1. Meeting of AcademyHealth Members Jeanne Lambrew, Ph.D. Chair, Coalition for Health Services Research June 4, 2007

2. The Coalition for Health Services Research Mission to support research that unlocks the secrets of o Quality o Affordability o Accessibility Advocacy arm of AcademyHealth, making an impact through o Appropriations o Authorizations 1

3. Where the Health Care Dollar Goes - 2003 Hospital Care – 30.8 cents Physician & Clinical Services – 22 cents Rx Drugs – 10.7 cents Administrative – 7.1 cents Nursing Home Care – 6.6 cents Dental Services – 4.4 cents Public Health – 3.2 cents Other Medical Products – 3.1 cents Other Professional Services – 2.9 cents Other Personal Health Care – 2.9 cents Home Health Care – 2.4 cents Construction – 1.5 cents Research – 2.3 cents Health Services Research – 0.1 cents TOTAL…………………….$1 Source: Health, United States, 2005 – National Center for Health Statistics 2

4. Where the Health Care Research Dollar Goes 3

5. HSR Funding FY 2007 AHRQ$319 million To evaluate $1.8 trillion health care system. NIH$954 million To translate $28 billion in basic and clinical research into practice. CMS$58 million To evaluate $295 billion of Medicare spending. NCHS$109 million To gather data to help evaluate $1.8 trillion health care system. VHA$64 million To evaluate the $29 billion veterans health system.

6. HSR Funding FY 2008 AgencyFY 2007Bush FY08 Request Coalition Minimum Target Coalition Projected Need AHRQ $319 million$329 million $350 million $500 million NCHS $109 million $117 million$150 million CDCs Public Health Research $31 million $33 million$50 million CMS $58 million$34 million$45 million$80 million NIH $954 million$950 million$1,000 million$1,500 million VHA $64 million $68 million$75 million

7. What Can You Do? Contact Congressmen on Budget Committees in House and Senate Contact Congressmen on Labor, HHS, Education Appropriations Subcommittees in House and Senate Urge them to support increased funding for HSR In future budget cycles : 6

8. Framework for HSR Policy (2007) Fair and transparent access to information The next generation of researchers Advancement of scientific discovery and expansion of knowledge Broad-based and adequate funding for comparative effectiveness research Accountability through a Coordinating Council for HSR 7

9. New Legislation Advancing Policy Priorities Submitted proposed report language to House and Senate Labor-HHS-Education Appropriations Bills oEncourages AHRQ to invest at least as much on an investigator-initiated research as it does on intramural HSR. oEmphasizes that funding earmarks and special projects should be limited. Note: Report language is guidance; it does not carry force of law. 8

10. Enhanced Health Care Value for All (H.R. 2184) introduced by Reps. Tom Allen (D-ME) and Jo Ann Emerson (R-MO) 9 New Legislation Advancing Policy Priorities

11. H.R. 2184 (cont.) oEstablishes a Comparative Effectiveness Advisory Board to govern research prioritization, conduct, and dissemination oAll payer funding mechanism, phasing up to $3 billion over five years oEstablishes a Coordinating Council for HSR 10

12. 11 Questions?

13. Contact Us For more information contact: Emily Rowe Director, Government Relations (202) 292-6743 (voice) (202) 292-6843 (fax) emily.rowe@academyhealth.org Visit our Web site: www.chsr.org 12