Percent of Medicare services provided to out-of-state residents:
14.5 percent (highest in the U.S.)
Between 1980 and 1993, inpatient admissions to community hospitals in North Dakota decreased from 137,000 to 91,000, a decline of more than one-third (34 percent). Many treatments that previously required inpatient care are now delivered in an outpatient setting.
Medicare admissions include swing bed admissions and out-of-state Medicare recipients receiving care in North Dakota.
Outpatient Visits to Community Hospitals
While inpatient admissions declined, outpatient visits to community hospitals nearly tripled, increasing from 310,000 in 1980 to 843,000 in 1993.
Many factors have contributed to the decrease in hospital admissions and the shift to outpatient care: advances in technology and surgical techniques; improved anesthesia methods; and changes in reimbursement for inpatient care.
According to the Health Care Financing Administration (HCFA), personal health care expenditures in North Dakota increased from $629 million in 1980 to $2.02 billion in 1993.
Average annual growth rate for
North Dakota - 9.4 percent
Plains Region - 9.3 percent
Average annual growth rate for 1991-1993:
North Dakota 7.5 percent
The North Dakota Department of Health is developing an estimate of 1994 health care expenditures in North Dakota.
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