Professional Documents
Culture Documents
Country USA
Respondent
To be returned:
By: 3/31/2018
To: OECD SHA.Contact@oecd.org
Eurostat ESTAT-SHA@ec.europa.eu
WHO NHA@who.int
Surveys/censuses
Other
All Balancing item/Residual method see our Definitons Sources and Methodology paper. https://ww
All Interpolation/Extrapolation see our Definitons Sources and Methodology paper. https://ww
All Other see our Definitons Sources and Methodology paper. https://ww
All Pro-rating/Utilisation key see our Definitons Sources and Methodology paper. https://ww
I. Data sources and estimation methods
ables (HCxHF, HCxHP, HPxHF) as well as the additional tables (HFxFS, HPxFP, HKxHP).
of methodology
facilities (HP2) providing inpatient LTC (HC31) and outpatient LTC (HC33) is based on official LTC statistics which are available every 3 years; The split into HC31 and H
estimated subtracting all inpatient LTC financing included in administrative records. HF2/HP2/HC33 is calculated as residual. For missing years the total revenues is ext
y 3 years; The split into HC31 and HC33 is done via expert estimation. Out-of-pocket
ssing years the total revenues is extrapolated and actual spending of other sources
HealthExpendData/Downloads/DSM-16.pdf
HealthExpendData/Downloads/DSM-16.pdf
HealthExpendData/Downloads/DSM-16.pdf
HealthExpendData/Downloads/DSM-16.pdf
II. Data comparability
Please indicate if health expenditure and financing data are based on SHA 2011, SHA 1.0 or other non-SHA sour
II.1. Historical information
SHA 2011 based accounts
From 1987
To 2016
Do the reported data pertain to the calendar year (1 January to 31 December) or a financial/fiscal year (which dif
II.2. Accounting period
Accounting period
Please provide a brief description of the items indicated as atypical entries in the submitted data files.
II.3. Atypical entries
Year(s) Atypical entry
Example:
HC.2.3xHP.6
2006-2013
1960-2016 HP.0
1960-2016 HF.0
Please list all the breaks in time series (resulting from methodological changes) you are aware of.
II.4. Breaks in time series
Year Items affected by the break
Example:
HC.3 and HCR.1 financed by all HF, CHE
2010
Example:
HC.1.3.1, HC.1.3.3
2004
g data are based on SHA 2011, SHA 1.0 or other non-SHA sources.
1 January to 31 December) or a financial/fiscal year (which differs from the calendar year)?
Explanations
This refers to providers that are predominantely providing preventive care but in some cases they also provide outpatient rehabilitative
care.
This category contains our Other Health Residential and Personal Care estimates. The other health, residential, and personal care
category includes spending for worksite
health care, Medicaid home and community based waivers, some ambulance services, residential mental
health and substance abuse facilities, and other types of health care.
This category contains our Other Personal source of fund. The most common source of other private revenues is philanthropy. For
institutions such
as hospitals, nursing homes and HHAs, other private funds also include income from the operation of gift
shops, cafeterias, parking lots, educational programs, and investment income.
Explanations
With the switch to SHA 2011 in 2010 the methodology for splitting LTC into LTC (health) and LTC (social) has been revised. As a result,
expenditure has been shifted from LTC (social) to LTC (health) affecting increasing the level of HC.3 and therefore current health
expenditure (CHE) and decreasing the level of HCR.1.
For this period due to the implementation of the Affordable Care Act and individual mandate was in effect. To consistent with USA
reported private insurance in HF1.2.2. This reporting differs from the USA definition of private health insurance.
he overall comparability of data (e.g. capital formation included in current health expenditure, inclusion of
e overestimated/underestimated, etc)?
III. Current state of implementing the
For each of the HF, HC and HP categories listed below, please indicate if there are any deviations from SHA definitions or missing dat
health accounts complies with the definitions and classification at hand, nothing needs the be filled in:
Deviation from SHA definition: Select this item if a category is reported in your health accounts but differs from the definitions provided
nature of the deviation in the "Explanations" column, including a general description of the deviation, information whether the deviation
(e.g. for 2005-2010, cost-sharing with compulsory insurance schemes is reported under HF.1, this refers to all functions and providers
Category does not exist: Select this item if a category does not exist in your health system (e.g. when there is no HF.1.2 Compulsory c
"Explanations" column.
Missing (data not available): Select this item if a category exists in your health system but it is not reported in your health accounts be
health system, but an estimate is missing due to a lack of data sources). Any further clarification should be provided in the "Explanatio
Partially missing (data is partially not available): Select this item if a category is not fully reported in your health accounts. In the "Expla
2014-2015, expenditure for HC.3.3xHF.3 is not reported or is partially reported).
Missing (category reported elsewhere): Select this item if a category is not reported but it is included with another category in your hea
care). Please explain in the "Explanations" column where in your health accounts the category is included. Any further clarification sho
Reporting items:
HP.1 Hospitals
HP.5.1 Pharmacies
n your health accounts but differs from the definitions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification o
description of the deviation, information whether the deviation refers to the entire category or only individual items and an indication which years are af
reported under HF.1, this refers to all functions and providers except HC.5.1 provided by HP.5.1).
our health system (e.g. when there is no HF.1.2 Compulsory contributory health insurance scheme). Any further clarification should be provided in the
health system but it is not reported in your health accounts because data are not available (e.g. HC.3.3 Outpatient long-term care (health) exists in the n
Any further clarification should be provided in the "Explanations" column.
gory is not fully reported in your health accounts. In the "Explanations" column, please list the cross-classified cells that are not complete/not available
ported).
ot reported but it is included with another category in your health accounts (e.g. HC.1.2 Day curative care is reported together with HC.1.1 Inpatient cur
accounts the category is included. Any further clarification should also be provided in the "Explanations" column.
…
Deviation from SHA definition
…
…
…
ing the core classifications
or missing data by selecting the relevant item from the drop-down list. If the category as reported in your
nitions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification on the
er the deviation refers to the entire category or only individual items and an indication which years are affected
s and providers except HC.5.1 provided by HP.5.1).
2 Compulsory contributory health insurance scheme). Any further clarification should be provided in the
th accounts because data are not available (e.g. HC.3.3 Outpatient long-term care (health) exists in the national
the "Explanations" column.
s. In the "Explanations" column, please list the cross-classified cells that are not complete/not available (e.g. for
gory in your health accounts (e.g. HC.1.2 Day curative care is reported together with HC.1.1 Inpatient curative
clarification should also be provided in the "Explanations" column.
Explanations
Includes Medicaid, Indian Health Service, SAMHSA and other misc.government programs
Includes Medicare, CHIP, Veterans Administration, Department of Defense and Workers Compensation
Includes spending for Employeer-sponsored health insurance, and individually purchased insurance for the
period 2014-2016.
Includes spending for Employeer-sponsored health insurance, individually purchased insurance and property
and casualty insurance medical coverage for the period 1970-2013. From 2014 refers to Medigap and
property and casualty insurance medical coverage only.
This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail
This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail
Physician and Clincs, we do not have separate estimates of general and specialied services
Dental services
This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail
This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail
Specialty hospitals
This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail
This would included in total rehabilitative and curative care -- we do not have data to estimate in more detail
Nursing Homes
included in total
included in total
Therapeutic appliances and other medical durable goods sold in a retail setting only
Includes Public health, Maternal and child health and School health
Includes Public health, Maternal and Child health and School health
Explanations
Hospitals
Nursing Homes
Dental
Other professionals
Clinics -- data from 1998 to 2015. Previous years are included with Physician offices.
Home Health
Preventive care is reported with the provider where the care is received. Included in this category is Public
Health, Maternal and Child Health and School Health.
IV. Current state of implementing the add
For each of the FS, FP and HK categories listed below, please indicate if there are any deviations from SHA definitions or missing data
your health accounts complies with the definitions and classification at hand, nothing needs the be filled in:
Deviation from SHA definition: Select this item if a category is reported in your health accounts but differs from the definitions provided
on the nature of the deviation in the "Explanations" column, including a general description of the deviation, information whether the d
years are affected.
Category does not exist: Select this item if a category does not exist in your health system. Any further clarification should be provided
Missing (data not available): Select this item if a category exists in your health system but it is not reported in your health accounts be
"Explanations" column.
Partially missing (data is partially not available): Select this item if a category is not fully reported in your health accounts. In the "Expla
available.
Missing (category reported elsewhere): Select this item if a category is not reported but it is included with another category in your hea
accounts the category is included. Any further clarification should also be provided in the "Explanations" column.
FS.1.3 Subsidies
FP.5.1 Taxes
Code Description
HK.1.1.1 Infrastructure
there are any deviations from SHA definitions or missing data by selecting the relevant item from the drop-down list. If the category as reported in
n at hand, nothing needs the be filled in:
your health accounts but differs from the definitions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification
eneral description of the deviation, information whether the deviation refers to the entire category or only individual items and an indication which
ur health system. Any further clarification should be provided in the "Explanations" column.
ealth system but it is not reported in your health accounts because data are not available. Any further clarification should be provided in the
ory is not fully reported in your health accounts. In the "Explanations" column, please list the cross-classified cells that are not complete/not
t reported but it is included with another category in your health accounts. Please explain in the "Explanations" column where in your health
provided in the "Explanations" column.
…
Please indicate any deviations from SHA
definitions or missing data and explain
or missing data by selecting the relevant item from the drop-down list. If the category as reported in
tions provided by the SHA 2011 manual (and additional guidelines). Please provide further clarification
whether the deviation refers to the entire category or only individual items and an indication which
h accounts because data are not available. Any further clarification should be provided in the
s. In the "Explanations" column, please list the cross-classified cells that are not complete/not
ory in your health accounts. Please explain in the "Explanations" column where in your health
Explanations
Explanations
limited data available 1998-2016. Only the total is available for 1987-1997
limited data available 1998-2016. Only the total is available for 1987-1997
limited data available 1998-2016. Only the total is available for 1987-1997
We are currently developing information that may be consistent with this category. It is not
available at this time.
Explanations
Please provide a description of your general revision policy (how often is data revised, how many years,
for what reasons, etc).
V.2. General revision policy
Health spending estimates are revised annually based on updated data sources.
VI. Financing schemes
For each of the HF categories listed below, please list the names of the financing schemes included under the category. Please
provide the names of the schemes in English as well as your national language, if possible. To the extent possible, please use
the specific terminology used in your country, rather than using generic labels such as social health insurance, voluntary health
insurance, etc.
In some instances it might be difficult to identify the individual schemes or it might not be feasible to list all schemes under a
category. For example, the number of private insurance companies offering voluntary health insurance in a country can be large.
In such cases it it might be more practical to provide a short description of the types of schemes included, rather than listing all
the individual schemes. For countries that have not yet compiled the HFxFS table, it would also be useful to provide
supplementary information describing the main revenue streams (FS) for each Scheme, as shown in the examples below.
As the financing schemes in SHA have a link to ESSPROS schemes, "Eurostat countries" (= EU and EFTA countries +
candidates and potential candidates to the EU) are invited to liaise with their ESSPROS colleagues in order to have consistent
information provided for SHA and ESSPROS and avoid a duplication of work at national level.