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  • 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.

  • Washington, DC – November 11, 2014 - The National Institute for Health Care Management (NIHCM) Foundation has awarded four new grants totaling approximately $270,000 to support investigator-initiated health services research.

  • BlueCross BlueShield of Tennessee Health Foundation gives $1M to construct a neonatal abstinence syndrome treatment center. The Institute of Medicine and the National Research Council call attention to the surprisingly poor health profile of young adults.

  • Population aging and recent coverage expansions have fueled concerns about physician shortages in primary care, leading several influential groups to recommend that nurse practitioners take on a larger role.

  • Most children’s health system experience is limited to the pediatrician’s office, but those with chronic or complex medical needs often deal with care that is fragmented, duplicative and crisis-driven. This leads to stress on families and wasteful utilization.

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.

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