News & Events

  • Just 5 percent of the population accounts for 50 percent of national health spending. Behind these numbers are patients and families struggling with multiple chronic conditions, physical and mental impairments, and tremendous stress.

  • Washington, DC – October 10, 2014 – NIHCM Foundation has awarded $215,000 to eight organizations through the first cycle of its new journalism grant program announced earlier this year.

  • The Relative Value Scale Update Committee (RUC)—a small panel of medical professionals whose recommendations have considerable influence over Medicare payment levels for their own services—has drawn quite of bit of political and media scrutiny recently.

  • More than 8 percent of two- to five-year-olds are obese, and another 23 percent are overweight and at substantial risk of becoming obese by the eighth grade. These early years are a critical time to focus on the development of healthy habits.

  • The annual cost of cancer care in the U.S. is large and growing—projected to hit $184 billion by 2020. This fiscal reality has spurred interest in bundled-payment models that reward providers for maintaining or improving clinical outcomes while controlling costs.

  • Video and slides are now available from NIHCM’s September 3rd policy briefing on Capitol Hill, “The Future of Health Care in America: The ACA and Beyond.” This briefing brought together health care leaders with diverse perspectives to discuss the latest developments in ACA implementation, the dramatic market-driven transformations currently underway, and other policies and issues to watch going forward.

NIHCM

Expert Voices: Scoring Health Legislation

Paul N. Van de Water, PhD, Senior Fellow, Center on Budget and Policy Priorities
 

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April 2009

The fate of legislative proposals in the U.S. Congress often hinges on how much they are estimated to increase or decrease the federal budget deficit. Currently, the Congressional Budget Office is responsible for developing these estimates – or “scores” – for all pending legislation, following rules and procedures established by Congress and the Administration. Yet these rules and their impact on the resulting budget estimates are often poorly understood. In this essay, Dr. Van de Water describes the basic elements of budget scoring, provides some cautionary comments on how the estimates should be used, and looks at the scoring issues likely to arise as health reform legislation is advanced and debated.

Other recent Expert Voices essays include:

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