Presentation is loading. Please wait.

Presentation is loading. Please wait.

Congressional Budget Office Presentation for the Bipartisan Policy Center Health Care: Capturing the Opportunity in the Nation's Core Fiscal Challenge.

Published byClemence Owen Modified over 9 years ago

Similar presentations

Presentation on theme: "Congressional Budget Office Presentation for the Bipartisan Policy Center Health Care: Capturing the Opportunity in the Nation's Core Fiscal Challenge."— Presentation transcript:

1 Congressional Budget Office Presentation for the Bipartisan Policy Center Health Care: Capturing the Opportunity in the Nation's Core Fiscal Challenge April 24, 2008

2 Federal Spending Under CBO’s Alternative Fiscal Scenario Percentage of Gross Domestic Product

3 Excess Cost Growth in Medicare, Medicaid, and All Other Spending on Health Care MedicareMedicaidAll OtherTotal 1975 to 19902.9 2.42.6 1990 to 20051.81.31.41.5 1975 to 20052.42.22.02.1 Percentage Points

4 Estimated Contributions of Selected Factors to Long-Term Growth in Real Health Care Spending per Capita, 1940 to 1990 Smith, Heffler, and Freeland (2000) Cutler (1995) Newhouse (1992) Aging of the Population 222 Changes in Third-Party Payment 101310 Personal Income Growth 11-185<23 Prices in the Health Care Sector 11-2219 Not Estimated Administrative Costs 3-1013 Not Estimated Defensive Medicine and Supplier-Induced Demand 0 Not Estimated 0 Technology-Related Changes in Medical Practice 38-6249>65

5 Misdiagnosing the problem  Most discussions in media: aging and demographics  Most of the fiscal problem: rising cost per beneficiary, not number or type of beneficiaries

6 Sources of Growth in Projected Federal Spending on Medicare and Medicaid Percentage of GDP

7 Federal Debt Held by the Public as a Percentage of Gross Domestic Product Under CBO’s Long-Term Budget Scenarios

8 Contribution of Aging to the Fiscal Gap Under CBO’s Alternative Fiscal Scenario Percentage of GDP

9 Before we all get too depressed…. Embedded in the nation’s central long-term fiscal challenge appears to be a substantial opportunity: Can we reduce health care costs without impairing health outcomes?

10 Medicare Spending per Beneficiary in the United States, by Hospital Referral Region, 2005

11 What Additional Services Are Provided in High-Spending Regions? Source: Elliot Fisher, Dartmouth Medical School.

12 Variations Among Academic Medical Centers UCLA Medical Center Massachusetts General Hospital Mayo Clinic (St. Mary’s Hospital) Biologically Targeted Interventions: Acute Inpatient Care CMS composite quality score81.585.990.4 Care Delivery―and Spending―Among Medicare Patients in Last Six Months of Life Total Medicare spending50,52240,18126,330 Hospital days19.217.712.9 Physician visits52.142.223.9 Ratio, medical specialist / primary care2.91.01.1 Use of Biologically Targeted Interventions and Care-Delivery Methods Among Three of U.S. News and World Report’s “Honor Roll” AMCs Source: Elliot Fisher, Dartmouth Medical School.

13 Concentration of Total Annual Medicare Expenditures Among Beneficiaries, 2001 Percent Source: CBO based on data from CMS.

14 Paths toward capturing the opportunity  Information –Comparative effectiveness research –Randomized control trials –HIT backbone –Saliency of costs  Incentives –Better care, not more care –Coverage vs. differentiated payments  Delivery systems  Health behavior –Making it easy and simple to lead healthy lives –Chronic disease –Prevention –Behavior and social norms among medical professionals

15 CBO Health Activities  New Hires and Expanded Staffing –New deputy assistant director (Keith Fontenot) in the Budget Analysis Division –Health staff agency wide increase from 30 FTEs to 40 FTEs (Plus 6 new hires) –FY 2009 Plans  Reports and Analysis in 2008 –Critical Topics in Health Reform –Health Options

16 Increase in Life Expectancy and Increase in Difference in Life Expectancy, by Economic Status Source: Data from Singh and Siahpush (2006) and CDC. Years

Download ppt "Congressional Budget Office Presentation for the Bipartisan Policy Center Health Care: Capturing the Opportunity in the Nation's Core Fiscal Challenge."

Similar presentations

Congressional Budget Office Presentation to the National Congress on Health Reform The Long-Term Fiscal Context for Health Care Reform Peter Orszag Director.

Congressional Budget Office Presentation to the National Congress on Health Reform The Long-Term Fiscal Context for Health Care Reform Peter Orszag Director.
Research and analysis by Avalere Health Teaching Hospitals: Current and Future Challenges Final Charts September 21, 2009.

Research and analysis by Avalere Health Teaching Hospitals: Current and Future Challenges Final Charts September 21, 2009.
Exhibit 1. National Health Expenditures per Capita, 1980–2007

Exhibit 1. National Health Expenditures per Capita, 1980–2007
Overview of Health Care Coverage and Cost Trends in Minnesota Presentation to the State Budget Trends Study Commission April 22, 2008 Julie Sonier Director,

Overview of Health Care Coverage and Cost Trends in Minnesota Presentation to the State Budget Trends Study Commission April 22, 2008 Julie Sonier Director,
Access to Care in The Medicaid Program Andrew B. Bindman, MD Professor of Medicine, Health Policy, Epidemiology & Biostatistics University of California.

Access to Care in The Medicaid Program Andrew B. Bindman, MD Professor of Medicine, Health Policy, Epidemiology & Biostatistics University of California.
Middle Atlantic Actuarial Club September 17, 2009 Baltimore, MD Shannon Brownlee, MS Senior Research Fellow, New America Foundation Overtreated: Why Too.

Middle Atlantic Actuarial Club September 17, 2009 Baltimore, MD Shannon Brownlee, MS Senior Research Fellow, New America Foundation Overtreated: Why Too.
The Concord Coalition www.concordcoalition.org June 2008 Generational Outlook: The Federal Budget Now and in the Future.

The Concord Coalition June 2008 Generational Outlook: The Federal Budget Now and in the Future.
1 America’s National Debt. 2 Important Concepts What’s the difference between deficits and debt? Deficits: The annual imbalance between revenues and spending.

1 America’s National Debt. 2 Important Concepts What’s the difference between deficits and debt? Deficits: The annual imbalance between revenues and spending.
US Fiscal Policy Challenges to a Sustainable Fiscal Future March 2010.

US Fiscal Policy Challenges to a Sustainable Fiscal Future March 2010.
Health Care Forecasting Conference James Baumgardner Deputy Assistant Director for Health Policy Congressional Budget Office February 19, 2009.

Health Care Forecasting Conference James Baumgardner Deputy Assistant Director for Health Policy Congressional Budget Office February 19, 2009.
Health Care Forecasting Conference James Baumgardner Deputy Assistant Director for Health Policy Congressional Budget Office February 21, 2008.

Health Care Forecasting Conference James Baumgardner Deputy Assistant Director for Health Policy Congressional Budget Office February 21, 2008.
Congressional Budget Office Presentation to the National Health Policy Conference The Outlook for Health Care Spending February 4, 2008.

Congressional Budget Office Presentation to the National Health Policy Conference The Outlook for Health Care Spending February 4, 2008.
Affordability: The New Imperative Northeastern University Open Classroom October 27, 2010 Andrew Dreyfus President & CEO Blue Cross Blue Shield of Massachusetts.

Affordability: The New Imperative Northeastern University Open Classroom October 27, 2010 Andrew Dreyfus President & CEO Blue Cross Blue Shield of Massachusetts.
Medicare spending is 14% of the federal budget Total Federal Spending in 2013: $3.5 Trillion MEDICARE Medicaid Net interest Social Security Defense Nondefense.

Medicare spending is 14% of the federal budget Total Federal Spending in 2013: $3.5 Trillion MEDICARE Medicaid Net interest Social Security Defense Nondefense.
Congressional Budget Office Presentation to The Tax Policy Center and the American Tax Policy Institute Taxes and Health Insurance February 29, 2008.

Congressional Budget Office Presentation to The Tax Policy Center and the American Tax Policy Institute Taxes and Health Insurance February 29, 2008.
A Presentation of the Colorado Health Institute 303 E. 17 th Avenue, Suite 930 Denver, Colorado 80203 (Twitter)

A Presentation of the Colorado Health Institute 303 E. 17 th Avenue, Suite 930 Denver, Colorado (Twitter)
Setting the Context: The BC Health System Andrew Wray – April 8, 2013.

Setting the Context: The BC Health System Andrew Wray – April 8, 2013.
Health Insurance Coverage of the Nonelderly, 2010 * Medicaid also includes other public programs: CHIP, other state programs, Medicare and military-related.

Health Insurance Coverage of the Nonelderly, 2010 * Medicaid also includes other public programs: CHIP, other state programs, Medicare and military-related.
Exhibit 2. Medicare Enrollment, 1970–2080 Enrollment in millions Source: Centers for Medicare and Medicaid Services, 2013 Annual Report of the Boards of.

Exhibit 2. Medicare Enrollment, 1970–2080 Enrollment in millions Source: Centers for Medicare and Medicaid Services, 2013 Annual Report of the Boards of.
Health Care Reform Quynh Smith. Sources of Inefficiency in the Health Care Delivery System   We spend a substantial amount on high cost, low-value treatments.

Health Care Reform Quynh Smith. Sources of Inefficiency in the Health Care Delivery System   We spend a substantial amount on high cost, low-value treatments.

Similar presentations

Ads by Google