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  • Despite the potential consequences for babies, up to 10 percent of pregnant women opt to deliver through C-section or induction prior to 39 weeks gestation without medical indication. 

  • The CDC has declared adolescent vaccination against human papillomavirus (HPV) one of the top five public health priorities of 2014. Last month the President's Cancer Council also issued an urgent call to action to improve HPV vaccination rates.

  • Evidence has consistently shown that hospital consolidations are associated with higher prices, but preventing anti-competitive mergers has proven difficult.

  • For decades steady increases in lifestyle-related illnesses have affected our quality of life and our bottom line. With more than half of Americans now facing at least one chronic disease, the status quo is no longer acceptable. 

  • Health care is a uniquely challenging consumer experience: it can be complex and expensive but also vital and deeply personal. It’s no wonder that consumers are looking to technology to help simplify their health care choices—and businesses are increasingly meeting them with solutions.

  • Patient-centered care has at its base a very powerful concept: health care decisions should be driven by the preferences, needs and values of the patient. In this essay, Michael Millenson identifies three distinct ways of thinking about patient-centered care—ethically, economically and clinically.

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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