Borger Christine, Rutherford Thomas F, Won Gregory Y
Office of the Actuary, Centers for Medicare and Medicaid Services, US Department of Health and Human Services, USA.
J Health Econ. 2008 Jan;27(1):69-88. doi: 10.1016/j.jhealeco.2007.03.003. Epub 2007 Mar 18.
We present a dynamic general equilibrium model of the U.S. economy and the medical sector in which the adoption of new medical treatments is endogenous and the demand for medical services is conditional on the state of technology. We use this model to prepare 75-year medical spending forecasts and a projection of the Medicare actuarial balance, and we compare our results to those obtained from a method that has been used by government actuaries. Our baseline forecast predicts slower health spending growth in the long run and a lower Medicare actuarial deficit relative to the previous projection methodology.
我们提出了一个关于美国经济和医疗部门的动态一般均衡模型,其中新医疗疗法的采用是内生的,医疗服务需求取决于技术状况。我们使用这个模型来编制75年的医疗支出预测和医疗保险精算平衡预测,并将我们的结果与政府精算师所采用方法得出的结果进行比较。我们的基准预测表明,从长期来看,医疗支出增长将放缓,医疗保险精算赤字相对于之前的预测方法将有所降低。