURCE: Bureau of Labor Statistics handout at the workshop; see text.