Strategies for a BEA Satellite Health Care Account Summary of a Workshop (2009) / Chapter Skim
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Appendix C: Adapting BEA's National and Industry Accounts for a Health Care Satellite Account
Appendix C: Adapting BEA's National and Industry Accounts for a Health Care Satellite Account
Pages 88-95
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From page 88... ...
As BEA begins to think about a possible health care satellite account, some important modifications to the existing framework underlying the NIPAs and the industry accounts may be required to emphasize the interrelated nature of health care provision and to facilitate the use of improved price indexes. An important aspect of developing a health care satellite account involves a change in the definition of the final good(s)
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From page 89... ...
-- to deflate the intermediate goods. REROUTING OF HEALTH CARE TRANSACTIONS IN BEA'S ACCOUNTS The financing of health care, whether by private health insurance or government social insurance funds, involves complicated transactions. The standard presentation of BEA's core accounts already involves rerouting transactions -- that is, recording transactions as taking place through channels different from the ones through which they actually occur -- to identify the economic purpose of these transactions. As part of developing a health care satellite account, some different forms of rerouting are likely to be required.
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From page 90... ...
R01373, Figure C-1 Employer editable Employee Health Insurance Physician Hospital Clinic Laboratory Pharmacy FIGURE C.2 Private employer-provided health insurance after rerouting. SOURCE: Paper prepared for the Health Accounting Workshop by Brent R
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to persons and included in personal income. The consumption of health services by covered individuals is recorded as an imputed purchase of health services in The treatment of government-funded health care is discussed in Bureau of Economic Analysis (2005)
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From page 92... ...
editable SATELLITE HEALTH CARE ACCOUNT One of the key features of a BEA health care satellite account will be the classification of health expenditures by type of disease or condition rather than by type of provider. This will allow for the use of deflators organized by type of disease and therefore that better capture substitution across types of providers -- for example, substituting outpatient for inpatient hospital treatment or substituting pharmaceuticals for more invasive treatments, such as surgery.
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Under the modified framework, consumer services provided by the physician Employer Employee Health Insurance Primary Caregiver Hospital Clinic Laboratory Pharmacy FIGURE C.5 Consolidated health sector. SOURCE: Paper prepared for the Health Accounting Workshop by Brent R
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From page 94... ...
Within BEA's industry accounts, the modified framework would introduce a new, primary caregiver industry that would subsume the existing industry, "offices of physicians." The output of this new industry would include the value of the intermediate inputs purchased from the individual health-care-providing industries and the value added of offices of physicians. The output of the consolidated health care industry would then be deflated using disease-based price indexes, while its intermediate inputs would be deflated using PPIs.
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From page 95... ...
Department of Commerce. Commission of the European Communities, International Monetary Fund, Organisation for Economic Co-operation and Development, United Nations, and World Bank.
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