When Are We Going To Get Serious About Health Care Spending In The - - PowerPoint PPT Presentation
When Are We Going To Get Serious About Health Care Spending In The United States Robert W. Dubois, MD, PhD When Are We Going To Get Serious About Health Care Spending In The United States Amitabh Chandra, PhD, MA Malcolm Wiener Professor of
Robert W. Dubois, MD, PhD
When Are We Going To Get Serious About Health Care Spending In The United States
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Donna R. Cryer, JD President and Chief Executive Officer Global Liver Institute Glenn D. Steele, Jr., MD, PhD President and Chief Executive Officer Geisinger Health System Amitabh Chandra, PhD, MA Malcolm Wiener Professor of Public Policy Harvard University
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Health Spending as a Percent of GDP
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National Health Expenditure Summary including share of GDP, CY 1960-2016. Available at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and- Reports/NationalHealthExpendData/NationalHealthAccountsHistorical.html
Medical Care Cost Doubles in 3 Years
New York Times
September 9,1969
Can We Control Health Care Costs?
January 1, 1981
Concerns About Health Care Spending in the U.S. Are Nothing New
Sharp Rise Predicted in Health-Care Spending in Next Decade
New York Times
September 15, 1998
Health-care spending set to soar over next decade
Washington Post February 21, 2017
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Source: “Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.” Institute of Medicine [2013] Image source: http://www.mypeexam.org/wp-content/uploads/2015/03/man-pushing-rock-up-hill-ok-to-use.jpg
A decrease in unnecessary healthcare services “appear to be slow in moving”
NEJM 1986 IOM 2013 Health Affairs, 2017
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http://www.massdevice.com/wp-content/uploads/files/story_art/petctmedicalimagingscans3x2.jpg http://www.hdtglobal.com/product/prosthetics/ Photo by Jonathan Zizzo for D Magazine. http://healthcare.dmagazine.com/2015/11/11/irvings-texas-center-for-proton-therapy-treats-its-first-patients/ http://www.hdtglobal.com/product/prosthetics/
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1960 1963 1966 1969 1972 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002 2005 2008 2011 2014
Health spending as a percent of GDP
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We’ve Started Spending Debates in the Past…
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Image source: http://www.sevenquotes.com/insanity/
Prioritization
Willingness-to-pay Affordability Health vs. Non-health
Holistic View
Budget Impact
Primary care Specialty care Elderly Young Acute treatment Prevention Rare diseases Common diseases
How much and how should health spend be allocated?
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http://www.blacksunplc.co.uk/content/black-sun/corporate-comms/en/insights/perspectives/a-conversation-with-simon- clow/_jcr_content/image.img.png/1461951810583.png https://media-exp2.licdn.com/mpr/mpr/AAEAAQAAAAAAAAd3AAAAJGE5MTE5M2RkLWYxZGUtNGY2MC1iMzBjLTNkNWNlNWE3MTgzZQ.jpg
Acknowledge that these are third rail issues Bring all stakeholders into the dialogue Stop finger pointing Come together Go below the surface to examine issues
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https://commons.wikimedia.org/wiki/File:Desert_road_UAE.JPG
When Are We Going To Get Serious About Health Care Spending In The United States
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Donna R. Cryer, JD President and Chief Executive Officer Global Liver Institute Glenn D. Steele, Jr., MD, PhD President and Chief Executive Officer Geisinger Health System Amitabh Chandra, PhD, MA Malcolm Wiener Professor of Public Policy Harvard University