EXHIBIT 5.10 Growth in Discharges for Selected Conditions: Private Insurance
PDFNumber of Discharges and Cumulative Growth for Principal CCS Conditions Contributing to Body System Change, Private Insurance, 1997-2007
| PRINCIPAL CCS CONDITIONS CONTRIBUTING TO BODY SYSTEM CHANGE |
NUMBER OF DISCHARGES IN THOUSANDS |
PERCENT OF BODY SYSTEM TOTAL |
CUMULATIVE GROWTH |
| 1997 |
2007 |
1997 |
2007 |
1997-2007 |
| Circulatory |
1,789 |
1,641‡ |
100.0% |
100.0% |
-8% |
| Coronary atherosclerosis (coronary artery disease) |
484 |
313 |
27.1 |
19.0 |
-35 |
| Acute myocardial infarction (heart attack) |
240 |
184 |
13.4 |
11.2 |
-23 |
| Cardiac dysrhythmias (irregular heartbeat) |
150 |
188 |
8.4 |
11.4 |
25 |
| Non-specific chest pain |
241 |
275 |
13.5 |
16.8 |
14 |
| Pregnancy and childbirth |
2,504 |
2,494‡ |
100.0 |
100.0 |
0 |
| Normal pregnancy and/or delivery |
288 |
121 |
11.5 |
4.8 |
-58 |
| Fetal distress and abnormal forces of labor |
248 |
127 |
9.9 |
5.1 |
-49 |
| Previous C-section |
168 |
286 |
6.7 |
11.5 |
70 |
| Prolonged pregnancy |
63 |
126 |
2.5 |
5.1 |
101 |
| Digestive |
1,124 |
1,267 |
100.0 |
100.0 |
13 |
| Diverticulosis and diverticulitis |
77 |
121 |
6.8 |
9.5 |
57 |
| Appendicitis |
140 |
181 |
12.5 |
14.3 |
29 |
| Pancreatic disorders (not diabetes) |
73 |
102 |
6.5 |
8.1 |
41 |
| Respiratory |
883 |
748 |
100.0 |
100.0 |
-15 |
| Asthma |
181 |
126 |
20.5 |
16.8 |
-31 |
| Pneumonia |
281 |
249 |
31.8 |
33.3 |
-11 |
| Respiratory failure |
36 |
65 |
4.1 |
8.7 |
80 |
| Injury and poisoning |
873 |
904‡ |
100.0 |
100.0 |
4 |
| Complication of surgical procedures or medical care |
137 |
179 |
15.7 |
19.8 |
31 |
| Complication of device, implant or graft |
131 |
164 |
15.0 |
18.2 |
25 |
| Musculoskeletal |
531 |
765 |
100.0 |
100.0 |
44 |
| Osteoarthritis (degenerative joint disease) |
117 |
311 |
22.0 |
40.7 |
167 |
| Genitourinary |
700 |
635 |
100.0 |
100.0 |
-9 |
| Acute renal failure |
18 |
68 |
2.6 |
10.7 |
273 |
| Endometriosis |
70 |
41 |
10.0 |
6.5 |
-41 |
| Calculus of urinary tract |
108 |
82 |
15.4 |
12.9 |
-24 |
| Menstrual disorders |
57 |
81 |
8.2 |
12.8 |
42 |
| Infectious and parasitic |
178 |
186‡ |
100.0 |
100.0 |
5 |
| Septicemia (blood infection) |
79 |
113 |
44.4 |
60.7 |
43 |
| Skin and subcutaneous tissue |
124 |
202 |
100.0 |
100.0 |
63 |
| Skin and subcutaneous tissue infections |
104 |
184 |
84.1 |
91.0 |
76 |
| Blood |
88 |
114 |
100.0 |
100.0 |
31 |
| Anemia |
27 |
47 |
30.5 |
41.1 |
76 |
‡ 2007 discharges are not statistically different from 1997 discharges at p‹0.05.
Source: AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample, 1997 and 2007. |
This exhibit displays private insurance discharges for selected conditions with important contributions to growth within each body system.
Hospital stays for some conditions billed to private insurance more than doubled from 1997 to 2007:
- Acute renal failure more than tripled (273-percent growth).
- Osteoarthritis (degenerative joint disease) more than doubled (167-percent growth).
- Prolonged pregnancy approximately doubled (101-percent growth).
Hospital stays for several conditions grew at least 50 percent:
- Respiratory failure rose 80 percent.
- Anemia and skin and subcutaneous tissue infections each increased 76 percent.
- Previous C-section was up by percent.
- Diverticulosis and diverticulitis increased 57 percent.
Hospital stays billed to private insurance declined for several conditions. Decreases in the number of stays for specific conditions correspond with the decline in enrollment in private insurance from 1997 to 2007.10
- Discharges for two pregnancy and childbirth conditions decreased substantially:
- Normal pregnancy (58-percent decline).
- Fetal distress and abnormal forces of labor (declined 49 percent).
- There was a rapid decrease in the number of stays for two genitourinary conditions:
- Endometriosis (down 41 percent).
- Calculus of urinary tract (fell 24 percent).
- Stays for two circulatory conditions declined rapidly:
- Coronary arthrosclerosis (coronary artery disease; down 35 percent).
- Acute myocardial infarction (heart attack; 23-percent decline).
- The number of stays for two respiratory conditions decreased:
- Asthma (31-percent decline).
- Pneumonia (down 11 percent).
10 U.S. Census Bureau Current Population Survey (CPS).
Table HIA-1. Health Insurance Coverage Status and Type of Coverage—All Persons by Sex, Race and Hispanic Origin: 1999 to 2007 (http://www.census.gov/hhes/www/hlthins/data/historical/index.html) (Link no longer available).
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