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  • Another high-stakes challenge to the ACA is headed to the Supreme Court, and this time it’s a question of statutory interpretation: does the law as written permit tax credits to be issued in states that aren’t running their own exchanges?

  • We are pleased to announce a call for entries for the 21st Annual NIHCM Awards. Our awards program recognizes the critical role of researchers, journalists and bloggers in improving the health care system by rewarding outstanding work in these fields.

  • Washington, DC – December 11, 2014 – NIHCM Foundation is introducing a new Health Care Digital Media Award, which will recognize excellence in digital media that improves understanding of health care through analysis grounded in empirical evidence.

  • In a provocative recent essay for The Atlantic, Dr. Ezekiel Emanuel, an architect of the Affordable Care Act and a leading national expert on health policy, offered a deeply personal explanation for “Why I Hope to Die at 75.” 

  • One percent of the U.S. population accounts for nearly 23 percent of overall health care spending, and 5 percent are responsible for a full 50 percent of spending. In stark contrast, the lowest-spending half of the population generates less than 3 percent of total spending—or only about $234 per person, per year.

  • Improving health outcomes for our nation’s children requires coordinated care that promotes recommended health services, prevents unnecessary hospitalizations and bridges across the multiple systems serving children and families.

NIHCM

Expert Voices: Why America Spends More on Health Care

Eric Jensen, Consultant
Lenny Mendonca, Director of Firm Knowledge, McKinsey & Company
 

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November 2009

Pathbreaking work by the McKinsey Global Institute (MGI) shows that, relative to other peer countries from the Organisation for Economic Cooperation and Development, the U.S. spends nearly $650 billion more on health care than would be expected after adjusting for cross-country differences in wealth. Fully two-thirds of this added spending occurs in the outpatient sector. The highly profitable nature of many outpatient services coupled with the incentives of a fee-for-service payment system are contributing to greater intensity of outpatient care and helping to fuel this spending. In this essay, Eric Jensen and Lenny Mendonca describe MGI's work to examine all sectors of the American health care system and identify factors responsible for the higher-than-expected spending.

Other recent Expert Voices essays include:

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