Government Regulatory Costs |
[P1] |
Total states with CON, 2008 |
Constant |
37 |
37 |
37 |
37 |
[a] |
|
[P2] |
Average FTE CON employees in states with CON |
Truncated Normal |
10.2 |
10.2 |
5.1 |
15.3 |
[b] |
|
[P3] |
Annual total compensation, state employees, 2008 |
Normal |
52,058 |
52,058 |
39,044 |
65,073 |
[c] |
|
Compliance Costs |
[P4] |
Average spending per CON application, WA, 2013 |
Constant |
124,936 |
124,936 |
124,936 |
124,936 |
[d] |
|
[P5] |
Average annual number of CON applications, WA |
Constant |
52 |
52 |
52 |
52 |
[e] |
|
[P6] |
Personal health care expenditures (PHCE), WA, 2008 (millions) |
Constant |
$ 42,411 |
$ 42,411 |
$ 42,411 |
$ 42,411 |
[f] |
|
[P7] |
Percentage change in PHCE, U.S., 2008–2013 |
Constant |
17.9% |
17.9% |
17.9% |
17.9% |
[g] |
|
[P8] |
CON compliance spending per $10,000 PHCE |
Normal |
$ 1.29 |
$ 1.29 |
$ 0.97 |
$ 1.61 |
[h] |
|
[P9] |
Personal health care expenditures (PHCE), 2008 (000’s) |
Normal |
$ 1,997,199 |
$ 1,997,199 |
$ 1,964,445 |
$ 2,029,953 |
[i] |
|
[P10] |
Share of PHCE in states with CON, 2008 |
Constant |
56.6% |
56.6% |
56.6% |
56.6% |
[j] |
|
[P11] |
PHCE spending in CON states, 2008 (millions) |
Calculated |
$ 1,130,663 |
$ 1,130,663 |
$ 1,112,100 |
$ 1,149,200 |
[k] |
|
Key Impacts |
Health expenditures |
[P12] |
Medicare expenditures, 2008 (millions) |
Normal |
$ 440,758 |
440,758 |
$ 433,530 |
$ 447,987 |
[l] |
|
[P13] |
Share of Medicare spending in states with stringent CON, 2008 |
Constant |
19.2% |
19.2% |
19.2% |
19.2% |
[m] |
|
[P14] |
Reduction in Medicare/eligible spending due to CON |
Normal |
1.8% |
1.8% |
0.5% |
3.2% |
[n] |
|
[P15] |
All other PHCE spending in CON states, 2008 (millions) |
Calculated |
$ 1,045,988 |
$ 1,045,988 |
$ 1027,402 |
$ 1,064,578 |
[o] |
|
[P16] |
Increase in per capita health spending due to CON |
Exponential |
0.19% |
0.14% |
0.01% |
0.58% |
[p] |
|
[P17] |
New CABG programs averted per 1000 CABG patients |
Normal |
0.97 |
0.97 |
0.75 |
1.19 |
[q] |
|
[P18] |
Capital cost per CABG program (millions) |
Normal |
$ 20.5 |
$ 20.5 |
$ 17.8 |
$ 23.2 |
[r] |
|
[P19] |
Amortized annual capital cost per CABG program (millions) |
Normal |
$ 2.0 |
$ 2.0 |
$ 1.7 |
$ 2.2 |
[s] |
|
Patient time losses |
[P20] |
Time losses per CABG patient due to restricted supply |
Normal |
$ 7.50 |
$ 7.50 |
$ 3.75 |
$ 11.25 |
[t] |
|
[P21] |
Total CABGs in states with CON, 2008 |
Normal |
238,586 |
238,586 |
131,404 |
267,020 |
[u] |
|
General elderly hospital mortality |
[P22] |
Elderly hospital patients, 2008 (thousands) |
Normal |
13,902 |
13,902 |
11,504 |
16,300 |
[v] |
|
[P23] |
Elderly in-hospital mortality risk, 2008 |
Normal |
4.1% |
4.1% |
4.0% |
4.2% |
[w] |
|
[P24] |
Increase in Medicare mortality rates due to stringent CON |
Exponential |
0.3% |
7.9% |
6.1% |
9.7% |
[x] |
|
[P25] |
VOSL, elderly, 2008 (millions of dollars) |
Triangle |
$ 2.9 |
$ 2.9 |
$ 0.6 |
$ 5.9 |
[y] |
|
CABG mortality, all patients |
[P26] |
Change in CABG mortality rate/1000 patients due to CON |
Calculated |
−1.1 |
−1.1 |
−2.8 |
0.6 |
[z] |
|
[P27] |
Added life expectancy per CABG patient |
Normal |
8.0 |
8.0 |
6.0 |
10.0 |
[aa] |
|
[P28] |
Quality of life, CABG patients after 10 years |
Normal |
0.9 |
0.9 |
0.7 |
1.1 |
[ab] |
|
[P29] |
Value of a quality-adjusted life year (QALY), 2008 (thousands) |
Triangle |
$ 239.1 |
$ 239.1 |
$ 120.7 |
$ 407.0 |
[ac] |
|
CABG mortality, Medicare patients, stringent CON states |
[P30] |
Elderly CABGs in states with stringent CON, 2008 |
Normal |
43,840 |
43,840 |
24,145 |
49,065 |
[ad] |
|
[P31] |
Change in elderly CABG mortality rate/1000 due to stringent CON |
Calculated |
−7.3 |
−7.3 |
−14.76 |
0.13 |
[ae] |
|
[P32] |
Ratio of elderly CABG life expectancy to average CABG LE |
Constant |
0.54 |
0.54 |
0.54 |
0.54 |
[af] |
|
CABG mortality rates, Medicare patients non-stringent CON states |
[P33] |
Elderly CABGs in states with CON, 2008 |
Normal |
91,540 |
91,540 |
50,417 |
102,450 |
[ag] |
|
[P34] |
Change in elderly CABG mortality rate/1000 in all CON states |
Calculated |
−0.9 |
−0.9 |
−2.0 |
0.1 |
[ah] |
|
[P35] |
Change in elderly CABG mortality rate/1000, non-stringent CON |
Calculated |
4.9 |
4.9 |
−5.8 |
32.9 |
[ai] |
|
Social Welfare Losses |
[P36] |
Marginal tax overhead costs, federal taxes |
Normal |
48.2% |
48.2% |
38.1% |
64.3% |
[aj] |
|
[P37] |
Marginal tax overhead costs, state taxes |
Normal |
40.5% |
48.2% |
32.4% |
53.9% |
[ak] |
|
[P38] |
Marginal excess burden, sales taxes |
Normal |
23.3% |
48.2% |
20.4% |
26.1% |
[al] |
|