Home > Past Briefings > Briefing Detail Page
 

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

Health Care Costs: The Role of Technology and Chronic Conditions


Tuesday, May 29, 2012

This is the second event in a three-part series of discussions on costs, the factors driving them up and what (if anything) can be done about them. The series marks the Alliance for Health Reform's 20th year of promoting informed and balanced discussion of health policy issues.

Much has been said about spending in governmental health care programs, notably Medicare and Medicaid. But employers, families and other payers have also experienced steady increases in health care spending.

Many factors have been cited as health care cost drivers, including demography, geography, economics and health status. But there is little agreement on how much each factor contributes to overall costs. This briefing offered an in-depth look at two of the most often cited cost drivers -- technology and chronic conditions.

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Health Care Costs: The Role of Technology and Chronic Conditions (Adobe Acrobat PDF), 5/29/2012
Full Webcast/Podcast: For the full webcast, click here.

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Joe Antos's Presentation (PowerPoint), 5/29/2012
Ken Thorpe's Presentation (PowerPoint), 5/29/2012
Joe Newhouse's Presentation (PowerPoint), 5/29/2012
Bruce Chernof's Presentation (PowerPoint), 5/29/2012
Susan Reinhard's Presentation (PowerPoint), 5/29/2012

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Adobe Acrobat PDF), , 4/24/2012
Materials List (Adobe Acrobat PDF), , 5/29/2012
Issue Brief: Cost Drivers in Health Care (Adobe Acrobat PDF), , 4/1/2012
-  A short summary of possible health care cost drivers, prepared by Jack Ebeler and his colleagues at Health Policy Alternatives

Offsite Materials (briefing documents saved on other websites)

Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look (Adobe Acrobat PDF),Office of the Assistant Secretary for Planning and Evaluation, 1/1/2010
- Lisa Alecxih, et al.
Vanderbilt Study Shows High Cost of Defensive Medicine, EurekAlert, Press Release, 2/9/2012
- Craig Boerner
The Concentration and Persistence in the Level of Health Expenditures over Time: Estimates for the U.S. Population, 2008-2009, Agency for Healthcare Research and Quality, 1/1/2012
- Steven Cohen and William Yu
Dual Eligibles, Chronic Conditions, and Functional Impairment By Age Group, The SCAN Foundation, 9/26/2011
- Data Brief
Medicare Spending by Functional Impairment and Chronic Conditions, The SCAN Foundation , 9/26/2011
- Data Brief
Medicare Spending by Quintile, The SCAN Foundation , 9/26/2011
- Data Brief
What We Give Up For Health Care, The New York Times , 1/21/2012
- Ezekiel Emanuel
Health Care Costs: Key Information On Health Care Costs And Their Impact, The Henry J. Kaiser Family Foundation, 5/1/2012
Why Are U.S. Health Care Costs So High?, Forbes , 3/1/2012
- Todd Hixon
Good or Useless, Medical Scans Cost the Same, The New York Times , 3/1/2009
- Gina Kolata
Transforming Care for Medicare Beneficiaries with Chronic Conditions and Long-Term Care Needs: Coordinating Care Across All Services (Adobe Acrobat PDF),Georgetown University, 10/1/2011
-  Harriet Komisar and Judy Feder
Many Common Medical Tests and Treatments Are Unnecessary,”, Consumer Reports , 6/1/2012
Medical Care Costs: How Much Welfare Loss?, Journal of Economic Perspectives,, 6/1/1992
- Joseph Newhouse
Durable Medical Equipment and Home Health among the Largest Contributors to Area Variations in Use of Medical Services, Health Affairs, 5/1/2012
- James Reschovsky, et al.
Diagnosing the High Cost of Health Care (Adobe Acrobat PDF),CALPIRG Education Fund,, 6/1/2008
-  Elizabeth Ridlington and Michael Russo.
Income, Insurance, And Technology: Why Does Health Spending Outpace Economic Growth?, Health Affairs, 9/1/2009
-  Sheila Smith, Joseph P. Newhouse and Mark S. Freeland.
Explaining High Health Care Spending in the United States: An International Comparison of Supply, Utilization, Prices, and Quality, Commonwealth Fund, 5/1/2012
-  David Squires
Chronic Conditions Account for Rise in Medicare Spending from 1987-2006, Health Affairs, 4/1/2010
-  Kenneth Thorpe, Lydia Ogden, and Katya Galactionova
Who Are the Chronically Costly? Health Care’s 1%, American Medical News,, 4/5/2012
- Doug Trapp
Limited Options to Manage Specialty Drug Spending (Adobe Acrobat PDF),Health System Change,, 4/1/2012
-  Ha Tu and Divya Samuel
Understanding U.S. Health Care Spending (Adobe Acrobat PDF),National Institute for Health Care Management, 7/1/2011
- Data Brief
Costly and Dangerous Treatments Weigh Down Health Care (Adobe Acrobat PDF),Center for American Progress, 6/9/2009
-  Ellen-Marie Whelan and Sonia Sekhar

Photos

Susan Dentzer, editor-in-chief of Health Affairs, introduces the May 29 briefing on chronic conditions and technology as drivers of health care costs. For the full webcast, click here.

 


Sister Carol Keehan on Health Law Enrollment Challenges this Year


Video 3:00

A new Alliance for Health Reform video features Sister Carol Keehan of the Catholic Health Association of the United States addressing the challenges of quickly enrolling millions of Americans for health insurance this fall. Open season begins October 1 of this year, yet she says that up to 85 percent of those who will be newly eligible for Medicaid or for subsidies to buy private insurance in state-based exchanges don't know it.  FULL TRANSCRIPT

Read More 


Jonathan Blum on CMS Efforts to Keep Medicare Spending Growth Down


Video (2:54)

Jonathan Blum, acting principal deputy administrator and director of the Center for Medicare at the Centers for Medicare and Medicaid Services (CMS), addresses the slower growth of Medicare spending over the last few years, and what his agency is doing to try and continue the trend. “There are promising signs that this strategy to change the payment system, to change the payment models, to focus on waste and abuse, is paying off," he said. "We are taking a whole new approach to addressing fraud in the program. Much more data resources, much more on the ground reaction. We have seen dramatic spending declines in areas of spending, such as home health and durable medical supplies that historically fueled lots of the fraud.”  FULL TRANSCRIPT

Read More 

Updated Toolkit -- The Sustainable Growth Rate: Seeking a ‘Doc Fix’ at the Edge of a Fiscal Cliff


A new Alliance toolkit tells you what you need to know about the current policy debate about the $138 billion Medicare physician payment problem – the "doc fix." The public is keeping a close eye on federal budget deficit reduction efforts this year, including potential automatic spending cuts initially mandated by the Budget Control Act of 2011. Yet one component of the debate has been largely ignored - the Sustainable Growth Rate (SGR). Indeed, because of the SGR, physicians in January 2013 faced a 26.5 percent cut in Medicare reimbursement rates. Last-minute congressional intervention delayed the cut until January 2014 as part of the American Taxpayer Relief Act of 2012. Without intervention, physicians will receive a 25 percent reimbursement cut in January 2014. At the same time, according to the most recent Congressional Budget Office (CBO) estimates, if Congress and the president agree to permanently eliminate the SGR, the deficit will grow by another $ 138 billion over 10 years. The cost of repealing the SGR has fallen significantly since last year, spiking a new interest in permanently fixing the problem.

To download, click here.


Read More 

Illinios Health Law Implementation: Race to the Starting Line


Health care experts recently kicked off a series of briefings for reporters addressing complex issues that states face leading up to major 2014 health law changes. Illinois will have a federal partnership insurance exchange next year, but may take more control after that, Deputy Gov. Cristal Thomas said at the first briefing in Chicago. Georgetown University insurance expert Sabrina Corlette, hospital leader David DiLoreto and journalist Bruce Japsen also spoke at the briefing, held Dec. 12 at Columbia College, and sponsored by the Association of Health Care Journalists, the Alliance for Health Reform and the Robert Wood Johnson Foundation.

Read More


Douglas Holtz-Eakin: Health Care Spending Lull Only Temporary


Video (3:11)

A new Alliance for Health Reform video features Douglas Holtz-Eakin of the American Action Forum, and a former director of the Congressional Budget Office, arguing that recent slower spending growth in health care won’t continue.

"We also saw a slowdown in the mid-90s, and we all declared victory and it came right back. I think next year we’ll see a noticeable uptick. There will be lots of new people entering the insurance markets because of the exchanges and the subsidies that come along with them, and those subsidies are very generous. … These are an invitation for people to get coverage and to buy more health care. I think that’ll place a lot of pressure on spending."

FULL TRANSCRIPT

Read More 

Copyright 1997-2013 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap