2125_sejda-DYJ.pdf - U.S-Mexico-Canada Trade Agreement...

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U.S.-Mexico-Canada Trade Agreement 316 | Table E.5 Effects of USMCA on U.S. labor, by level of education (percent changes relative to the baseline, unless specified otherwise) Ability of labor to reallocate Somewhat Somewhat Somewhat between industries restricted restricted restricted Free Impact of provisions deterring future trade barriers None Moderate High Moderate U.S. employment -0.04 0.12 0.40 0.11 0–9 years -0.06 0.20 0.68 0.20 10–12 years -0.04 0.15 0.49 0.15 13–15 years -0.04 0.14 0.47 0.14 BA/BS or equivalent -0.03 0.06 0.22 0.06 Graduate degree -0.02 0.04 0.14 0.03 U.S. employment (1,000 full- time equivalent jobs) -53.9 175.7 588.9 169.3 0–9 years -3.8 13.1 43.5 13.0 10–12 years -18.0 75.0 242.0 71.3 13–15 years -18.4 62.5 208.0 60.7 BA/BS or equivalent -10.0 19.4 72.8 19.1 Graduate degree -3.7 5.6 22.6 5.2 U.S. wages -0.06 0.27 0.86 0.27 0–9 years -0.07 0.23 0.76 0.22 10–12 years -0.04 0.27 0.83 0.26 13–15 years -0.05 0.25 0.80 0.25 BA/BS or equivalent -0.08 0.27 0.90 0.28 Graduate degree -0.09 0.30 1.00 0.31 Source: USITC estimates.
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2 9 3 R e p o r t t o t h e C o n g r e s s : M e d i c a r e P a y m e n t P o l i c y | M a r c h 2 0 1 9 Q u a l i t y o f c a r e : M e a n i g f u l m e a s r e s b e c o m i n g a v i l b l e ; t r n d s f o r u n a d j u s t e i n d c a t o r s e m a i n s t a b l e T h e C o m i s o n h i s t o r c a l y h a s s e d a g r e a t e q u a l i t y o f c a r e t r e n d s b y e x a m i n i n g t h r e c l a i m s - a l c u t e d m e a s u r s : u n a d j s t e d i n - f a c i l t y m o r t a l i y r a t e s , m o r t a l i y w i t h n 3 0 d a y s p o s t d i c h a r g e , a n d i r e c t A C H r e a d m i s o n f r o m L T C H s . L T C H s b e g a n r e p o t i n g a l i m t e d s o f q u a l i t y m e a s u r t o C M S i n f i s c a l y e a r 2 0 1 3 a n d r e c n t l y s t a r e d p u b l i c y r e p o t i n g s o m e r i s k - a d j u t e d q u a l i t y m e a s u r s f o r L T C H s t h a a r e i n c l u d e i n o u r d i s c u i o n . A g r e a t u n d j s q l i y m F o r t h i s r e p o t , w e c o n t i n u e d o a n l y z e u n a d j s t e d r e a d m i s i o n a d m o r t a l i y r a t e s f o r L T C H c a s e f r o m 2 0 1 5 t h r o u g h 2 0 1 7 . W e g e n r a l y f o u n d s t a b l e r e s o f r e a d m i s i o n t A C H s a n d s t a b l e m o r t a l i y r a t e s b o t h i n t h e f a c i l t y a n d 3 0 d a y s p o t d i s c h a r g e ( F i u r e 1 - ) . H o w e v e r , w e c a u t i o n h a t h e s m e a s u r a r e n o t r i s k i n c e t v e t o i n c r e a s e i t s v o l u m e f M e d i c a r p a t i e n s . I n c o n t r a s t , i f p a y m e n t s d o n o t c v e r t h m a r g i n l c o s t , t h e p r o v i d e r m a y h a v e d i s n c e t i v e t o c a r e f o r M e d i c a r e b e n f i c a r e s . 1 3 I n 2 0 1 7 , t h e a v e r a g L T C H m a r g i n a l p r o f i t w a s b o u t 1 4 p e r c e n t , d o w n f r o m a l m o s t 2 0 p e r c n t i n 2 0 1 6 .
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