INFOGRAPHICS: Federal Spending by the Numbers 2012

Several key questions still remain to be asked of President Obama and Governor Mitt Romney during tonight’s debate. Among them: What would each of them do to reduce the growing burden of federal spending on American households?

In 2012, the federal government spent $29,700 per American household. Of that amount, $9,400 was deficit spending. Put another way, $3.20 out of every $10 spent was borrowed.

These facts and more are available in a new Heritage report: “Federal Spending by the Numbers 2012.”

In 20 powerful graphics and four detailed tables, “Federal Spending by the Numbers 2012” analyzes government spending trends in the past and future. Heritage experts explain where the federal government spends the most, which areas of the budget have grown the fastest, and when the entitlements and net interest begin to overwhelm all other federal spending.Specific examples of government waste are featured at the end.

By 2025, the major entitlements and net interest will grow to 18.5 percent of gross domestic product (GDP), devouring all tax revenue at the historical average level. (continues below chart)

Via: The Foundry

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BACKFIRE: Medicare Bills Rise as Records Turn Electronic

When the federal government began providing billions of dollars in incentives to push hospitals and physicians to use electronic medical and billing records, the goal was not only to improve efficiency and patient safety, but also to reduce health care costs.

But, in reality, the move to electronic health records may be contributing to billions of dollars in higher costs for Medicare, private insurers and patients by making it easier for hospitals and physicians to bill more for their services, whether or not they provide additional care.

Hospitals received $1 billion more in Medicare reimbursements in 2010 than they did five years earlier, at least in part by changing the billing codes they assign to patients in emergency rooms, according to a New York Times analysis of Medicare data from the American Hospital Directory. Regulators say physicians have changed the way they bill for office visits similarly, increasing their payments by billions of dollars as well.

The most aggressive billing — by just 1,700 of the more than 440,000 doctors in the country — cost Medicare as much as $100 million in 2010 alone, federal regulators said in a recent report, noting that the largest share of those doctors specialized in family practice, internal medicine and emergency care.

For instance, the portion of patients that the emergency department at Faxton St. Luke’s Healthcare in Utica, N.Y., claimed required the highest levels of treatment — and thus higher reimbursements — rose 43 percent in 2009. That was the same year the hospital began using electronic health records.

The share of highest-paying claims at Baptist Hospital in Nashville climbed 82 percent in 2010, the year after it began using a software system for its emergency room records.

Via: NYT

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