The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
Income, Insurance, And Technology: Why Does Health Spending Outpace Economic Growth?
Abstract
A broad consensus holds that increased medical capability-technology-is the primary driver of health spending growth. However, technology does not expand independently of historical context; it is fueled by rising incomes and more generous insurance coverage. We estimate that medical technology explains 27-48 percent of health spending growth since 1960-a smaller percentage than earlier estimates. Income (gross domestic product, or GDP) growth plays a critical role, primarily through the actions of governments and employers on behalf of pools of consumers. The contribution of insurance is likely to differ, with less of a push from increasing generosity of coverage and more of a push from changes in provider payment.
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Cites
Medical Care Costs: How Much Welfare Loss?
Newhouse, J. P. (1992) · Journal of Economic Perspectives · doi:10.1257/jep.6.3.3 · Cited by 1,211
Self-citationFree for All? Lessons from the RAND Health Insurance Experiment
Neuberg, L. G., Newhouse, J. P., & Group, I. E. (1995) · Southern Economic Journal · doi:10.2307/1061020 · Cited by 991
Self-citationMarket Size in Innovation: Theory and Evidence from the Pharmaceutical Industry
Acemoglu, D., & Linn, J. (2004) · The Quarterly Journal of Economics · doi:10.1162/0033553041502144 · Cited by 967
Medical-Care Expenditure: A Cross-National Survey
Newhouse, J. P. (1977) · The Journal of Human Resources · doi:10.2307/145602 · Cited by 905
Self-citationThe Aggregate Effects of Health Insurance: Evidence from the Introduction of Medicare
Finkelstein, A. (2007) · The Quarterly Journal of Economics · doi:10.1162/qjec.122.1.1 · Cited by 526
Getzen, T. E. (2000) · Journal of Health Economics · doi:10.1016/s0167-6296(99)00032-6 · Cited by 375
Static and Dynamic Effects of Health Policy: Evidence from the Vaccine Industry
Finkelstein, A. (2004) · The Quarterly Journal of Economics · doi:10.1162/0033553041382166 · Cited by 321
An Iconoclastic View Of Health Cost Containment
Newhouse, J. P. (1993) · Health Affairs · doi:10.1377/hlthaff.12.suppl_1.152 · Cited by 176
Self-citationHartman, M., Martin, A., McDonnell, P., & Catlin, A. (2009) · Health Affairs · doi:10.1377/hlthaff.28.1.246 · Cited by 123
Custom-made versus ready-to-wear treatments: Behavioral propensities in physicians’ choices
Frank, R. G., & Zeckhauser, R. (2007) · Journal of Health Economics · doi:10.1016/j.jhealeco.2007.08.002 · Cited by 99
Cited by
Technologies for global health
Howitt, P., Darzi, A., Yang, G.-Z., Ashrafian, H., Atun, R., Barlow, J., Blakemore, A., Bull, A. M., Car, J., Conteh, L., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61127-1 · Cited by 373
Factors associated with increases in US health care spending, 1996-2013.
Dieleman, J. L., Squires, E., Bui, A. L., Campbell, M., Chapin, A., Hamavid, H., Horst, C., Li, Z., Matyasz, T., Reynolds, A., et al. (2017) · JAMA · doi:10.1001/jama.2017.15927 · Cited by 347
Healthy ageing: the role of health care services
Howse, K. (2012) · Perspectives in Public Health · doi:10.1177/1757913912444805 · Cited by 20
Metadata
- Authors
- Smith, S., Newhouse, J. P., & Freeland, M. S.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2009-09
- Volume
- 28
- Issue
- 5
- Pages
- 1276-1284
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2122343298
- Cited by
- 384
- References
- 12
- FWCI
- 25.08
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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