Federal Reserve Economic Data

The FRED® Blog

Medical services spending

A look back at expenditures on treating diseases in the U.S.

The FRED Blog has covered healthcare before. (See the list of related posts below.) In this post, we look at pre-pandemic data on medical services spending in the U.S., specifically by category of illness.

Per the Bureau of Economic Analysis (BEA): “To better measure spending trends and treatment prices, BEA developed a set of supplemental statistics called the Health Care Satellite Account. These statistics give policymakers, researchers and the public another way of understanding the economics of health care. The satellite account measures U.S. health care spending by the diseases being treated (for example, cancer or diabetes) instead of by the types of goods and services purchased (such as doctor’s office visits or drugs).”

These data, available for 2000-2016, allow us to compare per-person expenditures on medical services across different diseases. The FRED graph above shows that expenditures per person on infectious and parasitic diseases (red bars) was, until 2015, smaller than expenditures per person on mental health diseases (green bars). By the way, the values are adjusted for changes in the general cost of living measured through the consumer price index (CPI).

The BEA data also allow us to see how the prices for treating different diseases have changed over time. Those prices are measured through an index number, so we can compare their rates of growth, not their levels in dollars and cents.

The FRED graph above shows that the average cost of medical services related to infectious and parasitic diseases (red line) rose faster than the average cost of all diseases (dashed blue line). The latter includes the cost of medical services related to mental health diseases (green line), which rose more slowly than average.

For a complete list of price indexes for medical services expenditures by disease, go to FRED and click on “Browse data by: Source” underneath the search bar. Scroll down the alphabetical list for “U.S. Bureau of Economic Analysis” and click on the name. Next, click on “Health Care Satellite Account > Health Care Blended Account > Expenditures Price Index, Annual.”

Related posts

How these graphs were created: Follow the instructions above to find the series. To get the bars in the first graph, go to the “Edit Graph panel: From the “Format” tab, select graph type “bar” with no stacking.

Suggested by Diego Mendez-Carbajo.

View on FRED, series used in this post: CPIAUCSL, INFAPSPCBLEND, INFAPSPIBLEND, MDSBDSPIBLEND, MNINEIPCBLEND, MNINEIPIBLEND

Eating out or staying in? FRED says bon appétit

The FRED Blog has used data from the Census Bureau’s advance retail sales release table to compare the choice of spending outlets over time and to plot the relationship between gasoline prices and sales at gasoline stations. Today we use the “advance retail sales” data available for March 2020 to show another dimension of the social distancing required to manage the spread of COVID-19.

In the FRED graph above, the data show fairly steady growth of retail sales at restaurants and bars (the black line) catching up to retail sales at food and beverage stores (the red line) in August 2018. Note that to be able to compare sales figures over time, those figures are adjusted for the cost of living. The very last observations look like vertical lines because social distancing has dramatically switched consumer demand for restaurants and bars—almost dollar for dollar—to food and beverage stores. Keep in mind that the reported sales at restaurants and bars include the food prepared there for take-out.

If you look closely, you’ll notice the decrease in retail sales at restaurants and bars during 2009, as the Great Recession peaked and economic activity started to recover. During that time, there was no uptick in retail sales at food and beverage stores, though. Finally, although this FRED Blog post describes advance retail sales, an earlier post has compared those with retail sales and found them to be identical.

How this graph was created: Search for “Advance Retail Sales: Food Services and Drinking Places.” From the “Edit Graph” panel, open the “Add Line” tab and search for “Advance Retail Sales: Food and Beverage Stores.” Next, to adjust the sales figures for the cost of living, customize each line by searching for “Consumer Price Index for All Urban Consumers: All Items in U.S. City Average (CPIAUCSL)” and clicking on “Add.” Then, further customize the lines applying the formula (a/b)*100. Edit the graph colors and salt to taste.

Suggested by Diego Mendez-Carbajo.

View on FRED, series used in this post: CPIAUCSL, RSDBS, RSFSDP

The decline in industrial production: One for the ages

On Tuesday, April 15, the Federal Reserve released the industrial production (IP) index for March. You have to go to the very far right data point in the FRED graph to see it, but industrial activity plunged in March because of the economic effects stemming from social-distancing orders in response to the COVID-19 pandemic. Millions of businesses have closed or been disrupted, and mass layoffs have occurred. But the March IP index of 103.66 is still far higher than the level registered during the depth of the recession and financial crisis, which was 87.07 in June 2009.

The IP index is one of the nation’s longest continuously produced economic indicators, starting in January 1919. It measures production (real output) of manufacturers, mining (e.g., oil and natural gas), and electric and gas utilities and steadily increases over time; but it is highly sensitive to the state of the economy and falls during recessions, generally proportionate to the depth and duration of the recession. The 2007-2009 recession and financial crisis is a prime example.

FRED can help us compare this recent decline in IP against the entire history of the series. And the next graph shows one way to do this: month-to-month percentage changes. Measured from its February level, industrial activity fell 5.4% in March. This percentage decline is the largest in a long time, since January 1946 (-5.6%), when U.S. factories transitioned from producing primarily wartime goods to producing civilian goods for a peacetime economy. And the largest percentage decline in the series was -10.4%, in August 1945.

In fact, as this graph shows, the retooling of the U.S. economy in 1945 produced larger monthly percentage declines in IP than those during the Great Depression and the deep 1937-38 recession. So, March’s COVID-19-driven plunge in activity, while historically large, falls far short of previous declines in activity. End of story? Not quite.

Another way to gauge the historical magnitude of the March decline in IP is to benchmark it against the historical standard deviation of monthly percent changes. The standard deviation is a statistical measure of changes, or dispersion, relative to the mean (average) of the series. Most of the time, monthly percentage changes are within plus or minus one standard deviation. At times, though, large changes are well outside the bounds of one standard deviation. The larger the percentage change outside the series’ standard deviation, the larger its historical significance.

Now, the second graph also shows that the month-to-month percentage changes have become smaller over time. For example, compare the period before and after 1947—effectively, the transition to a post-WWII economy and the post-WWII economy itself. We can see that volatility—the swings between peaks and troughs—was much larger in the earlier period than in the later period. But to verify this, we’ll need to look at some statistics.

The table below shows the largest percentage declines in IP and their respective sample standard deviation over two intervals: February 1919 to December 1946 and January 1947 to March 2020. The standard deviation of monthly percent changes in IP was 3.29% in the first period and 0.96% in the second period. Hence, the standard deviation in the first period was three times as large as the second period. The table’s right-most column shows the ratio of the two statistics. By this metric, the March 2020 decline in industrial production was the biggest decline on record relative to its standard deviation.

Thus, in this sense, the March decline in IP was one for the ages.

 

Statistics on Monthly Percentage Changes in IP

  Minimum Standard Deviation Minimum/Stnd. Dev.
1919 to 1946 -10.38 3.29 -3.16
1947 to Present -5.40 0.96 -5.61

 

How these graphs were created: For the first graph, search for “Industrial Production” and it should be your first choice. For the second graph, start with the first and use the “Edit Graph” panel to change units to “Percent Change.”

Suggested by Kevin Kliesen.

View on FRED, series used in this post: INDPRO


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