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Appendices

Appendices. Appendix 1: Supplementary Data Tables Trends in the Overall Health Care Market. Supplementary Data Tables - Trends in the Overall Health Care Market. Table 1.1: National Health Expenditures 1980 - 1998.

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Appendices

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  1. Appendices

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

  3. Supplementary Data Tables - Trends in the Overall Health Care Market Table 1.1:National Health Expenditures1980 - 1998 Source: Health Care Financing Administration, Office of the Actuary, Data from the Division of National Health Statistics(1) Expressed in 1980 dollars; adjusted using the overall consumer price index for urban consumers

  4. Supplementary Data Tables - Trends in the Overall Health Care Market Table 1.2:Percent Distribution of Medium and Large FirmEmployer-sponsored Health Insurance Enrollmentby Type of Plan1988 - 1998 Source: 1988-1998 The Kaiser Family Foundation, Trends and Indicators in the Changing Health Care Marketplace; and 1999 from the Health Research Education Trust Employer Health Benefits 1999 Annual Survey (1) Point-of-service plans not separately identified Table 1.3:Number and Percent Uninsured1985 - 1998 Source: US Bureau of the Census

  5. Supplementary Data Tables - Trends in the Overall Health Care Market Table 1.4:Percent Uninsuredby State1998 Source: US Bureau of the Census

  6. Supplementary Data Tables - Trends in the Overall Health Care Market Table 1.5:Growth in Medicare Spending per Beneficiaryvs. Private Health Insurance Spendingper Enrollee1980 - 1998 Source: Health Care Financing Administration, Office of the Actuary

  7. Supplementary Data Tables - Trends in the Overall Health Care Market Table 1.6:Percent of Medicaid Beneficiaries Enrolled in Medicaid Managed Care by State1998 Source: Health Care Financing Administration, Office of the Actuary

  8. Appendix 2:Supplementary Data Tables Organizational Trends

  9. Supplementary Data Tables - Organizational Trends Table 2.1:Number of Community Hospitals1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for community hospitals (1) 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.

  10. Supplementary Data Tables - Organizational Trends Table 2.2:Number of Beds and Number of Bedsper 1,000 Persons1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for community hospitals

  11. Supplementary Data Tables - Organizational Trends Table 2.3:Beds per 1,000 Personsby State1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1998, for community hospitals

  12. Supplementary Data Tables - Organizational Trends Table 2.4:Percent of HospitalsOffering “Non-hospital”Products or Services1994 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1994-1998, for Community Hospitals

  13. Supplementary Data Tables - Organizational Trends Table 2.5:Distribution of Inpatient vs. Outpatient Revenues1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for Community Hospitals

  14. Appendix 3:Supplementary Data Tables Utilization and Volume

  15. Supplementary Data Tables - Utilization and Volume Table 3.1:Trends in Inpatient Utilizationin Community Hospitals1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for community hospitals

  16. Supplementary Data Tables - Utilization and Volume Table 3.2:Average Length of Stay in Community Hospitalsby State1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1998, for community hospitals

  17. Supplementary Data Tables - Utilization and Volume Table 3.3:Outpatient Utilization in Community Hospitals1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for community hospitals

  18. Appendix 4:Supplementary Data Tables Trends in Hospital Financing

  19. Supplementary Data Tables - Trends in Hospital Financing Table 4.1:Annual Change in Hospital Operating Revenue and Expensesper Adjusted Admission(1)1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, 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

  20. Supplementary Data Tables - Trends in Hospital Financing Table 4.2:Aggregate Total Hospital Margins, Percent of Hospitalswith Negative Total Hospital Margins and AggregateNon-operating Gains as a Percentage of Total Net Revenue1980-1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for community hospitals

  21. Supplementary Data Tables - Trends in Hospital Financing Table 4.3:Aggregate Hospital Payment-to-cost Ratiofor Private Payers, Medicare and Medicaid1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for community hospitals

  22. Supplementary Data Tables - Trends in Hospital Financing Table 4.4:Aggregate Margin by Payer1980 - 1998 Actual1998 - 2004 (projected) Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 - 1998, for community hospital and analysis in, “The Impact of the Medicare Balanced Budget Refinement Act on Medicare Payments to Hospitals” Notes: (1) Uncompensated Care and Other Government Payers are not shown separately in this chart(2) Medicare projections based on The Lewin Group Analysis of Medicare payment policies under the Balanced Budget Act of 1997 and Medicare Balanced Budget Refinement Act of 1999(3) The market basket inflation rate is the rate of increase in the prices of goods and services purchased by hospitals: MB-1 = rate of increase in the prices of goods and services purchased by hospitals less one percentage point MB = rate of increase in the prices of goods and services purchased by hospitals* The 1999 AHA annual survey provides actual 1998 data; however, 1998 AHA data reflect Medicare payments made under payment policies before and after implementation of the BBA. Post-BBA margins reflect the actual costs reported in the 1999 AHA annual survey and post-BBA payments are simulated based on hospitals that reported payments that were fully subject to BBA policies

  23. Supplementary Data Tables - Trends in Hospital Financing Table 4.5:Total Medicare Payments to HospitalsUnder the BBA and BBRA1997 - 2004 (projected) Source: The Lewin Group analysis of Medicare cost report and American Hospital Association Annual Survey data in, “The Impact of the Medicare Balanced Budget Refinement Act on Medicare Payments to Hospitals,” February 1, 2000(1)Pre-BBA reflects projected payments under laws and regulations existing prior to passage of the BBA(2)Post-BBA/BBRA reflects projected payments under both the Balanced Budget Act of 1997 (BBA) and the Medicare Balanced Budget Refinement Act of 1999 (BBRA)

  24. Appendix 5:Supplementary Data Tables Workforce

  25. Supplementary Data Tables - Workforce Table 5.1:Total Number of Active Physicians per 1,000 Personsby State1997 Source: Health United States, 1999; includes active non-federal doctors of medicine and active doctors of osteopathy

  26. Supplementary Data Tables - Workforce Table 5.2:Medical and Dental Residents in Trainingin Community Hospitals1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, for community hospitals

  27. Supplementary Data Tables - Workforce Table 5.3:Total Full Time Equivalent Employees Working in Hospitalsand Full Time Equivalents per Adjusted Admission1980 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980-1998, 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

  28. Supplementary Data Tables - Workforce Table 5.4:Number of RN Full Time Equivalent Employees,RN Full Time Equivalent Employees per Adjusted Admissionand RN Full Time Equivalents as a Percent of Total FTEs1986 - 1998 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1986-1998, for community hospitals

  29. Supplementary Data Tables - Workforce Table 5.5:RN Employmentby Type of Provider1980 - 1996 Source: Findings from the National Sample Survey of Registered Nurses, 1980 - 1996; Bureau of Health Professionals, Division of Nursing, DHHS Table 5.6:Distribution of RN Workforceby Age1980 - 2000 (projected) Source: Findings from the National Sample Survey of Registered Nurses, 1980-1996, Bureau of Health Professions, Division of Nursing, DHHS

  30. Supplementary Data Tables - Workforce Table 5.7:Annual Enrollment in US RN Education Programs1987 - 1996 Source: Center for Research in Nursing Education and Community Health, National League of Nursing

  31. Supplementary Data Tables - Workforce Table 5.8:Projection of RN Workforce Supply and Demand1995 - 2020 Source: Report to the Secretary of the Department of Health and Human Services on Basic Registered Nurse Workforce, 1996, National Advisory Council on Nurse Education and Practice

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